She reports intense pain on a numerical scale and describes pain characteristics. Finding: Denies brother having diagnosed health problems (Found)Pro Tip: Family histories might indicate a genetic predisposition. If the patient reports recurring stomach pain, it could be a symptom of a gastrointestinal problem. Example Question: Do you have any nose problems right now? Gather data on the patient's breathing status by checking pulse and blood pressure. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. The patient is unable to bear weight on her affected leg, which prevents walking. Finding: Reports inhaler is albuterol (Proventil) (Found)Pro Tip: Finding out the specific medication type or brand is essential in understanding whether it's a maintenance or rescue medication. As a currently presenting symptom, it could indicate a change in patient status. My brother and my dad are kind of big, but I wouldn't say they were obese or anything. Student: How long ago was your dad's car accident? Finding: Asked about current diabetes medication use. Edema is caused by the presence of excess fluid in the tissues, and it can indicate an infection, weak heart or veins, or other organ problems. I know I need sleep, too. Tina Jones: It's... white or maybe off-white. If the patient reports a history of constipation, it could be a symptom of dietary or gastrointestinal problems. And high cholesterol like everyone else in my family. View Homework Help - Shadow Health Cardiovascular Tina Jones Assessment.pdf from NUR 305L at Coastal Carolina University. Example Question: Has your heartbeat been irregular? Planning Pro Tip: To reduce the patient's pain, assess her current rating. Example Question: Have you had breast cancer? Asking Tina if her mother had high blood pressure can reveal generational patterns. Evidence - Relevant: Evidence Pro Tip: As Tina discusses symptoms of her wound, including symptoms such as discharge, redness, warmth, and swelling, she reports strong evidence of impaired skin integrity. Example Question: Do you have nail fungus? Finding: Reports right foot is injured (Found)Pro Tip: Confirming which extremity an injury is located is a best practice for your patient's safety. Week 5 Test 2 Jarvis pages 467-470 Learn with flashcards, games, and more — for free. Student: What immunizations have you received? Tina Jones: I don't think I have problems in that area. Finding: Asked about paternal grandfather's health. I can give you some Advil at this time, and in a few hours, you can have more tramadol. Finding: Denies eye pain (Available)Pro Tip: Asking about symptoms, such as eye pain, is one possible component of a review of systems interview. Muscle weakness can be a sign of neurological problems, or a reaction to medication. Am sorry to hear that you are having headaches. Symptoms like these could indicate a yeast or sexually transmitted infection. Finding: Denies excessive flatulence or bloating (Available)Pro Tip: Asking about gas or bloating is one possible component of a review of systems interview. . She also reports sometimes needing more puffs to resolve symptoms. Finding: Reports that the wound bled a little after sustaining the injury (Available)Pro Tip: Asking about bleeding helps you determine the characteristics of a wound. Higher levels of pain have been associated with thoughts of self-harm. I can also teach you more about what the numbers mean. My faith is a big part of my life--when things get hard like they've been this past year, I know I can trust that God's looking out for me. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as unspecified allergies. Example Question: Do you have any mouth problems? Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. We Did The Research For You. Finding: Denies current chest tightness (Available)Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. Tina Jones: My chest and throat get tight, and I start to wheeze. The patient's response to questions about this topic may uncover additional problems, such as hearing loss, not discovered during the discussion of the patient's chief complaint. Student: We are going to take care of everything as quickly as possible. Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. Finding: Reports changes to neck skin (Available)Pro Tip: Asking about changes in skin color is one possible component of a review of systems interview. Model Statement: "I understand that it can be challenging to keep up with daily medication. Student: What did you do to treat your foot after your accident? As a currently presenting symptom, it could indicate a change in patient status. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as oral infection or recent trauma. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. 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