The Older Adult (graded)
Jean is a 68-year-old female admitted for a total hip replacement. In her interview you learn that she has a history of obstructive sleep apnea (OSA) with a neck circumference of 16 inches and snores much of the night. She is 5’7” and weighs 265 pounds. She states she is sleepy throughout the day. Her other medical history includes: hypertension treated with angiotensin II receptor blockers (ARB), Diabetic with an Hgb A1c over 8%. Hypercholesteremia treated with a Statin drug. Coronary Artery Disease (CAD) with a history of a drug eluting cardiac stent placed 14 months ago and currently on Plavix and ASA. History of gastroesophageal reflux disease (GERD) and is on Prilosec. Her husband has a history of cerebral vascular accident (CVA) several years ago.
• What medications should she take pre-op and what should she hold?
• Should Jean be allowed to continue ASA pre-operatively?
• Should cardiology be consulted on this matter?
• What are Jean’s risks for diabetes complications? What concerns do you have about her social support system?
•
week 4
Assessment of the Skin (graded)
Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds. Do not limit yourself to these examples.
• What questions would you ask as part of your focused assessment?
• What history might be associated with the symptom, if any?
• What are the known risk factors for this condition?
• What physical examination techniques would you use?
• What patient education would you give the patient?
• Find a nursing journal article about these symptoms.
Assessment of the Head and Neck (graded)
Choose one area of the head and neck and then select a common complaint (symptom or group of symptoms) patients may have in that area. For example, you may select headaches, earaches, ringing in the ears (tinnitus), sinus drainage and pain, sore throat and cough, and so on. Do not limit yourself to these examples.
• What questions would you ask as part of your focused assessment?
• What history would be associated with the symptom?
• What are the risk factors for this condition?
• What physical examination techniques would you use?
• What patient education would you give the patient?
• Find a nursing journal article about this symptom or condition.
•
• unit 5
Assessment of the Abdomen (graded)
• Describe a patient with an abdominal symptom or group of symptoms, such as bloating, flatus, and eructation; constipation; nausea and vomiting; diarrhea; or abdominal pain. Do not limit yourself to these examples. Remember that there are different types and locations of abdominal pain.
o What questions would you ask as part of your focused assessment?
o What history might be associated with the symptom, if any?
o What are the known risk factors for this condition?
o What physical examination techniques would you use?
o What patient education would you give the patient?
o Find a nursing journal article about these symptoms.
Assessment of the Genitourinary System (graded)
Describe a patient with a genitourinary symptom or group of symptoms; such as incontinence, burning on urination, irregular menses, pain in the scrotum, erectile dysfunction, and so on. Do not limit yourself to these; for example, there are different types of incontinence.
o What questions would you ask as part of your focused assessment?
o What history might be associated with the symptom, if any?
o What are the known risk factors for this condition?
o What physical examination techniques would you use?
o What patient education would you give to the patient?
o Find a nursing journal article about these symptoms.
unit 6
Assessment of Cardiac Status (graded)
Describe a patient with a cardiac symptom or group of symptoms, such as palpitations, hypertension, hypotension, tachycardia, or bradycardia. Do not limit yourself to these examples.
o What questions would you ask as part of your focused assessment?
o What history might be associated with the symptom, if any?
o What are the known risk factors for this condition?
o What physical examination techniques would you use?
o What patient education would you give to the patient?
o Find a nursing journal article about this symptom or condition.
o
Assessment of Respiratory Status (graded)
Choose one area of the respiratory system and then select a common complaint (symptom or group of symptoms) patients may have in that area. For example, you may select wheezes, pulmonary congestion, absence of breath sounds on one side, productive cough, and so on. Do not limit yourself to these examples.
o What questions would you ask as part of your focused assessment?
o What history would be associated with the symptom?
o What are the risk factors for this condition?
o What physical examination techniques would you use? What patient education would you give the patient?
o Find a nursing journal article about this symptom or condition.
o unit 7
Assessing the Musculoskeletal System (graded)
o Describe a patient with a musculoskeletal symptom or group of symptoms, such as joint pain, back pain, neck pain, and so on. Do not limit yourself to these examples. Remember: There are different types and locations of joint pain.
What questions would you ask as part of your focused assessment?
What history might be associated with the symptom, if any?
What are the known risk factors for this condition?
What physical examination techniques would you use?
What patient education would you give the patient?
Find a nursing journal article about these symptoms.
unit 7
Assessing the Nervous System (graded)
Choose one common complaint (symptom or group of symptoms) related to the neurological system. For example, you may select syncope, hand tremors, seizures, right/left-sided weakness or paralysis, abnormalities of gait or posture, changes in mental status, and so on. Do not limit yourself to these examples.
What questions would you ask as part of your focused assessment?
What history would be associated with the symptom?
What are the risk factors for this condition?
What physical examination techniques would you use?
What patient education would you give to the patient?
Find a nursing journal article about this symptom or condition.
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