Assignment: NR 509 Week 2: Shadow Health Respiratory Physical Assessment

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Assignment NR 509 Week 2 Shadow Health Respiratory Physical Assessment

Assignment: NR 509 Week 2: Shadow Health Respiratory Physical Assessment

NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. All you need to do is ORDER NOW for an equivalent of 4 pages and score 100% in this assignment and all other Shadow Health Assignments. By placing this order, the only thing you will do is ask Tina the questions that we will give you and then use our documentation to create yours!!! Shadow health respiratory assessment questions and transcript.

Tina had an asthma episode 2 days ago. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about related body systems. This case study will provide the opportunity to carefully assess lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical terminology.

Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved.

SAMPLE Shadow Health Respiratory Assessment

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

Subjective

Social History: She is not aware of any environmental exposures or irritants at her job or home……

Review of Systems:

General: Denies changes in…
Nose/Sinuses:
Gastrointestinal:
Respiratory:

Objective

General: Ms. Jones is a pleasant….
Respiratory: Chest expansion is….

Assessment

Mild-persistent….

Plan

Diagnostics

Obtain office….

Education

Encourage Ms. Jones to continue t….

Referral/Consultation

Refer to…..

Follow-up Planning

Order ….
Instruct Ms. Jones …..
Revisit….

Tina’s second cousin was diagnosed with asthma at age 5. What would be included in your treatment plan? What factors might concern you related to compliance?

The treatment plan for this child would be to….

Consider that Tina’s uncle is now 68 years old and has smoked heavily every day since he was fifteen. What would you expect to find in his respiratory assessment? How would this affect your oxygenation goals for this patient?

Common significant deviations of the chest for older adults include marked dorsal curvature, kyphosis, increased AP diameter of the chest (barrel chest), and diminished chest expansion (Hogstel & Curry, 2005). Bones become thinner, more rigid, and change shape, and muscles may become weakened. This results in a lower oxygen level with less carbon dioxide removed from the body, and decreased ability to cough. Osteoporosis causes decreased thoracic vertebrae height. Aging also causes the alveoli to lose their shape causing shortness of breath. Due to diminished cough reflex with decreased sensitivity, large amounts of particles that are more difficult to expectorate can collect in the lungs. In addition, the brain is less sensitive to hypoxia (low oxygen) and hypercapnea (higher than normal carbon dioxide) and higher residual volume. As a result of these changes, older persons are at increased risk for pneumonia and bronchitis (Minaker, 2011; Sharma & Goodwin, 2006). Shadow health respiratory assessment questions and transcript.

In the respiratory assessment of this patient, I expect to find marked dorsal curvature, increased AP diameter of the chest, diminished chest expansion, and kyphosis. The weakened muscles will result in lower oxygen levels and lower elimination of carbon dioxide leading to decreased coughing capacity. Alveoli will also will also lose their shape leading to dypnea. Therefore, oxygenation goals will have to take in cognizance these realities and advise the patient accordingly. Consequently, efforts to increase exercise tolerance, treat complication, and relieve symptoms will be initiated.

If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?
If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?
Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?
Suppose that while auscultating, you assessed a few scattered expiratory wheezes. Why would this be an expected finding for a patient with Tina’s history. Shadow health respiratory assessment questions and transcript.
When you observe a patient like Tina throughout an exam, there are many ways to determine whether a patient is experiencing respiratory distress. Identify one indicator of respiratory distress that can be assessed through observation alone.

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

Describe how you would assess Tina for dyspnea

Dyspnea can be assessed both……

Explicitly describe the tasks you undertook to complete this exam.

The examination…..

Explain the clinical reasoning behind your decisions and tasks.
Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice.
Assignment NR 509 Week 2 Shadow Health Respiratory Physical Assessment

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