NR 511 Week 2 Discussion: SNAPPS Presentation (RATED A+)
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Course
NR 511
Institution
Chamberlain School Of Nursing
The purpose of the SNAPPS assignment is to provide a learner centered approach to case presentation where the student takes an active role. One of the most comment criticisms that we have … from you r preceptors at this level is that the students in the first clinical course do not know how to �...
nr 511 week 2 discussion snapps presentation rated a
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Chamberlain School Of Nursing
NR 511
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SNAPPS ORAL PRESENTATION TEMPLATE
This template should only be used to organize your oral presentation, IT SHOULD NOT
BE SUBMITTED.
Knowing which antibiotic to use, allergy to sulpha or pcn
Rapid strep comes back negative but it’s clearly strep & give medication anyway
SUMMARIZE
Using a patient seen in - practicum setting, summarize - H&P into an organized &
concise format.
CC Sore throat, cough, congestion
28 year old female.
HPI statement
using O – Onset
OLDCARTS
data Sore Throat
This is a new problem. - current episode started yesterday. - problem has
been unchanged.
 L – Location
Nei-r side of throat is experiencing more pain than - o-r.
 D – Duration
Continuous for past 24 hours
 C – Character
Maximum temperature: low grade, 99.5. - fever has been present for
less than 1 day. Associated symptoms include congestion & coughing.
Pertinent negatives include no ear pain or shortness of breath. Pt reports
pain as 6/10 & scratchy & sore throat, & positive for nasal congestion &
cough.
, ï‚· A - Alleviating & Aggravating factors
Swallowing makes - sore throat worse, no reported alleviating
factors
 R – Radiation
denies
 T – Treatments
Pt tried OTC NSAIDS with mild relief
 S – Severity
ï‚· - pain is reported to be moderate & bo-rsome but does not
distruct ADLs
Pertinent ROS
Review of Systems
Constitutional: Positive for diaphoresis & fever. Negative for chills.
HENT: Positive for congestion, postnasal drip, sinus pressure & sore
throat. Negative for ear pain & sinus pain.
Respiratory: Positive for cough. Negative for shortness of breath &
wheezing.
, Pertinent PE
BP 129/81 | Pulse 95 | Temp 37.5 °C (99.5 °F) | Ht 175.3 cm (5' 9") | Wt
114.3 kg (252 lb) | LMP 01/08/2020 | BMI 37.21 kg/m²
Physical Exam
Vitals signs & nursing note reviewed.
Constitutional:
General: She is not in acute distress.
Appearance: Normal appearance. She is well-developed & well-groomed.
She is ill-appearing. She is not toxic-appearing.
HENT:
Head: Normocephalic & atraumatic.
Right Ear: Tympanic membrane & ear canal normal.
Left Ear: Tympanic membrane & ear canal normal.
Nose: Nose normal.
Mouth/Throat:
Lips: Pink.
Mouth: Mucous membranes are moist.
Pharynx: Oropharynx is clear. Uvula midline. Posterior oropharyngeal
ery-ma present.
Tonsils: No tonsillar exudate. Swelling: 1+ on - right. 1+ on - left.
Cardiovascular:
Rate & Rhythm: Normal rate & regular rhythm.
Heart sounds: Normal heart sounds.
Pulmonary:
Effort: Pulmonary effort is normal.
Breath sounds: Normal breath sounds.
Lymphadenopathy:
Cervical: Cervical adenopathy present.
Skin:
General: Skin is warm & dry.
Neurological:
General: No focal deficit present.
Mental Status: She is alert & oriented to person, place, & time.
NARROW
Based on - H&P key findings, identify an appropriate differential.
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