Exam (elaborations)
NURSING RN NSG6020Week 4 Discussion Jason Carter case
- Course
- Institution
NURSING RN NSG6020Week 4 Discussion Jason Carter case
[Show more]
Seller
Follow
Academia199
Reviews received
Content preview
WEEK 4 DISCUSSION JASON CARTER CASEDiscussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed
questions and your understanding of why they were important to collect for this case history. Use
specific references from your text to explain.
Do you have any of the following: heat or cold intolerance, increased thirst, increased sweating, frequent
urination, change in appetite?
Some of the patient’s symptoms could have been attributed to a thyroid issue: fatigue, weight
gain, and tachycardia. According to Goolsby & Grubbs (2015, p 87), signs of hyper and hypothyroidism
include weight loss or gain, nervousness or fatigue, diarrhea or constipation, intolerance to heat or cold,
insomnia or lethargy, menstrual irregularities, and skin or hair changes.
Have you noticed: any bruising, bleeding gums, nose bleeds or other sites of increased bleeding?
Increased bleeding can signify a serious symptom of liver disease (Goolsby & Grubbs, 2015, p.
198) and with the other symptoms of hepatomegaly, dyspnea, and RUQ tenderness, it is important to
assess for this finding.
Discussion Question 2
Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two
errors in your exam performance or documentation. Use specific references from your text to explain
the importance of these findings in correct assessment of this client.
According to the evaluation of my physical exam, it stated that I identified the wrong rhythm for the
patient; I identified the rhythm as being S3 and it said the rhythm was regular. In the expert review in the
findings section though, it stated the patient did have positive S3 sound. A positive S3 sound (ventricular
gallop) is heard in patients with decreased myocardial contractility, heart failure, and volume overload
conditions (Goolsby & Grubbs, 2015, p. 165).
Discussion Question 3
Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you
included in your list and describe a specific physical exam that you can perform at the point-of-care to
further evaluate the finding. Use specific references from your text.
Assessed for jugular venous distension as jugular venous distention and hepatojugular reflux suggest an
increase in right ventricular pressure (Goolsby and Grubbs, 2015, p. 168).
Discussion Question 4
Based on your performance and the expert feedback in your ASSESSMENT identification of problem
categories, choose one missed/incorrect category and use specific references from your text to explain
the importance of this category in arriving at correct differential diagnoses for this client.
This study source was downloaded by 100000842722785 from CourseHero.com on 07-13-2022 02:30:22 GMT -05:00
https://www.coursehero.com/file/40135248/Week-4-Discussion-Jason-Carter-casedocx/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Academia199. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now