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Tina jones comprehensive case study 2025

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Tina jones comprehensive case study 2025

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  • January 26, 2025
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Tina jones comprehensive case study 2025

, 2/24/2019 Comprehensive Assessment | Completed | Shadow Health

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Comprehensive Assessment Results | Turned In
Health Assessment for the BSN - Muskegon - Spring 2019, NUR 2250
Return to Assignment




Your Results Lab Pass




Overview
Documentation / Electronic Health Record
Transcript

Subjective Data Collection Documentation

Objective Data Collection

Documentation Vitals
Plan My Exam
Student Documentation Model Documentation


• Height: 170 cm
• Weight: 84 kg
Vitals • BMI: 29.0
• Blood Glucose: 100
BP: 142/82; HR: 68; RR: 16; O2: 98%; Temperature: • RR: 15
37.9 C • HR: 78
• BP:
• Pulse Ox: 99%
• Temperature: 99.0 F




Health History
Student Documentation Model Documentation


Identifying Data & Reliability Ms. Jones is a pleasant, 28-year-old African
American single woman who presents for a pre-
Patient is in no apparent distress. Alert and oriented
employment physical. She is the primary source of
x4. Patient is seated upright on the examination
the history. Ms. Jones offers information freely and
table, she is well nourished, and dressed
without contradiction. Speech is clear and coherent.
appropriately for the weather with good hygiene.
She maintains eye contact throughout the interview.

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