Ha heent - Study guides, Class notes & Summaries

NRNP 6540 Week 10 Focus SOAP Note- Musculoskeletal/Neurological Jamie Boggs NRNP 6540 Dr. Petko Walden University May 10, 2021 Week 10 Focused SOAP Note- Musculoskeletal/Neurological Patient Information: M.L., 66 y.o., Male, Hispanic S (subjective) CC (chief complaint): Acute aphasia, right facial droop, and right-sided weakness. HPI (history of present illness): M.L., is a 66 y.o., Hispanic, male who presents to the ED after EMS was called by a co-worker for acute...

1. Define diagnostic reasoning Reflective thinking because thhe process involves questioning one's thinking to determine if all possible avenues have been explored & if thhe conclusions that are bein g drawn are based on evidence. Seen as a kind of critical thinking. 2. What is subjective data? Anything thhe patient tells you or complains of regarding thheir symptoms Chief complaint HPI ROS 3. What is objective data? Anything YOU can see, touch, feel, hear, or smell as part of your exam Include...

NRNP 6540 Week 10 Focus SOAP Note- Musculoskeletal/Neurological Jamie Boggs NRNP 6540 Dr. Petko Walden University May 10, 2021 Week 10 Focused SOAP Note- Musculoskeletal/Neurological Patient Information: M.L., 66 y.o., Male, Hispanic S (subjective) CC (chief complaint): Acute aphasia, right facial droop, and right-sided weakness. HPI (history of present illness): M.L., is a 66 y.o., Hispanic, male who presents to the ED after EMS was called by a co-worker for acute...

AAA - CORRECT ANS Abdominal Aortic Aneurysm A Fib - CORRECT ANS Atrial Fibrillation Abd - CORRECT ANS Abdomen, Abdominal Abx - CORRECT ANS Antibiotics AMA - CORRECT ANS Against Medical Advice AMS - CORRECT ANS Altered Mental Status ASA - CORRECT ANS Acetylsalicylic Acid (Aspirin) BID - CORRECT ANS Twice Daily Bilat LE - CORRECT ANS Bilateral Lower Extremities BM - CORRECT ANS Bowel Movement BP - CORRECT ANS Blood Pressure CA - CORRECT ANS Cancer, Carcinoma CABG - CORRECT ANS Coronary...

AAA Abdominal Aortic Aneurysm A Fib Atrial Fibrillation Abd Abdomen, Abdominal Abx Antibiotics AMA Against Medical Advice AMS Altered Mental Status ASA Acetylsalicylic Acid (Aspirin) BID Twice Daily Bilat LE Bilateral Lower Extremities BM Bowel Movement BP Blood Pressure CA Cancer, Carcinoma CABG Coronary Artery Bypass Graft, "open heart surgery" CAD Coronary Artery Disease, "heart disease...

When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to A- Have the patient return in 2 weeks for a follow-up vision screen B- Dilate the eyes and retest C- Refer the patient to an ophthalmologist D- Document this as a normal finding. Question 2 The American Psychiatric Association’s Diagnostic and Statistical Manual Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as A- A self-inflicted injur...

When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to A- Have the patient return in 2 weeks for a follow-up vision screen B- Dilate the eyes and retest C- Refer the patient to an ophthalmologist D- Document this as a normal finding. Question 2 The American Psychiatric Association’s Diagnostic and Statistical Manual Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as A- A self-inflicted injur...

Episodic Visit: Dermatology Focused Note PRAC 6541: Primary Care of Adolescents and Children Practicum Lucia Mariolina Moutoux October 3, 2022 Patient Information: NY, 13 y/o Female, African American. CC: “I have an itchy rash on my arms” HPI: The patient is an African American 13 y/o female who presents to the clinic accompanied by her mother for evaluation and treatment a progressively getting worse pruritic rash/patches around both elbows, and forearms. Patient reports she has not...

Health Assessment HESI SOAP modified format - ANS Subjective Objective Assessment Plan What color ink should be used when documenting on paper - ANS Permanent black ink What is the correct order for vital signs - ANS T, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation - ANS Patient initials and date and time of entry What should be at the end of every documentation entry - ANS Interviewers signature How do y...

AAA - Abdominal Aortic Aneurysm A Fib - Atrial Fibrillation Abd - Abdomen, Abdominal Abx - Antibiotics AMA - Against Medical Advice AMS - Altered Mental Status ASA - Acetylsalicylic Acid (Aspirin) BID - Twice Daily Bilat LE - Bilateral Lower Extremities BM - Bowel Movement BP - Blood Pressure CA - Cancer, Carcinoma CABG - Coronary Artery Bypass Graft, "open heart surgery" CAD - Coronary Artery Disease, "heart disease" CT o...