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Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds.

Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds.

week3 GENERAL SURVEY AND HEALTH HISTORY (GRADED) Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained falling at the local skateboard park while practicing for a national competition. [http://www.bezern.com/] He has never been hospitalized before. [http://www.bezern.com/] His mother has been notified and is on her way. [http://www.bezern.com/] The EMTs gave him morphine and he reports his pain level as “okay. [http://www.bezern.com/]” * What part of the interview and examination can be done prior to his mother’s arrival? * As you enter the room for the first time, what should you observe as part of the general survey? * As you complete his history, what areas are especially important? * What are the important developmental considerations for Casey? THE OLDER ADULT (GRADED) Jean is a 68-year-old female admitted for a total hip replacement. [http://www.bezern.com/] In her interview you learn that she has a history of obstructive sleep apnea (OSA) with a neck circumference of 16 inches and snores much of the night. [http://www.bezern.com/] She is 5’7” and weighs 265 pounds. [http://www.bezern.com/] She states she is sleepy throughout the day. [http://www.bezern.com/] Her other medical history includes: hypertension treated with angiotensin II receptor blockers (ARB), Diabetic with an Hgb A1c over 8%. [http://www.bezern.com/] Hypercholesteremia treated with a Statin drug. [http://www.bezern.com/] Coronary Artery Disease (CAD) with a history of a drug eluting cardiac stent placed 14 months ago and currently on Plavix and ASA. [http://www.bezern.com/] History of gastroesophageal reflux disease (GERD) and is on Prilosec. [http://www.bezern.com/] Her husband has a history of cerebral vascular accident (CVA) several years ago. [http://www.bezern.com/] * What medications should she take pre-op and what should she hold? * Should Jean be allowed to continue ASA pre-operatively? * Should cardiology be consulted on this matter? * What are Jean’s risks for diabetes complications? What concerns do you have about her social support system? * week 4 ASSESSMENT OF THE SKIN (GRADED) Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds. [http://www.bezern.com/] Do not limit yourself to these examples. [http://www.bezern.com/] * What questions would you ask as part of your focused assessment? * What history might be associated with the symptom, if any? * What are the known risk factors for this condition? * What physical examination techniques would you use? * What patient education would you give the patient? * Find a nursing journal article about these symptoms. [http://www.bezern.com/] ASSESSMENT OF THE HEAD AND NECK (GRADED) Choose one area of the head and neck and then select a common complaint (symptom or group of symptoms) patients may have in that area. [http://www.bezern.com/] For example, you may select headaches, earaches, ringing in the ears (tinnitus), sinus drainage and pain, sore throat and cough, and so on. [http://www.bezern.com/] Do not limit yourself to these examples. [http://www.bezern.com/] * What questions would you ask as part of your focused assessment? * What history would be associated with the symptom? * What are the risk factors for this condition? * What physical examination techniques would you use? * What patient education would you give the patient? * Find a nursing journal article about this symptom or condition. [http://www.bezern.com/] *

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