Tina Jones Health History Shadow Health Question and Answers 2023-2024, Exams of Nursing

Download Tina Jones Health History Shadow Health Question and Answers 2023-2024 and more Exams Nursing in PDF only on Docsity! Tina Jones Health History Shadow Health question and answers 2023-2024 Review of Systems - correct answers Head: Reports headaches that occur weekly with reading in the past year. The headache lasts a few hours and is relieved with acetaminophen and sleep. Headaches are described as a "tight and throbbing feeling behind the eyes." Denies head and neck trauma. , Ears: Denies difficulty hearing, tinnitus, ear pain, and discharge. Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. No visual acuity testing since childhood. Does not wear corrective lenses. Reports eye itching associated with exposure to cats. Denies discharge and pain. Nose: Rhinitis and congestion related to cat allergy. Denies sinus problems, frequent colds/infections, epistaxis, and change in smell. Mouth: Denies dental pain or problems, oral lesions, and dry mouth, and changes in taste. Throat and Neck: Denies sore throat, dysphagia, and changes to voice quality. Denies goiter, hyper/hypothyroidism. Tina Jones Health History Shadow Health question and answers 2023-2024 Respiratory: Denies history of pneumonia, tuberculosis, and chronic bronchitis. Denies cough, dyspnea, current wheezing, hemoptysis, or recent cough. . Cardiovascular: Denies palpitations, dyspnea on exertion, orthopnea paroxysmal nocturnal dyspnea, peripheral edema, varicosities, and pain in lower extremities. Reports no blanching in fingertips when exposed to cold. Gastrointestinal: Denies digestive problems, reflux, dysphagia, nausea, vomiting, diarrhea, constipation, changes in bowel habits, jaundice, abdominal pain, and bloody stools. Denies gallbladder and liver disease. Reports polyphagia, polydipsia, nocturia for the past month and polyuria for past few months. Genitourinary: Denies flank pain, dysuria, urgency, and cloudy urine. Denies history of recurrent urinary tract infections and kidney stones. Denies vaginal discharge and vaginal itching. Menses irregular. No history of sexually transmitted infections. No pregnancies. Musculoskeletal: Denies history of fractures, gout, and arthritis. Denies myalgias and arthralgias. Denies back and neck pain and trauma. Denies generalized weakness. Does not exercise regularly. Tina Jones Health History Shadow Health question and answers 2023-2024 Surgical History - correct answers No surgeries Previous Hospitalizations - correct answers Last hospitalized for asthma exacerbation in high school. Medical History - correct answers Asthma diagnosed at age 2 1/2. She uses her albuterol inhaler when she experiences exacerbations, such as from dust or cats; she never uses it more than twice a week. She was exposed to cats a few days ago and had to use her inhaler once. She is prescribed 1-3 puffs as needed; she reports having to use 3 puffs occasionally, but usually 1-2. She was last hospitalized for asthma in high school. Never intubated. Type 2 diabetes, diagnosed at age 24. She used to take metformin but stopped taking it due to gastrointestinal problems. She doesn't monitor her blood sugar. She was last seen by a primary care doctor a few years ago. Her last dental exam was over two years ago. Last eye exam was in childhood. Medications - correct answers • Albuterol 90 mcg/spray MDI, 1-3 puffs, as needed for wheezing • Acetaminophen 500 mg tabs by mouth, 1 - 2, as needed for pain or headache • Ibuprofen 200 mg tabs by mouth, 3 - 4, three times a day, as needed for cramps Tina Jones Health History Shadow Health question and answers 2023-2024 Immunizations - correct answers Up-to-date. Received tetanus and HPV vaccines within the last year. Denies recent flu shot. Allergies - correct answers • Penicillin: rash • Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation • No food allergies • Not allergic to latex Pain Assessment - correct answers Pain is rated as 7. Pain is localized to ball of foot related to wound. Dull and constant ache. Patient has tried ibuprofen, but reports it does not work well. Patient states there is relief when foot is elevated, not walking on it. Patient answers questions clearly and consistently. Offers information without hesitation. Vital signs are within range. History of Present Illness - correct answers Ms. Jones is a pleasant 28- year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is a good historian. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. The injury occurred about one week ago. Her pain has worsened, and the swelling has persisted. She tried ibuprofen, but it didn't work well. The foot feels better when she rests, and it hurts more when she walks on it. Her pain is a 9 when she tries to ambulate. She took her temperature at home and reports it was 102. She has not been eating much and has Tina Jones Health History Shadow Health question and answers 2023-2024 been staying in bed the last few days, per patient report. The scrape is red and swollen with exudate and has no odor; she reports the swelling and exudate started two days ago. She reports diarrhea overnight. Pain improved with oxycodone. Stomach upset. Chief Complaint - correct answers Right foot pain, fever, nausea