Auscultation

Diagnostic Reasoning Symptom Assignment Student Name: Kristy Anderson Symptoms: 55 year old male presents to your clinic with and upset stomach and belching past several months. A. Identify the appropriate history questions to be asked of your patient to discriminate critical characteristics about the above presented concern. 1. Can you identify when exactly the upset stomach started? 2. Describe the upset stomach. Describe the pain. On a scale of 1/10 how painful is it? 3. Is the pain constant…

CONCEPT 7: THE SIGNIFICANCE OF NURSING HISTORY AS PART OF GASTROINTESTINAL TRACT ASSESSMENT. This concept is taken from Block 4, Module 8 which is entitled as ‘Assessment of gastrointestinal system’. The digestive system is made up of organs that function together to transform food substances to energy and nutrients that are needed in the body. The digestive system is made up of the alimentary canal which include the mouth or oral cavity, pharynx, esophagus, stomach, small intestines, and large…

sound for auscultation. Hand washing, self-introduction, and explanation of the assessment procedure is always part of any assessment; place the client in a 30 degree supine position to begin. A set of vital signs is recorded and documented that the client is hypertensive, diaphoretic, and tachycardia. (Skill assessment, 2016) Begin with inspection of the precordium at the sternal angle this will allow the nurse to identify the aortic, pulmonic, tricuspid, and mitral area for auscultation after…

one of my patients arrived with a chief complaint of shortness of breath; following this complaint, a thorough respiratory assessment was implemented. Upon auscultation of the lungs, I found inspiratory and expiratory wheezing. Along with this clinical manifestation, the patient also stated that they were in pain, had tachycardia upon auscultation, and tachypnea. Immediately after assessing the patient and determining their stability, my results were documented descriptively to the best of my…

Mikayla McClellan Mrs. Belcher CNA 14 September 2017 Chinese Cultural Paper The Chinese have a different way of healthcare vs. Americans. Americans want to find and treat the disease while the Chinese look at the bigger picture. They think that the human body is in some way connected to the environment. Chinese doctors look at the imbalances and disharmonies of the person’s illness. Practices such as acupuncture and herbal treatments can be found in many health care centers. They believe…

Physical Examination of the Female Breast Physical examination of the female breasts is an important screening method and should be performed by all women periodically (Gotzsche, 2015). The process is useful in early detection of breast cancer which could help in improving the prognosis of the patient. The physical examination and its principles should be learnt by all women as the procedure can be performed at home independently, especially by individuals who are genetically predisposed to…

Kylie has returned six weeks since the last appointment. Not surprisingly given the slightly warmer weather, Kylie’s symptoms have improved. A couple of days after I saw her her cough did increase and she commenced the Tilade inhaler. A few days later she went to Mildura for five days and with the warm weather there her cough and other upper airway symptoms settled. She has been quite well since and stopped Tilade after a couple of weeks. She never got to the point of commencing Alvesco. A…

L- Today in lab I learned how to properly place my stethoscope when auscultating the lungs. E- To prepare us for auscultation of the lungs, Jackie showed us the landmarks used to find the intercostal spaces. Once I found the manubrium, I followed the angle of Louis to find the second intercostal space. I noticed it is imperative the stethoscope is placed between the ribs to hear breath sounds. To begin the process, locate the second intercostal space on one side of Caroline’s chest. Following I…

areas of atelectasis and post-inflammatory scarring. There is also evidence of moderate bronchiectasis. The report again comments on a bulky thyroid gland, although Robert is not reporting any upper airways symptoms relating to this. Chest auscultation today reveals minimal crackles. At this stage, Robert will continue with the Symbicort inhaler. Given there is no ongoing sputum…

Tachypnea, dyspnea • Abnormal breath sounds • Ineffective cough with or with cough • Verbal report of inability for clear airway Desired outcomes • Respiratory rate, rhythm and depth return to baseline. • Thin mucus produced while coughing. • In auscultation, lungs are…