nsg 6020 week 2 question and answersnsg 6020 week 2 question and answersnsg 6020 week 2 question and answersnsg 6020 week 2 question and answersnsg 6020 week 2 question and answersnsg 6020 week 2 ques
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NSG6020 Discussion 2
DOMAIN: HISTORY
1a) Identify two (2) additional questions that were not asked in the case study and should have
been? What allergies do you have? Do you exercise?1b) Explain your rationale for asking these two
additional questions. It is important to know what the patient is allergic to, so it can be avoided, as well
as noted in the medical record. It is also essential to know what kind of lifestyle the patient is living for
health promotion reasons. Daily exercise is imperative, and we need to know if the patients symptoms
get better or worse with exercise. 1c) Describe what the two (2) additional questions might reveal
about the patient's health. It will help determine if the patients symptoms coinside with being around
something the patient is allergic to. If the patient’s cough got worse with exercise (or if he exhibited
cardiac symptoms such as chest pain, or shortness of breath), then a cardiac workup may be needed.
DOMAIN: PHYSICAL EXAM
For each system examined in this case;
2a) Explain the reason the provider examined each system. The provider examines the systems to get a
generalized understanding of the patient’s health status. Once a patient history, review of systems and
assessment have been completed, differential diagnoses can be made. 2b) Describe how the exam
findings would be abnormal based on the information in this case. Nose: Swelling of the inferior
turbinates, pallor of the nasal mucosa with some clear drainage present. Lungs: mild scattered wheezes
heard throughout. Patient states he wakes up coughing several times a week, has been experiencing
these symptoms for months, therefore, it is a chronic issue. 2c) Describe the normal findings for each
system.
General: The patient appears well with an appropriate range of affect. HEENT: All unremarkable. Eyes:
Normal sclerae and conjunctivae. No discharge or "allergic shiners" are present. Ears: Tympanic
membranes are normal. Sinuses: No frontal or maxillary sinus tenderness. Throat: Normal appearing; no
signs of postnasal drainage. Neck: No jugular venous distension with the head of the exam table elevated
to 45 degrees; normal carotid pulses; normal thyroid; no lymph nodes. Respiratory: No respiratory
distress; normal, symmetrical expansion of the lungs; all areas resonant to percussion. No clubbing or
cyanosis to extremities. Cardiovascular: Normal S1 and S2 without murmurs. No S3 or S4 heard. Skin: No
skin lesions. No areas of eczema seen. Neurological: Alert and oriented to person, place, and time.
Appropriate affect.
2d) Identify the various diagnostic instruments you would need to use to examine this
patient. Stethoscope, blood pressure cuff, otoscope, ophthalmoscope, tuning fork, tongue depressor,
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