Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NR602 Week 3 IHuman Katherine Harris New Case Study - Cough and Shortness of breath, Exams of Nursing

NR602 Week 3 IHuman Katherine Harris New Case Study - Cough and Shortness of breath

Typology: Exams

2023/2024

Available from 08/15/2024

jrinnovator
jrinnovator 🇺🇸

56 documents

1 / 19

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Med C
NR602 Week 3 IHuman Katherine Harris New Case Study -
Cough and Shortness of breath
NR 602 Week 3 IHuman
Katherine Harris 16 year old female
5.5 ht, 165cm, 150lb 68.2kg
CC: cough and shortness of breath
1. How can I help you today: cough for the last 3 weeks getting worse. SOB when walking
to class at school. Stop and take break
2. Do you have any other symptoms or concerns we should discuss? No, runny nose
congestion for 3 weeks, congestion went away in a week,but cough continue
3. When did you first notice feeling SOB? 3 days now and it’s made me a little scared
4. Does anything make your SOB better or worse? Gets a little better when stop walking
and rest for a bit worse at night.
5. Does anything make your cough better or worse: not really, constant, getting worse over
past 3 days and seems worse at night
6. Are you coughing up sputum: Nope
7. Do you have any allergies?
8. Are you taking any prescription medications? Nope, still no prescriptions
9. Are you exposed to secondhand smoke: yes, dad. Lost job 3yrs ago, moved to older
building with cockroaches, neighbors smoke inside building, I always smell smoke
everywhere
10. Do you wheeze: Im not sure
11. Do you now or have you ever smoked or chewed tobacco: Nope
12. Has there been any change in your shortness of breath over time: the last few years, had
cough and SOB but it got better after a few days, this time lasting longer
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13

Partial preview of the text

Download NR602 Week 3 IHuman Katherine Harris New Case Study - Cough and Shortness of breath and more Exams Nursing in PDF only on Docsity!

NR602 Week 3 IHuman Katherine Harris New Case Study -

Cough and Shortness of breath

NR 602 Week 3 IHuman Katherine Harris 16 year old female 5.5 ht, 165cm, 150lb 68.2kg CC: cough and shortness of breath

  1. How can I help you today: cough for the last 3 weeks getting worse. SOB when walking to class at school. Stop and take break
  2. Do you have any other symptoms or concerns we should discuss? No, runny nose congestion for 3 weeks, congestion went away in a week,but cough continue
  3. When did you first notice feeling SOB? 3 days now and it’s made me a little scared
  4. Does anything make your SOB better or worse? Gets a little better when stop walking and rest for a bit worse at night.
  5. Does anything make your cough better or worse: not really, constant, getting worse over past 3 days and seems worse at night
  6. Are you coughing up sputum: Nope
  7. Do you have any allergies?
  8. Are you taking any prescription medications? Nope, still no prescriptions
  9. Are you exposed to secondhand smoke: yes, dad. Lost job 3yrs ago, moved to older building with cockroaches, neighbors smoke inside building, I always smell smoke everywhere
  10. Do you wheeze: Im not sure
  11. Do you now or have you ever smoked or chewed tobacco: Nope
  12. Has there been any change in your shortness of breath over time: the last few years, had cough and SOB but it got better after a few days, this time lasting longer
  1. Do you have any pain or other associated symptoms with your cough: No pain, getting out of breath and I think that it maybe related
  2. What treatments have you had for your cough: nothing
  3. Are you taking any over the counter herbal medications? No, nothing like that
  4. Are your immunizations up to date: I assume so

PROBLEM STATEMENT

16 - year-old female presents with cough nonproductive and SOB for 3 days. SOB when walking to class and worse at night and is unable to sleep due to coughing. The only child lives with parents and dad smoke in-home and is exposed to secondhand smoke. Inspiratory/expiratory wheezing, tachypnea, afebrile. History of coughing that resolved. No history of childhood asthma, no recent infections.

ABUTEROL NEBULIZER TREATMENT TRIAL

Answer B Management Plan Requirement

  1. Write an actual Prescription that is appropriate to final diagnosis
  2. Include patient education regarding final diagnosis
  3. Include patient education regarding prescribed medication(s)
  4. Include a referral(s) as applicable
  5. Does not post a SOAP note in the management plan section