(Gastrointestinal Physical Assessment)

| Transcript
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation
| Lifespan
| Review Questions
| Self-Reflection

Related Products

NR 509 Alternative Writing Assignments Week 1-4, 6-7

NR 509 Midweek Comprehension Quizzes Week 1 – 8 (Collection) (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

We have compiled NR 509 Midweek Comprehension Quizzes for your better test preparation. Click the blue link and you’ll be able to view all the questions of that quiz included in this download with correct answer.

NR 509 Week 1 Midweek Comprehension Quiz (Collection)

NR-509 Week 2 Midweek Comprehension Quiz (Collection)

NR 509 Week 3 Midweek Comprehension Quiz (Collection)

NR-509 Week 4 Midweek Comprehension Quiz (Collection)

NR 509 Week 5 Midweek Comprehension Quiz (Collection)

NR-509 Week 6 Midweek Comprehension Quiz (Collection)

NR 509 Week 7 Midweek Comprehension Quiz (Collection)

NR-509 Week 8 Midweek Comprehension Quiz (Collection)

NR 509 SOAP Note Altogether Weeks 1 – 7

NR 509 Week 1 Health History SOAP Note

NR-509 Week 2 Respiratory SOAP Note

NR 509 Week 3 Neurology SOAP Note

NR-509 Week 4 Cardiovascular SOAP Note

NR 509 Week 4 Chest Pain SOAP Note

NR-509 Week 5 Abdominal Pain SOAP Note

NR 509 Week 6 Pediatric SOAP Note

NR-509 Week 7 Comprehensive Health History SOAP Note

NR 509 Week 7 Focused Exam Cough SOAP Note

NR 509 Shadow Health Physical Assessment Assignments Weeks 1, 2, 3 and 4

NR 509 Week 1 Shadow Health History Assignment

NR-509 Week 2 Shadow Health HEENT Physical Assessment Assignment

NR 509 Week 2 Shadow Health Respiratory Physical Assessment Assignment

NR-509 Week 3 Shadow Health Musculoskeletal Physical Assessment Assignment

NR 509 Week 3 Shadow Health Neurological Physical Assessment Assignment

NR-509 Week 4 Shadow Health Cardiovascular Physical Assessment Assignment

NR 509 Week 4 Shadow Health Chest Pain Physical Assessment Assignment

NR 509 Shadow Health Physical Assessment Assignments Weeks 5, 6 and 7

NR 509 Week 5 Shadow Health Focused Exam: Abdominal Pain Assignment

NR-509 Week 5 Shadow Health Gastrointestinal Physical Assessment Assignment

NR 509 Week 6 Shadow Health Mental Health Physical Assessment Assignment

NR-509 Week 6 Shadow Health Pediatric Physical Assessment Assignment

NR 509 Week 7 Shadow Health Comprehensive Health History & Physical Assessment Assignment

NR-509 Week 7 Shadow Health Focused Exam Case: Cough

NR 509 Shadow Health REVIEW QUESTIONS

NR 509 Week 2 Shadow Health: HEENT Physical Assessment –  REVIEW QUESTIONS

  1. Suppose you had found that Tina’s pupils were reactive to both direct and consensual light, yet unequal in size. Which condition would you suspect?
  2. Imagine that, during your physical exam with Tina, you had palpated an enlarged left supraclavicular lymph node. What would this finding have indicated?
  3. If you had observed Arteriovenous (AV) nicking during the retinal exam on Tina, what would you have seen?
  4. Suppose that you had detected a click while palpating Tina’s temporomandibular joint (TMJ). What could have been the cause?
  5. If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media?
  6. Imagine that you inspected Tina’s throat and noted that her tonsils touched each other. How would you grade her tonsils on the tonsillar hypertrophy grading scale?

NR 509 Week 2 Shadow Health: Respiratory Physical Assessment – REVIEW QUESTIONS

  1. If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?
  2. If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?
  3. Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?
  4. Suppose that while auscultating, you assessed a few scattered expiratory wheezes. Why would this … an expected finding for a patient with Tina’s history?
  5. When you observe a patient like Tina throughout an exam, there are many ways to determine whether a patient is experiencing respiratory distress. Identify one indicator of respiratory distress that can … assessed through observation alone.
  6. Describe how you would assess Tina for dyspnea. NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 3 Shadow Health: Musculoskeletal Physical Assessment – REVIEW QUESTIONS

  1. If you were assessing range of motion (ROM) for a healthy 28-year-old woman with no known joint issues, which of the following would indicate limited ankle ROM?
  2. When palpating joints in a musculoskeletal exam, crepitus indicates:
  3. Imagine that Tina has hard painless bumps on the dorsolateral aspects of the distal interphalangeal joints that had limit flexion during a range of motion test. How would you have documented these abnormalities?
  4. Describe the major differences in acute versus passive range of motion (ROM) when distinguishing between an articular and nonarticular joint issue.
  5. What would be some of the ways in which you could assess Tina for suspected lumbar radiculopathy?
  6. Explain the difference between a sprain and a strain

NR 509 Week 3 Shadow Health: Neurological Physical Assessment – REVIEW QUESTIONS

  1. To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to … tested?
  2. Imagine that you were preparing to irrigate a Foley catheter of a patient with a spinal cord injury at T4 in a urology clinic. Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. What would you suspect was happening?
  3. Which of the following is not a common symptom of Parkinson’s disease?
  4. Name at least three ways to assess cerebellar function during a physical exam
  5. If Tina had a fever and photophobia, you would have had to test for meningitis. Describe how you would have tested for the Kernig’s sign
  6. Suppose you assessed pain sensation over Tina’s left foot, and noticed that she had decreased sensation. How would you have proceeded with your exam?

NR 509 Week 4 Shadow Health: Cardiovascular Physical Assessment – REVIEW QUESTIONS

  1. In order to determine which heart sound is S1, which of the following should you assess?
  2. The assessment of Jugular Venous Pressure (JVP) correlates with:
  3. Tina had brisk capillary refill (less than 3 seconds). What does this mean?
  4. Describe where on the body and when in the cardiac cycle you are most likely to auscultate a murmur caused by mitral valve prolapse.
  5. Imagine you had heard a murmur on Tina. Why would it have been important to ask Tina to change positions while auscultating the heart?
  6. You decide to order an arterial blood gas on Tina. Which physical exam test should you perform before drawing blood from the radial artery?

NR 509 Week 5 Shadow Health: Gastrointestinal Physical Assessment  – REVIEW QUESTIONS

  1. Which of the following physical exam tests could … used if you suspected cholecystitis in Tina?
  2. Suppose that you were concerned that Tina may have had an enlarged spleen. How would you have proceeded?
  3. During a gastrointestinal exam, the purpose of light palpation of the abdomen is to:
  4. If you had heard bowel sounds occurring about 15 times per minute in 1-2 quadrants while examining Tina, what would have been the significance of this finding?
  5. Imagine that you had heard a swishing sound while auscultating Tina’s epigastric region. Identify where this bruit would have been likely to originate.
  6. Suppose that after examining Tina, you were concerned she may have peritonitis. How would you have assessed Tina to confirm your diagnosis?

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NR 509 Week 6 Shadow Health: Mental Health Physical Assessment – REVIEW QUESTIONS

  1. If you had asked Tina to tell you the meaning of the proverb “Don’t cry over spilled milk,” what would you have been assessing?
  2. Suppose that Tina had been unable to identify the pen you were holding. What is the name of this symptom?
  3. Which of the following is a component of assessing cognition?
  4. Distinguish between inappropriate affect and appropriate affect, and provide an example of each.
  5. Identify the components (domains) of a comprehensive mental status exam.
  6. Imagine that Tina’s family member reported to you that she had been acting confused on and off for the last two days. Identify at least two key features of delirium. Describe why you would assess for delirium.

NR 509 Week 1 Shadow Health History Assignment (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

(Health History)

Pre-brief: Obtaining an accurate history is the critical first step in determining the etiology of a patient’s problem. A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. The value of the history, of course, will depend on your ability to elicit relevant information. Your sense of what constitutes important data will grow exponentially as you practice your interviewing skills and through increased exposure to patients and illness…… Interviewing patients is an art and should remain an essential skill for successful practice.

In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. You will also have the opportunity to educate and empathize with Tina to engage in effective therapeutic communication; create a problem listusing evidence from the data you collected; prioritize the identified problems to differentiate immediate from non-immediate care; plan how to best address the most important concern with further assessment, interventions, and patient education; and compare your documentation to model documentation.

Ms. Jones is a pleasant, 28-year-old obese African American single woman who presents to establish care and with a recent right foot injury. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Her speech is clear and coherent and she maintains eye contact throughout the interview.

Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound.

  • | Overview
  • | Transcript
  • | Subjective Data Collection
  • | Objective Data Collection
  • | Education & Empathy
  • | Documentation / Electronic Health Record
  • | Information Processing
  • | Lab Pass: Certificate of Completion

NR 509 Week 1 Health History SOAP Note (2 Versions)

(NR 509 Week 1 Health History SOAP Note)

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention.

NR 509 Week 1 Shadow Health Assignments plus Quiz

 

NR 509 Week 1 Alternate Writing Assignment: Health History (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

(NR 509 Week 1 Alternate Writing Assignment-Health History)
Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

Requirements:
  1. This paper will … graded on the quality of the information, inclusion of evidence-based scholarly resources, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
  2. Submit to the appropriate location in Canvas.
  3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
  4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.
  6. Organize the headings and content of your paper using the outline below:
    1. Identify and briefly discuss the body system selected for the topic of this paper
    2. Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable)
    3. … relevant health history questions (subjective data) pertaining to the body system
    4. Discuss an overview of the objective data and expected normal physical examination findings for this body system
    5. … special physical assessment examination techniques or procedures specific to assessing this body system
    6. Discuss how you might adapt your physical assessment skills or techniques to accommodate each of the following specific populations:
    7. Identify one major disease or disease process that may significantly impact this body system
    8. Discuss the expected abnormal physical examination findings that may … with this disease or disease process
    9. Summarize the key points.

NR 509 Week 1 Alternative Writing Assignment: Medical History

 

NR 509 Week 1 Alternative Writing Assignment: Digestive System

(NR 509 Week 1 Alternative Writing Assignment)

Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

NOTEYou are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Requirements:

  1. This paper will … graded on the quality of the information, inclusion of evidence-based scholarly resources, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
  2. Submit to the appropriate location in Canvas.
  3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
  4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.
  6. Organize the headings and content of your paper using the outline below:
    1. Identify and briefly discuss the body system selected for the topic of this paper
    2. Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable)
    3. … relevant health history questions (subjective data) pertaining to the body system
    4. Discuss an overview of the objective data and expected normal physical examination findings for this body system
    5. … special physical assessment examination techniques or procedures specific to assessing this body system
    6. Discuss how you might adapt your physical assessment skills or techniques to accommodate each of the following specific populations:
    7. Identify one major disease or disease process that may significantly impact this body system
    8. Discuss the expected abnormal physical examination findings that may … with this disease or disease process
    9. Summarize the key points.

NR 509 Week 1 Midweek Comprehension Quiz (Collection)

(NR 509 Week 1 Midweek Comprehension Quiz)
NR 509 Week 1 Midweek Comprehension QUIZ (July 2020-v1)
  1. Question: According to the lesson, part of applying the diagnostic reasoning process requires that data … prioritized based on the urgency of the signs or symptoms. Of the following presenting complaints, which is the highest priority?
  2. Question: According to the lesson, there are two types of patient presentations, comprehensive and … You will adjust the scope of your history and physical examination to the situation at hand. Which of the following factors influence this decision? (Select all that apply)
  3. Question: According to the lesson, basic interviewing techniques include active listening and empathetic responses?
  4. Question: Which of the following data should … included under the general statement with the physical examination findings?
  5. Question: According to the lesson, subjective data is detectable by an observer and can … tested against an acceptable standard? NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 1 Midweek Comprehension QUIZ (July 2020-v2)
  1. Question: According to the lesson, basic interviewing techniques include active listening and empathetic responses?
  2. Question: According to the lesson, subjective data is detectable by an observer and can be tested against acceptable standards?
  3. Question: According to the lesson, part of applying the diagnostic reasoning process requires that data can be prioritize based on urgency of the signs and symptoms. Of the following presenting complaints, which is the highest priority
  4. Question: According to the lesson, there are two types of patient’s presentations, comprehensive and … You will adjust the scope of your history and physical examination to the situation at hand. Which of the following factors influence this decision? (select all the apply)
  5. Question: Which of the following data should be included under the general statement with the physical

NR 509 Week 1 Midweek Comprehension QUIZ (May 2020-v1)
  1. Question: Which of the following data should … included under the general statement with the physical examination findings?
  2. Question: According to the lesson, subjective data is detectable by an observer and can … against an acceptable standard?
  3. Question: According to the lesson, there are two types of patient presentations, comprehensive and … You will adjust the scope of your history and physical examination to the situation at hand. Which of the following factors influence this decision? (Select all that apply)
  4. Question: According to the lesson, part of applying the diagnostic reasoning process requires that data … prioritized based on the urgency of the signs or symptoms. Of the following presenting complaints, which is the highest priority?
  5. Question: According to the lesson, basic interviewing techniques include active listening and empathetic responses?

NR 509 Week 1 Midweek Comprehension QUIZ (May 2020-v2)
  1. Question: According to the lesson, basic interviewing techniques include active listening and empathetic responses?
  2. Question: Which of the following data should … included under the general statement with the physical examination findings?
  3. Question: According to the lesson, subjective data is detectable by an observer and can … against an acceptable standard?
  4. Question: According to the lesson, part of applying the diagnostic reasoning process requires that data … prioritized based on the urgency of the signs or symptoms. Of the following presenting complaints, which is the highest priority?
  5. Question: According to the lesson, there are two types of patient presentations, comprehensive and … You will adjust the scope of your history and physical examination to the situation at hand. Which of the following factors influence this decision? (Select all that apply).

NR 509 Week 1 Midweek Comprehension QUIZ (March 2020)
  1. Question: According to the lesson, basic interviewing techniques include active listening and empathetic responses?
  2. Question: According to the lesson, subjective data is detectable by an observer and can … against an acceptable standard?
  3. Question: Which of the following data should … included under the general statement with the physical examination findings?
  4. Question: According to the lesson, there are two types of patient presentations, comprehensive and … You will adjust the scope of your history and physical examination to the situation at hand. Which of the following factors influence this decision? (Select all that apply)
  5. Question: According to the lesson, part of applying the diagnostic reasoning process requires that data … prioritized based on the urgency of the signs or symptoms. Of the following presenting complaints, which is the highest priority?

NR 509 Week 1 Midweek Comprehension QUIZ (Jan 2020)
  1. Question: According to the lesson, there are two types of patient presentations, comprehensive and … You will adjust the scope of your history and physical examination to the situation at hand. Which of the following factors influence this decision? (Select all that apply)
  2. Question: According to the lesson, subjective data is detectable by an observer and can … tested against an acceptable standard?
  3. Question: According to the lesson, part of applying the … reasoning process requires that data be prioritized based on the urgency of the signs or symptoms. Of the following presenting complaints, which is the highest priority?
  4. Question: Which of the following data should … included under the general statement with the physical examination findings?
  5. Question: According to the lesson, basic interviewing techniques include active listening and empathetic responses?

NR 509 Week 1 Shadow Health: Digital Clinical Experience (DCE) Orientation (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

(Digital Clinical Experience)

Digital Clinical Experiences allow nursing students to demonstrate and perfect their clinical reasoning skills through life-like interactions with Digital Standardized Patients. Digital Clinical Experiences are … our conversation engine and … using our proprietary Student Performance Index.

Interview: Utilizing our natural language conversation engine, students engage in open-ended conversations to gather subjective data and practice patient-centered communication.
Examine: Students perform tests and use instruments to gather and then record objective patient data.
Document: Students synthesize their findings and compare their work to an exemplar’s model note.
Learn: Students engage in debriefing immediately following every assignment, and are given feedback on the discrete components of clinical reasoning measured by our validated Student Performance Index.


NR 509 Week 1 Shadow Health Digital Clinical Experience (DCE) Orientation Transcript
  • Patient Exam Time: 11 min
  • All Lines (32) Interview Questions (3) Statements (1) Exam Actions (28)

NR 509 Week 1 Health Assessment Digital Clinical Experience: Comment Bank Responses
  • Top Issues:
  • Problems with Patient Communication:
  • Health History:
  • Varied areas of growth across assignments and general comments
  • The following comments can be used as an explanation to students as to what a certain component is, i.e. what they were supposed to assess & document.

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NR 509 Week 1 Shadow Health Conversation Concept Lab

(Conversation Concept Lab)

NR 509 Week 1 Shadow Health Conversation Concept Lab: Overview

NR-509 Week 1 Shadow Health Conversation Concept Lab: Transcript

NR 509 Week 1 Shadow Health Conversation Concept Lab: Subjective Data Collection

NR-509 Week 1 Shadow Health Conversation Concept Lab: Outline

NR 509 Week 2 Shadow Health and Alternate Writing Assignments plus Quiz

 

NR 509 Week 2 Shadow Health Respiratory Physical Assessment Assignment

(Respiratory Assessment)

Pre Brief: Tina had an asthma episode 2 days ago. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about related body systems. This case study will provide the opportunity to carefully assess lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical terminology.

Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved.

Results Available:
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation / Electronic Health Record
Student Pre-Survey
Lifespan Activity
Review Questions
Self-Reflection Activity

NR 509 Week 2 Shadow Health HEENT Physical Assessment Assignment

(HEENT Physical Assessment Assignment)

Pre-Brief: For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. She states that these symptoms started spontaneously and have been constant in nature. … has treated her throat pain with occasional throat lozenges which has “helped a little”. She states that her nose “runs all day” and has clear discharge. … denies cough and recent illness. … denies fevers, chills, and night sweats. This case study will allow you to use standard office equipment to physically examine the patient’s eyes, ears, nose, and throat. You will need to document what you find in the Electronic Health Record (EHR). Be certain to use medically appropriate terminology, such as “erythematous” to describe redness of the skin, mucous membranes, or conjunctiva.

Results Available:
| Overview
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation / Electronic Health Record
| Lifespan
| Review Questions
| Self-Reflection

NR 509 Week 2 Respiratory SOAP Note (2 Variants) (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

(NR 509 Week 2 Respiratory SOAP Note)

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention.

NR 509 Week 2 Alternate Writing Assignment: Respiratory System (2 Versions)

(NR 509 Week 2 Alternate Writing Assignment)

Purpose
As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

Preparing the Paper:

  1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
  2. Carefully read and review the selected body system in your course textbooks.
  3. Incorporate at least one scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
  4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
  5. Provide concluding statements that should summarize key points of the overall assignment content.
  6. In-text citations and reference page(s) must be written using proper APA format (6th edition).

NR 509 Week 2 Midweek Comprehension Quiz (Collection)

(NR 509 Week 2 Midweek Comprehension Quiz)
NR 509 Week 2 Midweek Comprehension QUIZ (July 2020-v1)
  1. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, visual inspection of the neck may reveal enlargement of which gland?
  2. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, which of the following findings should be noted while … lymph nodes? (Select all that apply)!
  3. Question: According to the Bates’ Visual Guide video 7.5 Examining the Eyes, when … the Snellen eye chart, the patient’s visual acuity is printed to the right of each line of letters on the chart as a fraction (numerator/denominator). What does the numerator indicate?
  4. Question: According to the Bates’ Visual Guide video 7.7 Examining the Ears, if a patient reports hearing loss, the provider should proceed to which initial assessment test?
  5. Question: According to the lesson, which of the … physical examination techniques is not generally … the respiratory system?

NR 509 Week 2 Midweek Comprehension QUIZ (July 2020-v2)
  1. Question: According to the Bates’ Visual Guide video 7.5 Examining the Eyes, when using the Snellen eye chart, the patient’s visual acuity is printed to the right of each line of letters on the chart as a fraction (numerator/denominator). What does the numerator indicate?
  2. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, visual inspection of the neck may reveal enlargement of which gland?
  3. Question: According to the Bates’ Visual Guide video 7.7 Examining the Ears, if a patient reports hearing loss, the provider should proceed to which initial assessment test?
  4. Question: According to the lesson, which of the following physical examination techniques is not generally … the respiratory system?
  5. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, which of the following findings should … noted while … lymph nodes? (Select all that apply)

NR 509 Week 2 Midweek Comprehension Quiz (May 2020)
  1. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, which of the … findings should … noted while … lymph nodes? (Select all that apply)
  2. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, visual inspection of the neck may reveal enlargement of which gland?
  3. Question: According to the Bates’ Visual Guide video 7.5 Examining the Eyes, when … the Snellen eye chart, the patient’s visual acuity is printed to the right of each line of letters on the chart as a … (numerator/denominator). What does the numerator indicate?
  4. Question: According to the lesson, which of the … physical examination techniques is not generally … when … the respiratory system?
  5. Question: According to the Bates ’Visual Guide video 7. 7 Examining the Ears, if a patient reports hearing loss, the provider should proceed to which initial assessment test?

NR 509 Week 2 Midweek Comprehension Quiz (March 2020)
  1. Question: According to the Bates’ Visual Guide video 7.7 Examining the Ears, if a patient reports hearing loss, the provider should proceed to which initial assessment test?
  2. Question: According to the lesson, which of the … physical examination techniques is not generally … when … the respiratory system?
  3. Question: According to the Bates’ Visual Guide video, 8.8 Examining the Neck, which of the following findings should … noted while assessing lymph nodes? (Select all that apply)
  4. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, visual inspection of the neck may reveal enlargement of which gland?
  5. Question: According to the Bates’ Visual Guide video 7.5 Examining the Eyes, when … the Snellen eye chart, the patient’s visual acuity is … to the right of each line of letters on the chart as a … (numerator/denominator). What does the numerator indicate? NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 2 Midweek Comprehension Quiz (Jan 2020)
  1. Question: According to the lesson, which of the following physical examination techniques is not generally … the respiratory system?
  2. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, which of the following findings should … noted while … lymph nodes? (Select all that apply)
  3. Question: According to the Bates’ Visual Guide video 7.7 Examining the Ears, if a patient reports hearing loss, the provider should proceed to which initial assessment test?
  4. Question: According to the Bates’ Visual Guide video 7.5 Examining the Eyes, when … the Snellen eye chart, the patient’s visual acuity is … to the right of each line of letters on the chart as a fraction (numerator/denominator). What does the numerator indicate?
  5. Question: According to the Bates’ Visual Guide video 8.8 Examining the Neck, visual inspection of the neck may reveal enlargement of which gland?

NR 509 Week 2 Shadow Health Assignments, Week 2 Quiz, 3P Week 8 Exam

 

NR 509 Week 3 Assignments plus Quiz

(NR 509 Week 3 Assignments plus Quiz)
NR 509 Week 3 Alternate Writing Assignment: Neurological System
NR-509 Week 3 Shadow Health Musculoskeletal Physical Assessment Assignment
NR 509 Week 3 Shadow Health Neurological Physical Assessment Assignment
NR 509 Week 3 Quiz: 25 Questions with Correct AnswersNR 509 Week 3 Assignments plus Quiz

NR 509 Week 3 Shadow Health Musculoskeletal Physical Assessment Assignment

(Musculoskeletal Physical Assessment)
| Overview
| Transcript
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation
| Lifespan
| Review Questions

NR 509 Week 3 Shadow Health Neurological Physical Assessment Assignment

(Neurological Physical Assessment)

Pre Brief
Two days after a minor, low-speed car accident in which Tina was a passenger, she noticed daily bilateral headaches along with neck stiffness. She reports that it hurts to move her neck, and she believes her neck might … swollen. She did not lose consciousness in the accident and denies changes in level of consciousness since that time. … that she gets a headache every day that lasts approximately 1-2 hours. … occasionally takes 650 mg of over the counter Tylenol with relief of the pain. This case study will allow you the opportunity to examine the patient’s optic nerve via use of the ophthalmoscope as well as assess her visual acuity. You will need to document your findings using appropriate medical terminology. Be sure to assess for foot neuropathy using the monofilament test. Reason for visit: Patient presents complaining of headache.

| Transcript
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation/Electronic Health Record
| Pre-Survey Lifespan
| Review Questions
| Self-Reflection

NR 509 Week 3 Neurology SOAP Note (2 Versions) (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

(NR 509 Week 3 Neurology SOAP Note)

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention.

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NR 509 Week 3 Alternate Writing Assignment: Musculoskeletal System

(Musculoskeletal System)
Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).

Due Date: Alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session.

Preparing the Paper:
  1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
  2. Carefully read and review the selected body system in your course textbooks.
  3. Incorporate at least one scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
  4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
  5. Provide concluding statements that should summarize key points of the overall assignment content.
  6. In-text citations and reference page(s) must … written using proper APA format (6th edition).

NR 509 Week 3 Alternate Writing Assignment: Neurological System (2 Versions)

(NR 509 Week 3 Alternate Writing Assignment)
Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).

NOTEComplete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Due Date: Alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session.

Preparing the Paper:
  1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
  2. Carefully read and review the selected body system in your course textbooks.
  3. Incorporate at least one scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
  4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
  5. Provide concluding statements that should summarize key points of the overall assignment content.
  6. In-text citations and reference page(s) must … written using proper APA format (6th edition).
  7. NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 3 Midweek Comprehension Quiz (Collection)

(NR 509 Week 3 Midweek Comprehension Quiz )
NR 509 Week 3 Midweek Comprehension Quiz (July 2020)
  1. Question : According to the lesson, movement of the scalp, forehead, and nose is the function of which branch of CN V?
  2. Question: According to the lesson, taste from the epiglottis region of the tongue is controlled by which CN?
  3. Question: According to the lesson and the Bates’ Visual Guide video 16.15 Examining the Knees, to test the medial collateral ligament (MCL), perform the following assessment test?
  4. Question: According to the Bates’ Visual Guide video 16.13 Examining the Hips, what is the name of the bony landmark … at the upper margin of the pelvis?
  5. Question: According to the lesson, what is the general somatic motor function … with CN XI?

NR 509 Week 3 Midweek Comprehension Quiz (May 2020-v1)
  1. Question: According to the lesson, what is the general somatic motor function … with CN XI?
  2. Question: According to the Bates’ Visual Guide video 16.13 Examining the Hips, what is the name of the bony landmark … at the upper margin of the pelvis?
  3. Question: According to the lesson and the Bates’ Visual Guide video 16.15 Examining the Knees, to test the medial collateral ligament (MCL), perform the following assessment test?
  4. Question: According to the lesson, movement of the scalp, forehead, and nose is the function of which branch of CN V?
  5. Question: According to the lesson, taste from the epiglottis region of the tongue is controlled by which CN?

NR 509 Week 3 Midweek Comprehension Quiz (May 2020-v2)
  1. Question: According to the lesson and the Bates’ Visual Guide video 16.15 Examining the Knees, to test the medial collateral ligament (MCL), perform the following assessment test?
  2. Question: According to the lesson, taste from the epiglottis region of the tongue is controlled by which CN?
  3. Question: According to the Bates’ Visual Guide video 16.13 Examining the Hips, what is the name of the bony landmark … at the upper margin of the pelvis?
  4. Question: According to the lesson, what is the general somatic motor function … with CN XI?
  5. Question: According to the lesson, movement of the scalp, forehead, and nose is the function of which branch of CN V?

NR 509 Week 3 Midweek Comprehension Quiz (Jan 2020)
  1. Question: According to the lesson and the Bates’ Visual Guide video 16.15 Examining the Knees, to test the medial collateral ligament (MCL), perform the following assessment test?
  2. Question: According to the lesson, taste from the epiglottis region of the tongue is controlled by which CN?
  3. Question: According to the Bates’ Visual Guide video 16.13 Examining the Hips, what is the name of the bony landmark … at the upper margin of the pelvis?
  4. Question: According to the lesson, what is the general somatic motor function … with CN XI?
  5. Question: According to the lesson, movement of the scalp, forehead, and nose is the function of which branch of CN V?

NR 509 Week 3 Musculoskeletal plus Neuro Quiz

(NR 509 Week 3 Musculoskeletal plus Neuro Quiz)
Musculoskeletal Questions
  1. Joint pain worse in am. Moving around gets better then worse again.
  2. Decrease risk to delay bone loss in post-menopausal.
  3. Flex arm okay forward but cannot abduct arm.
  4. Assess ankle fracture expect.
  5. Tennis elbow assess tenderness at the…
  6. Assess carpal tunnel syndrome with the Phalen’s test.
  7. What is osteoporosis?
  8. Why getting shorter, aged gentleman.
  9. What is the posture change called? (8 month pregnant woman)
  10. Assess motor dysfunction of the hip.

Neuro Questions
  1. Assess tremors and admits to drinking alcohol daily
  2. How to test cranial nerve 11 (spinal accessory)
  3. No vibration noted to ankles and great toe.
  4. During neuro assessment ask to relax all muscles. Expect on ROM
  5. Asymmetrical smile and frown. Uneven lift eyebrows.  Sagging lower eyelids.  Air escapes when push on puffed right cheek.
  6. Short term memory loss. Unable to perform simple task ex. Button shirt.
  7. 3 month old. Assess grip and suck.
  8. Complain of weakness to left arm and leg for one week.
  9. Reports dropping things and falling down. During test of rapid alternating movements unable to pat both her knees.    Misses frequently.
  10. Room is spinning.
  11. History of seizures. ‘Aura’
  12. Pressed for time. Test, sharp point pin several times.  Individual only states pain once as if a single prick.

NR 509 Week 4 Bundle: Assignments plus Quiz (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

 

NR 509 Week 4 Shadow Health Cardiovascular Physical Assessment Assignment

(Cardiovascular Physical Assessment)
  • | Overview
  • | Transcript
  • | Subjective Data Collection
  • | Objective Data Collection
  • | Education & Empathy
  • | Documentation
  • | Lifespan
  • | Review Questions
  • | Self-Reflection

NR 509 Week 4 Alternative Writing Assignment: Assessment of the Heart

(NR 509 Week 4 Alternative Writing Assignment)

Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

Course Outcomes: This assignment is guided by the following Course Outcomes (COs):

  1. Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)
  2. Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)
  3. Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2)

The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).

NOTEYou are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Due Date: This alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session. For example, if you did not attend a debriefing session for Week 3, this written assignment is due by Week 4.

Requirements:

  1. This paper will be graded on the quality of the information, inclusion of evidence-based scholarly resources, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
  2. Submit to the appropriate location in Canvas by the week due.
  3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
  4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  5. APA format (6th edition) is … in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.
  6. Organize the headings and content of your paper using the outline below:
    1. Identify and briefly discuss the body system selected for the topic of this paper
    2. Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable)
    3. … relevant health history questions (subjective data) pertaining to the body system
    4. Discuss an overview of the objective data and expected normal physical examination findings for this body system
    5. … special physical assessment examination techniques or procedures specific to assessing this body system
    6. Discuss how you might adapt your physical assessment skills or techniques to accommodate each of the following specific populations:
    7. Identify one major disease or disease process that may significantly impact this body system
    8. Discuss the expected abnormal physical examination findings that may … with this disease or disease process
    9. Summarize the key points 

Preparing the Paper:

  1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
  2. Carefully read and review the selected body system in your course textbooks.
  3. Incorporate at least one scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
  4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
  5. Provide concluding statements that should summarize key points of the overall assignment content.
  6. In-text citations and reference page(s) must … written using proper APA format (6th edition).

NR 509 Week 4 Midweek Comprehension Quiz (Collection 2020)

(NR 509 Week 4 Midweek Comprehension Quiz)
NR 509 Week 4 Midweek Comprehension QUIZ (July 2020-v1)
  1. Question: According to the lesson, low-… sounds of S3 and S4 and the murmur of mitral stenosis are best … what?
  2. Question: According to the lesson, heart failure can … the Framingham criteria. Which of the following findings are major criteria suggestive of heart failure? (Select all that apply)
  3. Question: According to the Bates’ Visual Guide video 10.9 Auscultation of Heart Sounds, splitting of S2 is best … during inspiration over which area on the chest wall?
  4. Question: According to the lesson, the border of the myocardium is generally … about 3 cm lateral to the left of the sternum?
  5. Question: According to the lesson, the JVP is best … from pulsations in the right internal jugular vein, which is directly in line with the superior vena cava and right atrium?

NR 509 Week 4 Midweek Comprehension QUIZ (July 2020-v2)
  1. Question: According to the lesson, heart failure can … the Framingham criteria. Which of the following findings are major criteria suggestive of heart failure? (Select all that apply)
  2. Question: According to the lesson, low-… sounds of S3 and S4 and the murmur of mitral stenosis are best … what?
  3. Question: According to the lesson, the JVP is best … from pulsations in the right internal jugular vein, which is directly in line with the superior vena cava and right atrium?
  4. Question: According to the lesson, the border of the myocardium is generally … about 3 cm lateral to the left of the sternum?
  5. Question: According to the Bates’ Visual Guide video 10.9 Auscultation of Heart Sounds, splitting of S2 is best … during inspiration over which area on the chest wall?

NR 509 Week 4 Midweek Comprehension QUIZ (June 2020)
  1. Question: According to the lesson, heart failure can … the Framingham criteria. Which of the following findings are major criteria suggestive of heart failure? (Select all that apply)
  2. Question: According to the lesson, the border of the myocardium is generally … about 3 cm lateral to the left of the sternum?
  3. Question: According to the lesson, the JVP is best … from pulsations in the right internal jugular vein, which is directly in line with the superior vena cava and right atrium?
  4. Question: According to the lesson, low-… sounds of S3 and S4 and the murmur of mitral stenosis are best … what?
  5. Question: According to the Bates’ Visual Guide video 10.9 Auscultation of Heart Sounds, splitting of S2 is best … during inspiration over which area on the chest wall? NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 4 Midweek Comprehension Quiz (May 2020)
  1. Question: According to the lesson, heart failure can … the Framingham criteria. Which of the following findings are major criteria suggestive of heart failure? (Select all that apply):
  2. Question: According to the lesson, low-… sounds of S3 and S4 and the murmur of mitral stenosis are best … what?
  3. Question: According to the lesson, the border of the myocardium is generally … about 3 cm lateral to the left of the sternum?
  4. Question: According to the Bates’ Visual Guide video 10.9 Auscultation of Heart Sounds, splitting of S2 is best … during inspiration over which area on the chest wall?
  5. Question: According to the lesson, the JVP is best from pulsations in the right internal jugular vein, which is directly in line with the superior vena cava and right atrium?

NR 509 Week 4 Midweek Comprehension QUIZ (Feb 2020)
  1. Question: According to the lesson, heart failure can … the Framingham criteria. Which of the following findings are major criteria suggestive of heart failure? (Select all that apply)
  2. Question: According to the lesson, the JVP is best from pulsations in the right internal jugluar vein, which is directly in line with the superior vena cava and right atrium?
  3. Question: According to the lesson, the border of myocardium is generally … about 3 cm lateral to the left of the sternum?
  4. Question: According to the lesson, low-… sounds of S3 and S4 and the murmur of mitral stenosis are best … what?
  5. Question: According to the Bates’Visual Guide video 10.9 Auscultation of Heart Sounds, splitting of S2 is best … during inspiration over which area on the chest wall?

NR 509 Week 4 Midweek Comprehension QUIZ (Spring 2020)
  1. Question: According to the lesson, the border of the myocardium is generally … 3 cm lateral to the left of the sternum?
  2. Question: According to the lesson, the JVP is best … from pulsations in the right internal jugular vein, which is directly in line with the superior vena cava and right atrium?
  3. Question: According to the lesson, low-… sounds of S3 and S4 and the murmur of mitral stenosis are best … what?
  4. Question: According to the lesson, heart failure can … the Framingham criteria. Which of the following findings are major criteria suggestive of heart failure? (Select all that apply)
  5. Question: According to the Bates’ Visual Guide video 10.9 Auscultation of Heart Sounds, splitting of S2 is best … during inspiration over which area on the chest wall?

NR 509 Week 4 Midweek Comprehension QUIZ (Jan 2020)
  1. Question: According to the lesson, the border of the myocardium is generally … 3 cm lateral to the left of the sternum?
  2. Question: According to the Bates’ Visual Guide video 10.9 Auscultation of Heart Sounds, splitting of S2 is best … during inspiration over which area on the chest wall
  3. Question: According to the lesson, the JVP is best … from pulsations in the right internal jugular vein, which is directly in line with the superior vena cava and right atrium?
  4. Question: According to the lesson, low-… sounds of S3 and S4 and the murmur of mitral stenosis are best … what?
  5. Question: According to the lesson, heart failure can … the Framingham criteria. Which of the following findings are major criteria suggestive of heart failure? (Select all that apply)

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NR 509 Week 4 Quiz

NR 509 Week 4 Quiz (25 Points)
  1. Question: A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
  2. Question: The direction of blood flow through the heart is best described by which of these
  3. Question: In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would
  4. Question: When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are
  5. Question: The sack that surrounds and protects the heart is called the
  6. Question: When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?
  7. Question: The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?
  8. Question: During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?
  9. Question: The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?
  10. Question: In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?
  11. Question: The FNP is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse
  12. Question: A patient complains of leg pain that wakes him at night. … states that he has been having problems with his legs. He has pain in his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing
  13. Question: During an assessment the FNP uses the profile sign to detect
  14. Question: … these statements describes the closure of the valves in a normal cardiac cycle?
  15. Question: When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next
  16. Question: A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing
  17. Question: In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can … explained by expected hemodynamic changes related to age?
  18. Question: The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?
  19. Question: The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?
  20. Question: A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?
  21. Question: Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is … 45°. The FNP knows that this finding indicate:
  22. Question: The component of the conduction system referred to as the pacemaker of the heart is the
  23. Question: The FNP is reviewing anatomy and physiology of the heart. Which statement best describes what is … by atrial kick?
  24. Question: A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be
  25. Question: When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next? NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 4 Shadow Health Chest Pain Physical Assessment Assignment

(Chest Pain Physical Assessment)
  • | Overview
  • | Transcript
  • | Subjective Data Collection
  • | Objective Data Collection
  • | Education & Empathy
  • | Documentation
    • Document: Provider Notes
    • Document: Vitals
  • | Self-Reflection

NR 509 Week 4 Cardiovascular SOAP Note  (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

(NR 509 Week 4 Cardiovascular SOAP Note)

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention.

NR 509 Week 4 Chest Pain SOAP Note (2 Versions)

(NR 509 Week 4 Chest Pain SOAP Note)

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention. NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Problem List and a Differential Diagnoses List

(NR 509 Problem List)

The ability to form a differential diagnosis is an art that develops through training and practice. It is arguably a skill that forms the essence of a good clinician. A clinician must review the patient’s presenting complaint(s), history, and clinical examination findings in order to accomplish this task. In general, differential diagnostic procedures are used by clinicians to diagnose the specific disease in a patient, or, at least, to eliminate any imminently life-threatening conditions.

NR 509 Week 5 Shadow Health Assignments plus Quiz

 

NR 509 Week 5 Shadow Health Focused Exam: Abdominal Pain Assignment

(Abdominal Pain)

Pre Brief: Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. It is very important to determine whether or not the situation is an emergency and that the underlying cause of Esther’s discomfort. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. During her physical examination, take particular note as to where Mrs. Park verbalizes pain during palpation so that you may synthesize verbal and non-verbal cues. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study.

Reason for Visit: Patient presents complaining of abdominal pain.

Results Included:

  • | Overview
  • | Transcript
  • | Subjective Data Collection
  • | Objective Data Collection
  • | Education & Empathy
  • | Documentation
  • | Self-Reflection

NR 509 Week 5 Abdominal Pain SOAP Note (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

(NR 509 Week 5 Abdominal Pain SOAP Note )

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention.

NR 509 Week 5 Midweek Comprehension Quiz (Collection)

(NR 509 Week 5 Midweek Comprehension Quiz)
NR 509 Week 5 Midweek Comprehension QUIZ (July 2020-v1)
  1. Question: According to the lesson, examination of the male genitalia is typically performed with the patient standing during the entire assessment?
  2. Question: According to the lesson, the breasts tend to swell and become more nodular before menses from increasing estrogen stimulation. Therefore, what is the best time to examine the breasts?
  3. Question: According to the Bates’ Visual Guide video 14.5 Assessing for Hernias, during the physical assessment, place your index finger close to the inferior margin of the scrotal sac along the inguinal canal towards the external inguinal ring. Ask the patient to bear down as you search for any bulges or masses that touch your finger. You are assessing for what type of hernia?
  4. Question: According to the Bates’ Visual Guide video 15.4 Examining the External Female Genitalia, which glands may be visible during a well-woman exam with unremarkable findings?
  5. Question: According to the lesson, appendicitis is three times more likely if McBurney point tenderness is present during the physical examination?

NR 509 Week 5 Midweek Comprehension QUIZ (July 2020-v2)
  1. Question: According to the lesson, appendicitis is three times more likely if McBurney point tenderness is present during the physical examination?
  2. Question: According to the lesson, the breasts tend to swell and become more nodular before menses from increasing estrogen stimulation. Therefore, what is the best time to examine the breasts?
  3. QuestionAccording to the Bates’ Visual Guide video 14.5 Assessing for Hernias, during the physical assessment, place your index finger close to the inferior margin of the scrotal sac along the inguinal canal towards the external inguinal ring. Ask the patient to bear down as you search for any bulges or masses that touch your finger. You are assessing for what type of hernia?
  4. Question: According to the lesson, examination of the male genitalia is typically performed with the patient standing during the entire assessment?
  5. Question: According to the Bates’ Visual Guide video 15.4 Examining the External Female Genitalia, which glands may be visible during a well-woman exam with unremarkable findings?

NR 509 Week 5 Midweek Comprehension Quiz (June 2020)
  1. Question: According to the lesson, appendicitis is three times more likely if McBurney point tenderness is present during the physical examination?
  2. Question: According to the lesson, the breasts tend to swell and become more nodular before menses from increasing estrogen stimulation. Therefore, what is the best time to examine the breasts?
  3. Question: According to the lesson, examination of the male genitalia is typically … with the patient standing during the entire … ?
  4. Question: According to the Bates’ Visual Guide video 14.5 Assessing for Hernias, during the physical assessment, place your index finger close to the inferior margin of the scrotal sac along the inguinal canal towards the external inguinal ring. Ask the patient to bear down as you search for any bulges or masses that touch your finger. You are assessing for what type of hernia?
  5. Question: According to the Bates’ Visual Guide video 15.4 Examining the External Female Genitalia, which glands may … visible during a well-woman exam with unremarkable findings? NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 5 Midweek Comprehension Quiz (Jan 2020)
  1. Question: According to the lesson, the breasts tend to swell and become more nodular before menses from increasing estrogen stimulation. Therefore, what is the best time to examine the breasts?
  2. Question: According to the lesson, appendicitis is three times more likely if McBurney point tenderness is present during the physical examination?
  3. Question:According to the Bates’ Visual Guide video 14.5 Assessing for Hernias, during the physical assessment, place your index finger close to the inferior margin of the scrotal sac along the inguinal canal towards the external inguinal ring. Ask the patient to bear down as you search for any bulges or masses that touch your finger. You are assessing for what type of hernia?
  4. Question:According to the Bates’ Visual Guide video 15.4 Examining the External Female Genitalia, which glands may be visible during a well-woman exam with unremarkable findings?
  5. Question: According to the lesson, examination of the male genitalia is typically … with the patient standing during the entire assessment?

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NR 509 Week 5 Quiz

NR 509 Week 5 Quiz
  1. Question: An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to
  2. Question: The FNP is examining a patient who tells the FNP “I sure sweat a lot especially on my face and feet but it doesn’t have an odor”. The FNP knows that this could be related to
  3. Question: During an abdominal assessment the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder which of these structures?
  4. Question: An Inuit visiting Nevada from anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinics air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies?
  5. Question: The FNP notices that a patient has black, tarry stool and recalls that a possible cause would be
  6. Question: The FNP knows that during an abdominal assessment deep palpation is used to determine
  7. Question: The FNP is assessing the abdomen of an aging adult. Which of these statements regarding an aging adult and abdominal assessment is true?
  8. Question: During examination the FNP finds that a patient has excessive dryness of the skin. The best term to describe this condition is
  9. Question: A FNP notices that a patient has ascites, which indicates the presence of
  10. Question: The FNP is performing percussion during an abdominal assessment. Percussion notes during the abdominal assessment may include
  11. Question: The FNP is caring for a black child who has been diagnosed with marasmus. The FNP would expect to find the
  12. Question: The FNP just noted from a patient’s medical record that the patient has a lesion that is confluent in nature. On examination the FNP would expect to find
  13. Question: The FNP is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The FNP knows that esophageal reflux during pregnancy can cause
  14. Question: The patient has abdominal borborygmi. The FNP knows that this term refers to
  15. Question: A patient has a terrible itch for several months that he has been scratching continuously. On examination the FNP might expect to find
  16. Question: During aging process, the hair can look gray or white and begin to feel thin and fine. The FNP knows that this occurs because of a decrease in number of functioning
  17. Question: The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding the FNP would report this as a
  18. Question: During an abdominal assessment the FNP would consider which of these findings as normal?
  19. Question: A 52 -year-old Woman has a papule on her nose that has a rounded pearly border and a central red ulcer. She said she first noticed it several months ago and that it is slowly growing larger. The FNP suspects which condition?
  20. Question: The FNP is listening to bowel sounds. Which of these statements is true about bowel sounds?
  21. Question: The FNP is watching a new graduate FNP perform auscultation of a patient abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation proceeds percussion and palpitation of the abdomen?
  22. Question: A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of
  23. Question: The patient is suspected of having inflammation of the gallbladder or cholecystitis. The FNP should conduct which of these techniques to assess for this condition?
  24. Question: A newborn infant is in the clinic for a well baby check. The FNP observes the infant for possibility of fluid loss because of which these factors?
  25. Question: During an assessment of a newborn infant, the FNP recalls that pyloric stenosis would be manifested by

NR 509 Week 5 Quiz: Skin, Hair, Abdomen
  1. Question: The FNP is assessing the abdomen of an aging adult. Which of these statements regarding the agind adult and abdominal assessment is true?
  2. Question: The FNP notices that a patient has had a black tarry stool and recalls that a possible cause would be
  3. Question: The FNP knows that during an abdominal assessment deep palpitation is used to determine
  4. Question: A patient has abdominal borboygmi. The FNP knows that this term refers to
  5. Question: During an abdominal assessment, the FNP would consider which of these findings as normal?
  6. Question: The FNP is caring for a black child who has been diagnosed with marasmus. The FNP would expect to find the
  7. Question: An Inuit visiting Nevada from Anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinic’s air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies?
  8. Question: The FNP is performing percussion during an abdominal assessment. Percussion notes heard during the abdominal assessment may include:
  9. Question: During an abdominal assessment, the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder of which of these structures?
  10. Question: A patient has a terrible itch for several months that he has been scratching continuously. On examination, the FNP might expect to find
  11. Question: The FNP is listening to bowel sounds. Which of these statements is true of bowel sounds?
  12. Question: A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of
  13. Question: The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the FNP would report this as a
  14. Question: A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The FNP should conduct which of these techniques to assess for this condition?
  15. Question: The FNP just noted from a patient’s medical record that the patient has a lesion that is confluent in nature. On examination, the FNP would expect to find
  16. Question: During an examination, the FNP finds that a patient has excessive dryness of skin. The best term to describe this condition is
  17. Question: An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to
  18. Question: A 52 year old woman has a papule on her nose that has rounded, pearly borders and a central red ulcer. She said she first noticed it several months ago and that it has slowly grown larger. The FNP suspects which condition?
  19. Question: The FNP is watching a new graduate FNP perform auscultation of a patient’s abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
  20. Question: A newborn infant is in the clinic for a well-baby check. The FNP observes the infant for the possibility of fluid loss because of which of these factors? NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper

NR 509 Week 5 Quiz: Review
  1. Question:Tenderness in RLQ is concerning for
  2. Question: Inuit people tend to sweat more on face than trunk and extremities when exposed to heat spot on face with round pearly boarder with central red lesion concerning for
  3. Question:  positive with deep palpation causes pain on inspiration
  4. Question: Why do you auscultate first in abd assessment
  5. Question: Tympany in the umbilical area
  6. Question: Pt with decreased gastric secretions is at increase
  7. Question: Another name for hyperactive bowels
  8. Question: Black tarry stool concerning
  9. Question: Lichenification caused by
  10. Question: A papule is
  11. Question: Older adults have
  12. Question: CVA tenderness
  13. Question: Confluent lesions
  14. Question: Dryness of the skin
  15. Question: Newborns are at greater risk of fluid loss
  16. Question: High pitched irregular bowel sounds
  17. Question: Changes in hair texture and color of an AA child with Marasmus
  18. Question: Know how to assess for enlarged organs in the abd region
  19. Question: Know three sounds heard in percussion of abd

NR 509 Week 6 Assignments plus Quiz (NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper)

 

NR 509 Week 6 Alternative Writing Assignment: Abdomen

(NR 509 Week 6 Alternative Writing Assignment)

Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

NOTEYou are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Requirements:

  1. This paper will … graded on the quality of the information, inclusion of evidence-based scholarly resources, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
  2. Submit to the appropriate location in Canvas.
  3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
  4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.
  6. Organize the headings and content of your paper using the outline below:
    1. Identify and briefly discuss the body system selected for the topic of this paper
    2. Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable)
    3. … relevant health history questions (subjective data) pertaining to the body system
    4. Discuss an overview of the objective data and expected normal physical examination findings for this body system
    5. … special physical assessment examination techniques or procedures specific to assessing this body system
    6. Discuss how you might adapt your physical assessment skills or techniques to accommodate each of the following specific populations:
    7. Identify one major disease or disease process that may significantly impact this body system
    8. Discuss the expected abnormal physical examination findings that may … with this disease or disease process
    9. Summarize the key points.

NR 509 Week 6 Shadow Health Pediatric Physical Assessment Assignment

(NR 509 Week 6 Shadow Health Pediatric Physical Assessment

NR 509 Pediatric Physical Assessment Assignment Results | Experience Overview


NR 509 Pediatric Physical Assessment Assignment Results | Transcript


NR 509 Pediatric Physical Assessment Assignment Results | Subjective Data Collection


NR 509 Pediatric Physical Assessment Assignment Results | Objective Data Collection


NR 509 Pediatric Physical Assessment Assignment Results | Education and Empathy


NR 509 Pediatric Physical Assessment Assignment Results | Documentation


NR 509 Pediatric Physical Assessment Assignment Results | Self Reflection

NR 509 Week 6 Shadow Health Mental Health Physical Assessment Assignment

(Mental Health Physical Assessment)

NR 509 Mental Health Results | Transcript
NR 509 Mental Health Results | Subjective Data Collection
NR 509 Mental Health Results | Education and Empathy
NR 509 Mental Health Results | Documentation
NR 509 Mental Health Results | Life Span
NR 509 Mental Health Results | Review Questions
NR 509 Mental Health Results | Self Reflection

NR 509 Week 6 Cough SOAP Note

(NR 509 Week 6 Cough SOAP Note)

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention.

NR 509 Week 6 Pediatric SOAP Note

(NR 509 Week 6 Pediatric SOAP Note)

S: Subjective – Information the patient or patient representative told you

O: Objective – Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.

A: Assessment – Medical Diagnoses. Provide 3 differential diagnoses which may provide an etiology for the CC. The first diagnosis (presumptive diagnosis) is the diagnosis with the highest priority. Provide the ICD-10 code and pertinent findings to support each diagnosis.

P: Plan – Address all 5 parts of the comprehensive treatment plan. If you do not wish to order an intervention for any part of the treatment plan, write “None at this time” but do not leave any heading blank. No intervention is self-evident. Provide a rationale and evidence-based in-text citation for each intervention. NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Paper