Complete Solutions | 2026
BSN246-02 Concepts of Nursing I 2026-1, 933413
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Overview
Transcript
Transcript
Subjective Data Collection Started: Feb 17, 2026 | Total Time: 68 min
Objective Data Collection All Lines (56) Interview Questions (25) Statements (4) Exam Actions (27)
Education & Empathy
Greet
Documentation Hello, my name is Ira. I'll be your nurse today
02/17/26 4:31 PM EST
Emergent Scenario
Hello.
Care Plan
Question
Reflection can you please tell me your name and date of birth?
02/17/26 4:32 PM EST
I'm Richard Trottier. November 13th [Mr. Trottier reports his correct birth year.]
Question
do you know where you are?
02/17/26 4:35 PM EST
Shadowville General.
Question
what bring you in today ?
02/17/26 4:35 PM EST
Hard to breathe. Can't take a full breath. Breathing fast.
Empathize
oh i'm sorry you are experiencing those symptoms , well try and help alleviate
02/17/26 4:43 PM
that feeling
EST
Thank you.
Question
do you have any cultural or spiritual accomedations? (Clarified to Do you have
02/17/26 4:49 PM
any religious preferences while you are here?.)
EST
Not in any major ways. But I would like a priest to perform communion for me.
I'd also like to have a medicine man smudge the room with sage. (Clarified to if I
have religious preferences while I am here.)
, can you tell me when your symptoms started
It started a couple minutes ago.
can you describe your cough
It's wet. But it never clears up. I always feel like I need to cough.
are you experiencing any chest pain?
I don't have pain. It feels so heavy, though.
okay , im sorry you experience that discomfort
It's tough, so thank you.
do you have a history of cardiovascular disease?
I have hypertension . . . and my heart has been racing since I started breathing
hard.
what about your overall health in general
I'm not healthy. I miss that feeling.
can you tell me about your mental health ?
It's okay I guess. I'd rather focus on my breathing right now.
have you experienced any unintentional weightloss recently (No matching
questions found.)
have you experienced any unintentional weight loss recently
I lost a few pounds when I had pneumonia. I'm always skinny, though.
any fever chills or sleep disturbances (Clarified to Have you had any fever or
chills?.)
I haven't been having chills or a fever, no. (Clarified to if I have had fever or
chills.)
any sleep disturbances or confusion (No matching questions found.)
any sleep disturbances ? (No matching questions found.)
any sleep difficulty sleeping
Sleep could be better. I cough going to sleep. I wake up coughing.
any recent headaches?