NURS 6660 TinaJones 4 graded A

Transcript
Started: Sep 17, 2019 | Patient Exam Time: 103
min
All Lines (146) Interview Questions (122) Statements (9) Exam Actions (15)




Exam
Action
Height: 170 cm 09/17/19
9:51 PM
MDT
Exam
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Weight: 90 kg 09/17/19
9:51 PM
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Exam
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BMI: 31 09/17/19
9:51 PM
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Exam
Action
Random blood glucose: 238 09/17/19
9:51 PM
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Exam
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Temperature: 101.1 F 09/17/19
9:51 PM
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Exam
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Blood pressure: 142/82 09/17/19
9:51 PM
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Exam
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Respiratory rate: 19 09/17/19
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, Exam
Action
O2 sat: 99% 09/17/19
9:51 PM
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Exam
Action
Heart rate: 86 09/17/19
9:51 PM
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Greet
09/17/19
hello Miss Jones. how are you doing 9:51 PM
today? MDT




Hey.




Question
09/17/19
9:52 PM
how are you doing today? MDT

,Not so great... My foot really hurts right
now.




Empathize
I understand your foot must be very 09/17/19
painful. 9:53 PM
MDT




Thanks for saying that.




Question
09/17/19
what happened to your foot? 9:54 PM
MDT

, I was going down the back steps, and I
tripped. . . I caught the railing, but I guess
I kind of turned my ankle a little bit. And I
scraped up my foot on the edge of the step.




Question
when did this happen? (Clarified to 09/17/19
When did the injury occur?.) 9:54 PM
MDT




Well, I got the scrape a week ago, but the
scrape and the pain got a lot worse in the
last few days. (Clarified to when the injury
happened.)




Question
did you see a doctor then? 09/17/19
9:55 PM
MDT