SHADOW HEALTH: FOCUSED EXAM: COUGH -
WEEK 7 (DANNY RIVERA) A COMBINED STUDY
GUIDE QUESSTIONS AND ANSWERS NEW
MODIFIED
Aggravating Factors of Cough --ANSWER--What worsens the cough?
Exposure to Germs --ANSWER--Contact with sick individuals
Relieving Factors for Cough --ANSWER--Methods to alleviate cough
Followed up on Cough Medicine --ANSWER--Inquired about medication color
and frequency
Subjective Data Collection --ANSWER--Gathering patient information
Chief Complaint --ANSWER--Reason for visit to Nurse's office
History of Present Illness --ANSWER--Inquiring about current symptoms
Character of Cough --ANSWER--Is the cough wet or dry?
Page 1 of 36
,Activity Level --ANSWER--Inquiring about physical activity
Nasal Symptoms --ANSWER--Inquiring about runny nose and sneezing
Followed up on nasal discharge --ANSWER--What color is your nasal
discharge? What is the consistency?
Asked about ear symptoms --ANSWER--Do you have ear pain? Have you had
ear infections? Any ear discharge? Hearing problems?
Asked about throat symptoms --ANSWER--Do you have a sore throat? Trouble
swallowing?
Asked about allergies --ANSWER--Seasonal allergies? Food allergies?
Medication allergies? Animal allergies? Latex allergy?
Past Medical History --ANSWER--Family history of asthma? Allergies?
Empathize --ANSWER--Express empathy for symptoms and provide support.
Review of Systems --ANSWER--Fever? Chills? Night sweats? Recent weight
loss? Appetite?
Page 2 of 36
,Review of Systems for HEENT --ANSWER--Ear popping? Headaches?
Nosebleeds? Vision problems? Dizziness? Watery eyes? Eye redness? Eye
pain? Sinus pain?
Review of Systems for Respiratory --ANSWER--Difficulty breathing? Chest
tightness? Chest pain?
Vital Signs --ANSWER--Temperature, BP, HR, Pulse Rate, RR, O2 Sat levels
Spirometer --ANSWER--FEV1, FVC, FEV1/FVC ratio
Objective Data Collection --ANSWER--Patient Data
Inspected Eyes and Orbital Area --ANSWER--Orbital Area: Sclera - White,
Conjunctiva - Moist and Pink, Conjunctival Discharge - None
Inspected Ears --ANSWER--Right Ear: Auditory Canal Color - Pink, Tympanic
Membrane Color - Pearly Gray, Tympanic Membrane Appearance - No
abnormalities, Cone of Light - 5:00, Discharge - None; Left Ear: Auditory
Canal Color - Pink, Tympanic Membrane Color - Pearly Gray, Tympanic
Membrane Appearance - No abnormalities, Cone of Light - 7:00, Discharge -
None
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, Inspected Nasal Cavities --ANSWER--Color - Pink, Discharge - Clear,
Turbinate Patency - Patent, Observations - No additional abnormalities
Inspected Mouth and Throat --ANSWER--Oral Mucosa - Moist and Pink,
Tonsils - No abnormalities, Throat Color - Red, Throat Texture -
Cobblestoning, Post Nasal Drip - None
Inspected Neck --ANSWER--Symmetry - Symmetric, Appearance - No
abnormalities
Inspected Chest --ANSWER--Symmetry - Symmetric, Appearance - No
abnormalities
Palpated Sinuses --ANSWER--Frontal - None reported, Maxillary - None
reported
Palpated Lymph Nodes --ANSWER--Head and Neck: Palpable nodes on right
side, Supraclavicular - No palpable nodes, Axillary - No palpable nodes
Palpated Fremitus --ANSWER--Symmetry - Equal bilaterally, Vibration -
Expected fremitus
Palpated Chest Expansion --ANSWER--Assessment of Symmetry: Equal
bilaterally
Page 4 of 36
WEEK 7 (DANNY RIVERA) A COMBINED STUDY
GUIDE QUESSTIONS AND ANSWERS NEW
MODIFIED
Aggravating Factors of Cough --ANSWER--What worsens the cough?
Exposure to Germs --ANSWER--Contact with sick individuals
Relieving Factors for Cough --ANSWER--Methods to alleviate cough
Followed up on Cough Medicine --ANSWER--Inquired about medication color
and frequency
Subjective Data Collection --ANSWER--Gathering patient information
Chief Complaint --ANSWER--Reason for visit to Nurse's office
History of Present Illness --ANSWER--Inquiring about current symptoms
Character of Cough --ANSWER--Is the cough wet or dry?
Page 1 of 36
,Activity Level --ANSWER--Inquiring about physical activity
Nasal Symptoms --ANSWER--Inquiring about runny nose and sneezing
Followed up on nasal discharge --ANSWER--What color is your nasal
discharge? What is the consistency?
Asked about ear symptoms --ANSWER--Do you have ear pain? Have you had
ear infections? Any ear discharge? Hearing problems?
Asked about throat symptoms --ANSWER--Do you have a sore throat? Trouble
swallowing?
Asked about allergies --ANSWER--Seasonal allergies? Food allergies?
Medication allergies? Animal allergies? Latex allergy?
Past Medical History --ANSWER--Family history of asthma? Allergies?
Empathize --ANSWER--Express empathy for symptoms and provide support.
Review of Systems --ANSWER--Fever? Chills? Night sweats? Recent weight
loss? Appetite?
Page 2 of 36
,Review of Systems for HEENT --ANSWER--Ear popping? Headaches?
Nosebleeds? Vision problems? Dizziness? Watery eyes? Eye redness? Eye
pain? Sinus pain?
Review of Systems for Respiratory --ANSWER--Difficulty breathing? Chest
tightness? Chest pain?
Vital Signs --ANSWER--Temperature, BP, HR, Pulse Rate, RR, O2 Sat levels
Spirometer --ANSWER--FEV1, FVC, FEV1/FVC ratio
Objective Data Collection --ANSWER--Patient Data
Inspected Eyes and Orbital Area --ANSWER--Orbital Area: Sclera - White,
Conjunctiva - Moist and Pink, Conjunctival Discharge - None
Inspected Ears --ANSWER--Right Ear: Auditory Canal Color - Pink, Tympanic
Membrane Color - Pearly Gray, Tympanic Membrane Appearance - No
abnormalities, Cone of Light - 5:00, Discharge - None; Left Ear: Auditory
Canal Color - Pink, Tympanic Membrane Color - Pearly Gray, Tympanic
Membrane Appearance - No abnormalities, Cone of Light - 7:00, Discharge -
None
Page 3 of 36
, Inspected Nasal Cavities --ANSWER--Color - Pink, Discharge - Clear,
Turbinate Patency - Patent, Observations - No additional abnormalities
Inspected Mouth and Throat --ANSWER--Oral Mucosa - Moist and Pink,
Tonsils - No abnormalities, Throat Color - Red, Throat Texture -
Cobblestoning, Post Nasal Drip - None
Inspected Neck --ANSWER--Symmetry - Symmetric, Appearance - No
abnormalities
Inspected Chest --ANSWER--Symmetry - Symmetric, Appearance - No
abnormalities
Palpated Sinuses --ANSWER--Frontal - None reported, Maxillary - None
reported
Palpated Lymph Nodes --ANSWER--Head and Neck: Palpable nodes on right
side, Supraclavicular - No palpable nodes, Axillary - No palpable nodes
Palpated Fremitus --ANSWER--Symmetry - Equal bilaterally, Vibration -
Expected fremitus
Palpated Chest Expansion --ANSWER--Assessment of Symmetry: Equal
bilaterally
Page 4 of 36
