1 of 1 point Symmetry 11 point Equal bilaterally Unequal bilaterally Palpated

1 of 1 point symmetry 11 point equal bilaterally

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1 of 1 point Symmetry (1/1 point) Equal bilaterally Unequal bilaterally Palpated tactile fremitus 0.5 of 1 point Symmetry (1/2 point) Equal bilaterally
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Unequal bilaterally Vibration (No point) Expected fremitus Decreased fremitus Absent fremitus Percussed chest wall 1 of 1 point Observations (1/2 point) All areas resonant Some areas of dullness Location (1/2 point) No areas of dullness Dullness, anterior right upper lobe Dullness, anterior right middle lobe Dullness, anterior right lower lobe Dullness, anterior left upper lobe Dullness, anterior left lower lobe Dullness, posterior right upper lobe Dullness, posterior right lower lobe Dullness, posterior left upper lobe Dullness, posterior left lower lobe Auscultated breath sounds 0.67 of 1 point Breath Sounds (1/3 point) Present in all areas
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Diminished in some areas Absent in some areas Adventitious Sounds (1/3 point) No adventitious sounds Wheezing Fine crackles Stridor Rhonchi Rales Location (No point) All areas clear Adventitious sounds in anterior right upper lobe Adventitious sounds in anterior right middle lobe Adventitious sounds in anterior right lower lobe Adventitious sounds in anterior left upper lobe Adventitious sounds in anterior left lower lobe Adventitious sounds in posterior right upper lobe Adventitious sounds in posterior right lower lobe Adventitious sounds in posterior left upper lobe Adventitious sounds in posterior left lower lobe Auscultated for bronchophony 1 of 1 point Bronchophony (1/1 point) Positive Negative Education & Empathy : 3 of 4 (75.0%)
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During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient 1 Symptoms Followed Up Description: Tina describes the symptoms that have been bothering her. what brings you in? Question 09:22 AM CST I came in because I've been having breathing problems, and my inhaler just isn't working the way it normally does.
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oh im sorry to hear that, we will try to figure out what we can do to help. Empathize 09:22 AM CST I appreciate you saying that. do you have difficulty breathing with daily activities Question 09:54 AM CST It's definitely been harder to move around without worrying my asthma was going to act up again.
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