NURS 6512: Digital Clinical Experience: Focused Exam: Cough

The Focused Exam: Cough Digital Clinical Experience (DCE) in Shadow Health is a vital assignment that allows nursing students to practice assessing and documenting patient symptoms in a simulated clinical setting. Completing this task requires performing a focused exam on a patient with a cough, submitting your lab pass, and ensuring proper documentation.

Below is a sample assignment we have solved, demonstrating how to approach the Focused Exam: Cough assignment with precision, ensuring thorough documentation and accurate submission to meet all academic requirements. We can also help you complete similar assignments with clarity and confidence.

NURS 6512: Digital Clinical Experience: Focused Exam: Cough

Subjective Data:

Chief Complaint (CC): “I guess I’m kind of sick. . . I’ve been coughing a lot’

History of Present Illness (HPI): The affected person A young boy named Danny Riviera, who is only 8 years old, visits the medical center because he has been coughing for the past few days. According to what he says, the cough is very clear and has a watery quality to it. His cough is worse at night, which prevents him from getting adequate rest. As a consequence of this, he has trouble concentrating in class and often comes home exhausted. It’s painful in his right ear.

The decision his mother made to use over-the-counter cough medicine, which only provided temporary relief, was made. Danny claims that he has a cold and that he suffers from a runny nose on a regular basis. Additionally, he inhales his father’s secondhand smoke on a regular basis. Within the past year, he has also been diagnosed with pneumonia. However, he does not have a fever, difficulty breathing, abdominal pain, chest tightness, or chills. He also does not have chest tightness.

Medications: The patient acknowledges that they do take their medications at home. In addition to that, he takes a vitamin every day. In addition to that, he takes a medication for coughing that is purple.

Allergies: NKDA

Past Medical History (PMH): Denies asthma diagnosis. Identifies immunizations as being up to date. Previous symptoms include chronic coughing and pneumonia.

Past Surgical History (PSH): None reported.

Sexual/Reproductive History:

Personal/Social History: Identifies himself as a member of a household that also includes his parents and grandparents. avers having a sense of well-being while at home. Describes a park with a playground in the neighborhood. It is reported that the father smokes in the house.

Immunization History: Immunizations are current.

Significant Family History: He is supported by his biological parents as well as both sets of grandparents.

Review of Systems:

General: During the course of the interview, the patient appears exhausted and coughs several times. Additionally, he seems to be steady.

HEENT: The mucus membrane is wet, and the discharge from the nose is clear. However, the back of his throat is red and clogged with mucus. His eyes are lifeless, and the conjunctiva around them is a pinkish hue. It seems as though the right tympanic membrane is inflamed and red. The lymph nodes in the patient’s right cervical region appear enlarged, and they have a certain degree of tenderness.

Respiratory: Lacks acute distress, has an increased respiratory rate at the age of 28, clear breath sounds on auscultation, and speaks in complete sentences; bronchoscopy is negative. When you percussed his chest wall, you could hear a resonant tone, and his fremitus was normal and bilaterally consistent.

Cardiovascular/Peripheral Vascular:

Psychiatric:

Neurological:

Lymphatics:        

OBJECTIVE DATA

Physical Exam:

Vital signs:

General: During the course of the interview, the patient appears exhausted and coughs several times. Additionally, he seems to be steady.

HEENT: The head is atraumatic and has a normocephalic shape. The mucus membrane is wet, and the discharge from the nose is clear. However, the back of his throat is red and clogged with mucus. His eyes are lifeless, and the conjunctiva around them is a pinkish hue. It seems as though the right tympanic membrane is inflamed and red. The lymph nodes in the patient’s right cervical region appear enlarged, and they have a certain degree of tenderness.

Respiratory: Lacks acute distress, has an increased respiratory rate at the age of 28, clear breath sounds on auscultation, and speaks in complete sentences; bronchoscopy is negative. When you percussed his chest wall, you could hear a resonant tone, and his fremitus was normal and bilaterally consistent.

Cardiology: In S1 and S2, there were no murmurs, gallops, or rubs.

Lymphatics: When palpated, the lymph nodes in the right cervical region are tender.

Psychiatric: No mental issues noted.

Diagnostics/Labs (Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses.)

ASSESSMENT:

Based on the findings of the completed physical examination and the observations that were made, the following possible diagnoses can be made.

1. Common cold: The patient complains of having a stuffy nose and a sore throat, which are both symptoms of a common cold. This observation was also supported by the findings of a physical examination, which showed that the patient had swollen lymph nodes.
2. Streptococcus throat infection: The patient’s complaint of a sore throat suggests that they may have strep throat. On the other hand, symptoms like nausea, vomiting, headaches, and fever did not present themselves at any point.
3. Rhinitis is another condition that could have been causing the patient’s symptoms, as they included stuffy nose, sore throat, and drainage from the nose. In addition to this, the patient has a history of recurrent ear infections throughout their lifetime.
4. Allergies and asthma: The patient does not have a history of allergic reactions. Nevertheless, it is possible that this condition will occur. This condition may have been the cause of the persistent cough. On the other hand, the patient does not exhibit any symptoms of wheezing, chest pain or tightness, or difficulty breathing.

Patient Information

Using the simulation application Shadow Health, you will conduct a focused exam in your DCE on coughing for this DCE Assignment. You will decide what information about the patient’s history, physical examinations, and diagnostic tests to order before creating a differential diagnosis with a range of potential diagnoses.

To Get Ready

Review the learning resources for this week and give the information they provide about the ears, nose, and throat some thought.

Examine the Shadow Health Resources offered in this week’s Learning Resources, paying particular attention to the tutorial that will walk you through the documentation and interpretation on the Shadow Health platform. Examine the further instances offered.

Utilize the DCE (Shadow Health) Documentation Template for Focused Exam: Cough from this week’s learning resources to complete your documentation notes for the DCE Assignment.

Utilize the link in the Blackboard classroom’s left navigation to access Shadow Health and log in.

Review the focused exam from Week 5: Cough For instructions on completing the Assignment in Shadow Health, see the rubric supplied in the Assignment submission page.

Think about the physical examinations and diagnostic procedures that might be appropriate to learn more about the patient’s condition. How could a diagnosis be made using the findings?

Focused Exam: Cough Assignment:

Complete the following in Shadow Health:

• Respiratory Concept Lab (Required)
• Episodic/Focused Note for Focused Exam: Cough
• HEENT (Recommended but not required)

Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and your Documentation Notes), but you must take all attempts by the Week 5 Day 7 deadline.

Submission and Grading Information

By Day 7 of Week 5

• Complete your Focused Exam: Cough DCE Assignment in Shadow Health via the Shadow Health link in Blackboard.
• Once you complete your Assignment in Shadow Health, you will need to download your lab pass and upload it to the corresponding assignment in Blackboard for your faculty review.
• (Note: Please save your lab pass as “LastName_FirstName_AssignmentName”.) You can find instructions for downloading your lab pass here: https://link.shadowhealth.com/download-lab-pass
• Once you submit your Documentation Notes to Shadow Health, make sure to add your documentation to the Documentation Note Template and submit it into your Assignment submission link below.
• Complete the Code of Conduct Acknowledgement.

Grading Criteria

To access your rubric:

Week 5 Assignment 2 DCE Rubric

Submit Your Assignment by Day 7 of Week 5

Ace Your Shadow Health Assignment with Expert Help

Successfully completing Shadow Health requires attention to detail and accurate documentation to meet all academic and clinical standards. If you need support, we’re here to provide expert assistance. Here’s how we can ensure your success:

• Accurate Lab Pass Submission: We’ll ensure your lab pass is completed correctly and submitted in the proper format.
• Thorough Documentation: Our team will craft comprehensive, well-organized documentation notes that align with the assignment requirements.
• Code of Conduct Compliance: We’ll make sure your Code of Conduct Acknowledgement is properly handled and submitted.
• Seamless Submission: We will help you structure your final submission, ensuring clarity and precision in all aspects of the assignment.

With our professional assistance, you can confidently submit a high-quality Focused Exam: Cough assignment, knowing that it meets all the necessary criteria and is ready for faculty review. Let us handle the details while you focus on mastering the content.