Question

“Imagine a situation in which you are a nursing student and you are assigned to a patient for your clinical day. One of your tasks for that day is to do ahead to toes assessment and you are being observed by your clinical instructor. After your assessment, for your assignment, you are asked to write a narrative paragraph stating your evaluation of how do you think it went? Is there anything you would have change?”

How will you write this paragraph?

Answer 1

Head to Toe Assessment - Pneumonia

  A 45 year old woman looks fair and tall appears to be improperly nourished, and looks hardly active.Her mental status states that she is conscious and responding to all the questions and looks so worried about her health condition.She has a good body posture.Her height is 5"6 and her weight is of 120lbs. She has a blue tinged skin I.e. chaotic because of difficulty in breathing.Also she has a low grade fever and temperature shows 100F. HEENT examinations were normal.No abnormalities of neck were found.Patient found to be hypotensive with normal heart rate. SBP found to be 85.Shortness of breath, cough and fever were notified.Tachycardia and Tachypnea were notified.Palpation shows increased fremitis, dullness on percussion, auscultation shows ronchi, Wheezing sounds, and crackle sounds.Abdominal , genitourinary, neuromuscular extremities. are normal.