Question

Valarie Ramirez, a 33-year-old female, is at the office for a pre-employment general physical-exam. Her vital signs are BP 122/80, T 98.6 P 84 R 20, height 62 inches, and weight 140 pounds. While you are interviewing her, she shows you a wart on her right hand and says it is very painful and would like it taken off.

Discussion Questions: p.774

1. What would you chart as her chief complaint?
2. What things will you do during her-exam to make her more comfortable?
3. What is the most likely position(s) she will be put in during her examination, and why would these positions be used?
4. If you were unable to communicate with Valarie successfully, what measures should you take to improve communication and meet her privacy needs?

Answer 1

#Her chief complaint can be charged for painful wary on right hand

#Some of the things which can be made to make her comfortable are

• Ensure the examination is carried out in a private room maintaining privacy of the patient
• Provide a calm and quiet environment in order to make her feel relaxed and help her to speak her needs.

#The position which will be used for examination are

Standing position to chart the height and weight

Supine position to make physical examination

Sitting position to monitor vitals especially blood reading are taken at chest level

#Some of the measures which can be done to improve communication and privacy are

• Engage is effective communication which the patient needs
• Encourage and motivate the client to tell her problem
• Being honest and maintaining professional relationship can build trust
• Be an active listener to the patient when they communicate this give a positive sign to patient that the healthcare professional is listening to what they say.