NR 509 Advanced Physical Assessment NR 509 Week 7 Shadow Health Focused Exam Case: Cough Experience Overview: FOCUSED EXAM: COUGH Patient: Danny Rivera Digital Clinical Experience Score 100%

Experience Overview:

FOCUSED EXAM: COUGH

Patient: Danny Rivera

Digital Clinical Experience Score

100%

Student Performance Index

34 out of 34

Subjective Data Collection

19 out of 19

Objective Data Collection

15 out of 15

Subjective Data Collection: 19 of 19 (100.0%)

A combination of open and closed questions will yield better patient data. The following details

are facts of the patient's case.

Chief Complaint

• Finding:

Established chief complaint

• Finding:

Reports cough

(Found)

Pro Tip: Asking a patient broadly about their chief complaint allows them to answer in their own

words and confirm information that you may have already received from another source.

Example Question:

Do you have a cough?

History of Presenting Illness

• Finding:

Asked about onset of cough

• Finding:

Reports cough started 3 days ago

(Found)

Pro Tip: Whenever you are assessing a symptom or a health condition, in this case the patient's

cough, inquiring about onset assesses the severity and the progression of the problem.

Example Question:

qwivy.com - The Marketplace to Buy and Sell your Study Material

How long have you had a cough?

• Finding:

Asked about characteristics of cough

• Finding:

Reports cough is wet

(Available)

Pro Tip: The characteristics of a cough, such as whether it is dry or wet, can indicate key

information about the type of illness the patient has.

Example Question:

Is your cough a wet cough?

• Finding:

Reports clear sputum with cough

(Found)

Pro Tip: The characteristics of a cough, such as whether it is productive, can indicate key

information about the type of illness the patient has.

Example Question:

Do you produce any phlegm or sputum with your cough?

• Finding:

Asked about frequency and duration of cough

• Finding:

Reports coughing every few minutes

(Found)

Pro Tip: Establishing how frequently Danny coughs will illustrate how long he has been

suffering these particular symptoms and might indicate possible triggers.

Example Question:

How frequently are you coughing?

• Finding:

Reports coughs last a few seconds

(Available)

Pro Tip: Establishing how long Danny's coughs last will illustrate how long he has been

suffering these particular symptoms and might indicate possible triggers.

Example Question:

How long do your coughs last?

• Finding:

Asked about aggravating factors for cough

• Finding:

Reports cough is worse at night

(Found)

Pro Tip: Establishing a timeline for Danny's coughing will illustrate how long he has been

suffering these particular symptoms and might indicate possible triggers.

Example Question:

Is the cough worse at night?

• Finding:

Denies smoking

(Available)