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    Task 14,17,20,23

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    Sapitri
    The nurse conducts an assessment of a 22-year-old female patient named Miss Wulan, who presents with cough, shortness of breath, and chest pain. The nurse confirms the patient's demographic information and medical history, including a prior diagnosis of pneumonia 6 months ago. On physical examination, the nurse checks vital signs and performs inspection, palpation, percussion, and auscultation of the chest. The nurse finds the patient's breathing rate is elevated at 24 breaths per minute and advises her to rest, eat nutritious foods, and exercise regularly to manage her pneumonia.

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    Task 14,17,20,23

    Uploaded by

    Sapitri
    17 views3 pages
    The nurse conducts an assessment of a 22-year-old female patient named Miss Wulan, who presents with cough, shortness of breath, and chest pain. The nurse confirms the patient's demographic information and medical history, including a prior diagnosis of pneumonia 6 months ago. On physical examination, the nurse checks vital signs and performs inspection, palpation, percussion, and auscultation of the chest. The nurse finds the patient's breathing rate is elevated at 24 breaths per minute and advises her to rest, eat nutritious foods, and exercise regularly to manage her pneumonia.

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    Task 14,17,20,23.docx

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    The nurse conducts an assessment of a 22-year-old female patient named Miss Wulan, who presents with cough, shortness of breath, and chest pain. The nurse confirms the patient's demographic information and medical history, including a prior diagnosis of pneumonia 6 months ago. On physical examination, the nurse checks vital signs and performs inspection, palpation, percussion, and auscultation of the chest. The nurse finds the patient's breathing rate is elevated at 24 breaths per minute and advises her to rest, eat nutritious foods, and exercise regularly to manage her pneumonia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    17 views3 pages

    Task 14,17,20,23

    Uploaded by

    Sapitri
    The nurse conducts an assessment of a 22-year-old female patient named Miss Wulan, who presents with cough, shortness of breath, and chest pain. The nurse confirms the patient's demographic information and medical history, including a prior diagnosis of pneumonia 6 months ago. On physical examination, the nurse checks vital signs and performs inspection, palpation, percussion, and auscultation of the chest. The nurse finds the patient's breathing rate is elevated at 24 breaths per minute and advises her to rest, eat nutritious foods, and exercise regularly to manage her pneumonia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Task 14,17,20,23

    Patient : “Assalamualaikum”

    Nurse : “Waalaikumsalam, please sit down ma'am”

    Patient : “Okay, thank you ners”

    Nurse : “Oh, hi miss wulan how are you?”

    Patient : “Yes ners laily, i'm not to bad”

    Nurse : “Are there any other complaints? Why did you come here again?”

    Patient : “Yes nurses, after yesterday's complaint was healed, i had a cough, shortness of
    breath and chest pain”.

    Nurse : “Okay fine, before I check you I will reconfirm your demographic data, then I will
    review patient data starting from clinical history, and also study the gordon pattern.
    Are you ready?”

    Patient : “Yes I do”

    Nurse : “Is it true with miss wulan?”

    Patient : “Yes nurse”

    Nurse : “How old are you?”

    Patient : “22 years”

    Nurse : “Where is your address?”

    Patient : “Pekalongan, Central Java”

    Nurse : “Okay, did you have any previous medical history?”

    Patient : “Yes nurse, yesterday I had a fever”

    Nurse : “Is there a history of other diseases?”

    Patient : “Yes nurse, I have a history of Pneumonia”


    Nurse : “Oh yes, when was you with Pneumonia?”

    Patient : “I was diagnosed with Pneumonia about 6 months ago”

    Nurse : “At the beginning, how was you diagnosed with Pneumonie?”

    Patient : “At first I was often coughed, shortness of breath, accompanied by pain in the
    chest and also fever”

    Nurse : “Okay, when was the last time you had a checkup?”

    Patient : “The last time I had a checkup was one week ago, because I had a fever.”

    Nurse : “Does your family have a history of Pneumonia?”

    Patient : “No ners”

    Nurse : “What do you feel currently?”

    Patient : “I have chest pain and shortness of breath”

    Nurse : “When did you feel pain?”

    Patient : “Uncertain”

    Nurse : “Was the pain like being prickling or burning ?”

    Patient : “Like being pricked”

    Nurse : “Does the pain interfere with your activities?”

    Patient : “Yes, annoying”

    Nurse : “What activities do you do?”

    Patient : “I'm just at home and studying online”

    Nurse : “Okay, continue. How many times do you usually eat a day?”

    Patient : “3 times a day”

    Nurse : “Does the food always run out?”

    Patient : “Yes”
    Nurse : “Okay, are your bowel movements and bowels smooth? How many times a day?”

    Patient : “Yes, ners, I defecated twice a day and bak 4 times a day”

    Nurse : “How long did you sleep?”

    Patient : “I sleep around 8 hours at night and take 3 hours of naps”

    Nurse : “Okay, then I will do a physical examination (Vital sign, and IPPA)

    Patient : “Yes”

    Nurse : “I’m going to check your vital sign”

    Patient : “ Yes ners”

    Nurse : “ okay, next I will start with inspeksi by looking at the movemens of the stomach
    while breath and exhale then I will continue with palpation, percussion and finally
    auscultation”

    Pateint : “How was the result sus? Am I bad?”

    Nurse : “For vital signs everything is normal, except for your breathing 24 x minutes. So for
    Pneumonia you have to live a healthy lifestyle such as getting enough rest, eating
    nutritious foods, and exercising regularly”

    Patient : “Yes ners, thank you”

    Nurse : “Yes miss wulan, your welcome get well soon and stay healthy”

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