Questions and Answers
What is subjective data collection?
Patient data
What is the chief complaint?
What brings you to the Nurse's office today?
What questions are asked regarding the history of present illness?
When did the cough start? How often are you coughing? How long does the coughing last?
What questions are asked about the character of the cough?
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What are you asked regarding aggravating factors of the cough?
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What questions assess exposure to germs?
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What question is asked about relieving factors for the cough?
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What types of questions follow up on cough medicine?
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What questions determine activity level?
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What questions inquire about nasal symptoms?
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What follow-up questions are asked about nasal discharge?
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What questions are related to ear symptoms?
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What questions are asked about throat symptoms?
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What questions are asked about allergies?
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What is asked regarding past medical history?
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What questions assess constitutional health?
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What questions focus on the review of systems for HEENT?
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What questions assess the review of systems for respiratory?
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What are vital signs?
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Study Notes
Subjective Data Collection
- Collection of patient data to understand their health status and symptoms.
Chief Complaint
- Central question: "What brings you to the Nurse's office today?"
- Use empathy in patient interaction: "I am sorry you're not feeling well."
History of Present Illness
- Key questions regarding cough:
- Onset: "When did the cough start?"
- Frequency: "How often are you coughing?"
- Duration: "How long does the coughing last?"
Character of Cough
- Determine cough type:
- Is it wet or dry?
- Is there any sputum produced?
Aggravating Factors
- Explore triggers for worsening cough: "Do you know what is making the cough worse?"
Exposure and Hygiene
- Inquire about exposure to illness: "Have you been around anyone sick?"
- Stress importance of hand hygiene practices.
- Educate on cough etiquette: covering mouth/nose while coughing or sneezing.
Relieving Factors
- Ask about cough relief methods: "What helps relieve your cough?"
Cough Medicine
- Follow up on current medications:
- Color and frequency of cough medicine use.
- Importance of correct dosage with a caregiver present.
Activity Level
- Assess physical activity:
- General activity before illness.
- Any decrease in activity since illness onset.
Nasal Symptoms
- Checking for nasal issues:
- Presence of sneezing or a runny nose.
- Frequency of symptoms.
Nasal Discharge
- Questions about nasal discharge characteristics:
- Color and consistency of discharge.
Ear Symptoms
- Gather information on ear-related issues:
- Pain, history of infections, discharge, and hearing problems.
Throat Symptoms
- Assess throat condition:
- Sore throat inquiry and swallowing difficulty.
- Use empathy: "I am sorry your throat is sore."
Allergies
- Explore allergy history:
- Seasonal, food, medication, animal, and latex allergies.
Past Medical History
- Relevant family medical history inquiries:
- Asthma and allergy prevalence in the family.
- Discuss negative impacts of secondhand smoke.
Review of Systems
- Conduct a comprehensive health review:
- Constitutional symptoms: fever, chills, night sweats, weight loss, appetite.
- HEENT (Head, Eyes, Ears, Nose, Throat) symptoms: ear issues, headaches, vision problems, and sinus pain.
- Respiratory symptoms: difficulty breathing, chest tightness, chest pain.
Vital Signs
- Monitoring temperature as a vital sign metric to assess health condition.
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Description
Test your knowledge on subjective data collection in nursing. This quiz covers key aspects of patient interaction, history of present illness, and factors affecting coughs. Enhance your understanding of effective assessment techniques and patient communication.