Get Answer: Daniel Year American Question Guide

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Original Question

Daniel, a 14-year-old American Indian, is in the office for a checkup after having an emergency appendectomy 2 weeks ago. His mother states that he spends his time lying on the couch watching television. His mother says that Daniel caught a cold a few days ago and that this morning his temperature was 102°F (38.9°C). You note that Daniel has a productive cough and seems short of breath. Question 1 During the health history, Daniel averts his eyes when talking with you. He often pauses before he answers your questions. What could these nonverbal behaviors signify? Question 2 As you continue the assessment, you note that there are no abnormal findings from the abdominal assessment. The surgical incision in the right lower quadrant is healing and Daniel displays no guarding or rigidity. There is still some tenderness around the incision. His apical pulse is 108 beats per minute and regular, his blood pressure is 110/68 mm Hg, and his oral temperature is 104F (40C). Respirations are 24 breaths per minute and slightly labored. Your assessment is often interrupted by his coughing spells. What questions should you ask regarding his cough? Question 3 What are the components of a respiratory assessment? Question 4 Your respiratory assessment reveals the following: Inspection: Increased respiratory rate (24 breaths per minute), no use of accessory muscles or nasal flaring. Skin and mucous membranes are pale. No cyanosis is noted. His productive cough continues throughout the day and night, and you note rust-colored sputum. Palpation: Chest expansion decreased on left side. Percussion: Dull over right lower lobe. What, if any, is the significance of unequal chest expansion? Question 5 On auscultation, you hear the following breath sounds: Left lung fields: normal breath sounds Right lung fields: diminished breath sounds Scattered across the bases: late inspiratory crackles What condition do your assessment findings suggest? Question 6 As part of the examination, you examine Daniel’s mouth and throat. When you inspect his mouth, you ask him to say “AAAHH.” What are you looking for and what are you testing? Question 7 Because his oxygen saturation (SpO2) is found to be 90%, Daniel is hospitalized for 4 days and receives intravenous antibiotics and nebulizer treatments. His condition improves and he is sent home on oral antibiotics. A week later, his mother brings him to the office because of a “mouth problem.” On examination of his mouth, you note white, cheesy, curdlike patches on the buccal mucosa and tongue. What is this condition?

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