This is a comprehensive answer to a recently graded NR305 Week 2 Assignment.

Week 2 Summary

Week 2 – General Survey, Nutrition, and Skin
Course Outcomes (COs)	1, 2, 3, 4, and 5
Book	Jarvis, C. (2018). Physical examination & health assessment (8th ed.) Philadelphia, PA: Saunders.
Readings for the Week	Chapter 9: General Survey Chapter 11: Nutritional Assessment Chapter 12: Skin, Hair, and Nails
Assignments	Wellness Assessment: Luciana Gonzalez (iHuman)
Discussions	Graded Discussion Topic on Nurse’s role in health assessment

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Week 2 Assignment – Wellness Assessment: Luciana Gonzalez (iHuman) 

Purpose

NR305 Week 2 Assignment: The purpose of this assignment is for learners to demonstrate completing a comprehensive wellness assessment on a virtual patient.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 1: Demonstrate a head to toe physical assessment. (PO 1)

CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)

CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)

CO 5: Identify collaborative opportunities for health promotion, risk reduction, and disease prevention. (POs 1, 2)

CO 6: Demonstrate caring and professional behavior during patient interactions. (POs 6, 7)

Due Date

Sunday 11:59 p.m. MT at the end of Week 2

Points Possible for NR305 Week 2 Assignment: Wellness Assessment: Luciana Gonzalez (iHuman)

150 Points Total

• 100 points – Case Completion
• 50 points – Nurse Notes Responses

iHuman Case Summary (Luciana Gonzalez)

Patient Disposition

Luciana Gonzalez was prescribed antibiotics for her urinary tract infection and was sent home with detailed instructions on how to take the antibiotics as well as ways to prevent future urinary tract infections.

Student Learning Objectives

The student will be able to:

1. Perform a comprehensive history assessment for a 32-year-old Hispanic female.
2. Perform a comprehensive physical assessment for a 32-year-old Hispanic female.

Nursing Pearls

Drugs commonly recommended for simple UTIs include:

1. Trimethoprim/sulfamethoxazole (Bactrim, Septra, others).
2. Fosfomycin (Monurol)
3. Nitrofurantoin (Macrodantin, Macrobid).
4. Cephalexin (Keflex).
5. Ceftriaxone.

The group of antibiotic medicines known as fluoroquinolones, such as ciprofloxacin (Cipro), levofloxacin (Levaquin) and others, is not commonly recommended for simple UTIs, as the risks of these medicines generally outweigh the benefits for treating uncomplicated UTIs. In some cases, such as a complicated UTI or kidney infection, the HCP might prescribe a fluoroquinolone medicine if no other treatment options exist.

Often, symptoms clear up within a few days of treatment, but the patient may need to continue antibiotics for a week or more. It is important to make sure the patient takes the entire course of antibiotics as prescribed.

The HCP may also prescribe a pain medication (analgesic) that numbs the bladder and urethra to relieve burning while urinating, but the pain usually is relieved soon after starting an antibiotic. Biodigital: Urinary tract infection https://human.biodigital.com/viewer? id=production/femaleAdult/urinarytractinfection&lang=en

iHuman Case Play Instructions

Complete the “Prework” assignments and review your answers with your faulty as appropriate.

Review the Electronic health record (EHR)

• Click each blue button to review the different components of the EHR (admission note, orders, nursing notes, MAR, etc.).
• Document your “key findings” (example: diagnosis or other relevant history or physical findings from HCP or nurse notes) on the findings list on the left. This key findings list will be used to help you answer the multiple-choice question in the next section.
• Click “Next” to proceed to the MCQ section.
• Select those findings on your list from the MCQ list.
• Click “Compare with Expert” to lock in your answers and compare them to the findings identified by the case author.
• Compare your answers with those of the case author. You may go back to the EHR to review any sections.

Conduct your patient history assessment

• Introduce yourself and then consider what questions are relevant to ask this patient, based on what is occurring with the patient. Remember to ask yourself what type of assessment should I be conducting; is it an admission/comprehensive assessment; a focused assessment; or a shift assessment. Refer to the video “How to take a patient history” for some helpful hints.
• Note the Blue Interview Progress button at the bottom of the screen. You can use this button up to five times to get hints from the case author on questions you may have missed.
• Remember, you only are allowed 120 questions. You must keep track of the number of questions yourself, the counter is above the question list.
• Document your key findings on the findings list on the left.
• If you see the “gear head icon” click on it and follow the instructions.
• “Next” to proceed to the MCQ section.
• Click “Compare with Expert” to lock in your answers and compare them to the findings identified by the case author.

 Perform a physical assessment of your patient

• Assess vital signs and perform the examinations appropriate for the patient’s chief problem. Remember to ask yourself what type of assessment should I be conducting; is it an admission/comprehensive assessment; a focused assessment; or a shift assessment.
• You will be limited to 50 physical assessments.
• Document your key findings on the list of the key findings on the left.
• If you see the “gear head icon” click on it and follow the instructions.
• Click “Next” to proceed to the MCQ section.
• Click “Compare with Expert” to lock in your answers and compare them to the findings identified by the case author.

 Nurse notes

• Click on the “Nurse Notes” tab. Follow the instructions provided by your faculty and write the appropriate Nurse Note.
• Your Nurse Note will be graded separately from your case play
• If you see the “gear head icon” click on it and follow the instructions.

Summary

Click “Submit and Review Summary” to see the patient outcomes, student learning outcomes, nursing pearls, and pharmacology notes.

Week 2 Assignment Instructions

Directions

1. Access the Luciana Gonzalez Case Assignment in iHuman by clicking on the “Load Assignment in a New Window” button at the bottom of this assignment page. If prompted, select to load the case in a new browser window.
   • Note: It may take a few moments for iHuman cases to load in your web browser, so please be patient.
2. Complete the prework questions associated with the case. Prework is required to be completed before you can move on or before you can replay a case. Be sure that you have submitted each pre-work exercise for evaluation before you move on to the next. Your answers are not graded but are intended to get you thinking about the case.
3. Begin the case and complete these sections: (100 points total, immediate feedback/grade will be provided to you by iHuman when complete)
   • EHR Review
   • Health History
   • Physical Assessment
   • Note: there is no time limit on completing cases
4. As you move through your first attempt and once you complete the case, you will receive feedback from the “Expert” on the important findings that you included (or should have included), and information that should have been collected on the health history and physical assessment. The system will also tell you if you asked questions or performed assessments that are considered extraneous or inappropriate for that particular case. Review this information carefully and take notes to be used on your second attempt, if you would like to work toward a higher score.
5. If you must leave the case for any reason before you have totally completed it, the program will save your spot and will return you to the same point when you re-enter the case. (Look for the green “Resume” arrow at the bottom of the screen.) If you had fully completed a section, you will be able to review the section, but you will not be able to change your answers. You will only be able to move forward in the case.
6. Type your responses to the questions in the Nurse Notes section in the box provided (50 points, graded by instructor after submission). The Nurse Notes will be graded by your instructor, not iHuman. See the grading rubric to understand how it is evaluated. Note: You only need to type out the Nurse Notes once. Your instructor can see both attempts. If you make revisions on your second attempt, inform your instructor.
7. When you have completed a case review the final score and feedback provided by iHuman. You have the option to complete this case a second time before the submission deadline (total of 2 attempts) to improve your score. Your instructor will convert your highest score in iHuman to points earned in the grading rubric. Scores are adjusted based on your performance level.

Week 2 Assignment Solution

Experts Findings

EHR: Bacteriuria……..

History: Dysuria, Urinary Frequency……..

Physical: Nevus flammeus on the right side of the face………

Nursing Notes:

Write an SBAR note (Situation, Background, Assessment, Recommendations) to summarize this assessment.

Situation: Luciana Gonzalez, female, 32 years of age is experiencing mild pain and difficulty while urinating, with an increase in urinary frequency.

Background: The patient was admitted for a comprehensive health assessment and lab work. she has no regular HCP. Assessment: The patient is

Assessment: Has indicated…………….(BUY SOLUTION BELOW)

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