Complete Textbook Of Phlebotomy
5th Edition
ISBN: 9781337464314
Author: Hoeltke
Publisher: Cengage
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CASE 3: A 15-year-old girl who is a victim of physical and sexual abuse is brought to the health care facility by her mother for a physical examination. She appears scared, tense, and nervous. She requests that the nurse not examine certain parts of her body and asks whether her mother could be present during the examination a. Describe actions the nurse should take during the physical examination to make the client more comfortable while collecting the required assessment data b. What questions must the nurse consider to facilitate analysis of data and identification of areas where additional physical examination data are needed?.
Read the case description carefully and then respond to the individual questions.
Primary complaints/recent history of illness
Male child, three years of age (first name Michael), presented by parent to pediatrician with
following complaints that have appeared over the past several months:
Developmental regression--decrease in speech sophistication and social skills.
Clumsy, waddling gait with difficulty climbing stairs.
Difficulty standing erect--child has started using hands to attain upright position (image at
right)
Several recent bouts of respiratory illness.
Complete a referral form and schedule a mammogram appointment for the patient below.
Scenario: Georgia Thompson needs to have her first mammogram appointment scheduled for her. She has
transportation arrangements for Tuesdays and Thursday from 9:00am – 1:00pm. Her diagnosis is right
breast – Cyst of breast and unspecified breast disorder – calcification. Georgia's last menstrual period was
05/27/XX. Copies of her mammogram need to be sent to Dr. Smith at 2121 College Drive, Suite 450,
Middleton California, 55456. (916) 555-4321.
-
Patient Demographics:
DOB: 05/28/1955
Name: Georgia Thompson
Insurance: Cigna
Phone # (209) 555-1234
ID #: U26183656 02
CPT: 77055
ICD10: N60.01, R921
Authorization #: 135674
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