Case Study 1 - J.P. is a 75-year-old retired factory worker who is being seen in the home setting for a yearly health assessment provided by his insurance company.

Subjective Data

No complaints at this time

Enrolled in Silver Sneakers

Eats out much of the time

Widowed

Has one daughter who lives in another state

Retired automotive parts factory worker
Drives to and from activities

Objective Data

Vital signs: T 37 P 80 R 18 BP 140/68

Weight: 200

HT: 5 feet, 6 inches

Questions -

1. How should the nurse proceed with the interview portion of the assessment?

2. What are the components necessary to complete the interview?

3. Develop a problems list for subjective findings.

4. Develop a problems list for objective findings.

5. What teaching should the nurse consider from the problems list?

6. What interventions might be included in the plan of care for this patient?

Case Study 2 - P.P. is a 32-year-old man who presents to the occupational health clinic for a physical prior to beginning employment at a local hospital. The patient is in good health, has no complaints of pain, and exercises on a daily basis. BMI is 23.4, the physical exam is unremarkable, and vital signs are T 97.5, P 68, R 16, and BP 120/60. The patient is to begin work after obtaining physical clearance. Labs and immunization reports are pending. The nurse is preparing to perform the physical examination.

Questions

1. How does the nurse prevent the spread of infection and implement infection control measures?

2. What physical examination techniques should the nurse use for inspection?

3. What physical examination techniques should the nurse use for palpation?

4. What physical examination techniques should the nurse use for percussion?

5. What physical examination techniques should the nurse use for auscultation?