COURSE

NR305: RN Health Assessment

Directions

1. Access the Michael Granger 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.
3. Begin the case and complete these sections: (100 points total, immediate feedback/grade will be provided to you by iHuman when complete)
   1. EHR Review
   2. Health History
   3. Physical Assessment
4. Type your responses to the questions in the Nurse Notes section in the box provided. (50 points, graded by instructor after submission)
5. Review the 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 highest score will be recorded in the grade book.
6. The Nurse Notes will be graded by your instructor and will be a separate grade in the grade book.

Solution

Situation: 69 y/o male Michael Granger admitted from his cardiologist’s office for heart failure exacerbation.

Background: Diagnosed with stage ll right-sided heart failure last year and this is his first exacerbation. 10 lbs weight gain in three days, SOB, and worsening lower extremity edema.

Assessment: Patient has S3 heart sound, trace edema, and lungs are clear to auscultation.

Recommendation: Take all medication prescribed. Encourage no smoking and follow up with the physician if he notices any drastic weight gain………….please follow the link below to purchase the solution at $10