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Dengue Fever Patient Assessment

The nurse is assessing a 19-year old female patient named Indah Gita Sari who has been experiencing fever for three days. The nurse collects demographic information and learns the patient has been experiencing dizziness, high body temperature, nausea, and vomiting. Upon examination, the nurse finds the patient has a temperature of 37 degrees Celsius and weak lung sounds. The nurse provides discharge instructions to eat fruits and vegetables, keep the environment clean, maintain a healthy lifestyle, and avoid fast food, spicy food, and cold drinks.

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0% found this document useful (0 votes)
225 views4 pages

Dengue Fever Patient Assessment

The nurse is assessing a 19-year old female patient named Indah Gita Sari who has been experiencing fever for three days. The nurse collects demographic information and learns the patient has been experiencing dizziness, high body temperature, nausea, and vomiting. Upon examination, the nurse finds the patient has a temperature of 37 degrees Celsius and weak lung sounds. The nurse provides discharge instructions to eat fruits and vegetables, keep the environment clean, maintain a healthy lifestyle, and avoid fast food, spicy food, and cold drinks.

Uploaded by

Mandha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DENGUE FEVER

As a Nurse : REEQHA MANDHAQINY

As a Patient : INDAH GITA SARI

Chapter 1 ( General assessment )

Part 1 ( collecting demographic data elements )

Nurse : Good morning, miss.

Patient : Good morning, nurse.

Nurse : Its time for me to interview you assess your health condition

Patient : Oke, nurse

Nurse : What is your name ?

Patient : My name is indah gita sari

Nurse : How old are you ?

Patien : Im 19 years old

Nurse : What is your address ?

Patient : My address is in Labuan

Nurse : What is your phone number ?

Patient : My number phone is 081 246 285 342

Nurse : Are you married ?

Patient : No, Im not

Nurse : Do you have any health insurance ?

Patient : No, I dont


Nurse : What is your occupation ?

Patient : My occupation is student

Nurse : What brings your in this hospital ?

Patient : I got fever

Nurse : Who sends you to this hospital ?

Patient : My father

Nurse : What makes you come to this hospital ?

Patient : I got fever for three days and my body temperature is high

Part 2 and 3 ( current health and illness status and history of past health and illnesses )

Nurse : Would you tell me about your health condition recently ?

Patient : I got dizzy , my body temperature is high , nausea and vomiting

Nurse : How many times a day your vomiting ?

Patient : Vomiting three time a days

Nurse : Have you ever had fever ?

Patient :Yes, I have

Nurse : Are you allergic to antibiotic ?

Patient : No, I havent

Nurse : Have you ever been immunized against polio ?

Patient : Yes i have

Chapter 2 ( Dimension of Symptoms )

Nurse : Where do you feel it ?

Patient : I feel pain in my head

Nurse : Show me where ?


Patient : I feel pain around here, to the right of my head

Nurse : Do you feel ?

Patient : I feel my dizzy, my body temperature in high , nausea and vomiting

Nurse : What does the pain look like ?

Patient : I feel great dizzy, nausea, vomiting and high fever

Nurse : On a scale of 0 to 10, with ten the worst, how would you rate what you feel right now ?

Patient : I feel on scale of 7

Nurse : What was the worst it has been ?

Patient : I lost my appetite, nausea and vomiting

Nurse : When did you first notice it ?

Patient : three days a go

Nurse : How long does it last ?

Patient : three times a day

Nurse : Does it occur in particular place or under certain circumstance ?

Patient : I feel repeated pain in my head

Nurse : Does it appear in particular time ?

Patient : I vomited after eating the food

Chapter 3 ( Patient assessment )

Nurse : Now i want to examine your chest ( Nurse auscultation to weak lung vesicular voices)

Patient : Yes, nurse

Nurse : Now i want you to lie flat on the bed

Patient : Yes, nurse (walking towards the bed)

Nurse ; Now i want you to roll your clothes up

Patient : Yes, nurse

Nurse : please relax your stomach? ( Nurse palpation the stomach to see if there is an enlargement of the
liver )
Patient : Oke, nurse

Chapter 4 ( checking vital sign )

Nurse : Its time for me to measure your temperature

Patient : Oke, nurse

Nurse : Would you give your right hand ? (to check your temperature )

Patient : Yes, nurse

Nurse : Now pelase put this thermometer into your armpit

Patient : Yes, nurse

Nurse : Oke, finished

Chapter 5 ( Discharge Instruction )

Nurse : You should consume vegetables and fruits such as carrots and orange juice

Patient : Yes, nurse

Nurse ; I suggest you to keep your environment clean,

Patient : Oke, nurse

Nurse : You should apply healthy lifestyle

Patient : Yes , nurse

Nurse : You should not eat fast food, spicy food and cold drinks

Patient : Yes, nurse

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