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Focused Exam chest pain objective data
Health-Illness Concepts Across the Lifespan I (NUR 1460C)
Florida State College at Jacksonville
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Focused Exam: Chest Pain Results | Turned In
Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701
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Objective Data Collection: 21 of 21 (100%)
Your Results Lab Pass (/assignment_attempts/9710779/lab_pass)
Overview Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy Documentation
Care Plan Program Competency Progress
Correct Partially correct
Incorrect Missed
Inspected face 1 of 1 point
Appearance (1/1 point) No visible abnormal findings Rash or lesion Cyanosis Pallor Redness or flushing Evidence of trauma (scar, laceration, or bruising)
Inspected for jugular venous distension 1 of 1 point
Height Of Venous Pressure (1/1 point) 4 cm or less above the sternal angle More than 4 cm above the sternal angle
Inspected chest 1 of 1 point
Symmetry (1/2 point) Symmetric Asymmetric
Appearance (1/2 point) No visible abnormal findings Rash or lesion AP diameter abnormal Intercostal retraction while breathing Excessive use of accessory muscles while breathing Pectus excavatum Skin growths (freckles or moles) Evidence of skin trauma (scar, laceration, or bruising)
Inspected hands and fingernails 1 of 1 point
Right: Appearance (1/4 point) No visible abnormal findings Redness
Left: Appearance (1/4 point) No visible abnormal findings Redness Suppor t
Moles or skin tags Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Rash
Moles or skin tags Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Rash Right: Nail Changes (1/4 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing
Left: Nail Changes (1/4 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing
Inspected lower extremities and toenails 1 of 1 point
Right: Appearance (1/4 point) No visible abnormal findings Visible distortion or swelling Brownish pigmentation Skin thickening Ulceration Varicose veins
Right: Nail Changes (1/4 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing
Left: Appearance (1/4 point) No visible abnormal findings Visible distortion or swelling Brownish pigmentation Skin thickening Ulceration Varicose veins
Left: Nail Changes (1/4 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing
Inspect lower extremities for edema 1 of 1 point
Right: Edema (1/4 point) No edema Pitting Non-pitting
Right: Severity Of Edema (1/4 point) No edema 1+ Slight pitting 2+ Deeper pit, disappears in 10 to 15 seconds 3+ Noticeably deep pit that lasts more than a minute 4+ Very deep pit that lasts 2 to 5 minutes Left: Edema (1/4 point) No edema Pitting Non-pitting
Left: Severity Of Edema (1/4 point) No edema 1+ Slight pitting 2+ Deeper pit, disappears in 10 to 15 seconds 3+ Noticeably deep pit that lasts more than a minute 4+ Very deep pit that lasts 2 to 5 minutes
Tested capillary refill time 1 of 1 point
Fingers (1/2 point) Less than 3 seconds Greater than 3 seconds
Toes (1/2 point) Less than 3 seconds Greater than 3 seconds
Palpated carotid arteries 1 of 1 point
Right: Vibration (1/4 point) No thrill Thrill
Right: Amplitude (1/4 point) 0 Absent 1+ Diminished or barely palpable
No thrill Thrill
0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse
Palpated popliteal arteries 1 of 1 point
Right: Vibration (1/4 point) No thrill Thrill
Right: Amplitude (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Left: Vibration (1/4 point) No thrill Thrill
Left: Amplitude (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse
Palpated tibial arteries 1 of 1 point
Right: Vibration (1/4 point) No thrill Thrill
Right: Amplitude (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Left: Vibration (1/4 point) No thrill Thrill
Left: Amplitude (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse
Palpated dorsalis pedis arteries 1 of 1 point
Right: Vibration (1/4 point) No thrill Thrill
Right: Amplitude (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Left: Vibration (1/4 point) No thrill Thrill
Left: Amplitude (1/4 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse
Auscultated carotid arteries 1 of 1 point
Right (1/2 point) No bruit Bruit
Left (1/2 point) No bruit Bruit
Auscultated heart sounds 1 of 1 point
Heart Sounds (1/2 point) S1 and S2 audible S1, S2, and S3 audible S1, S2, and S4 audible S1, S2, S3, and S4 audible
Extra Heart Sounds (1/2 point) No extra sounds Gallops Murmur Friction rub Valve clicks
Auscultated abdominal aorta 1 of 1 point
Sounds (1/1 point) No bruit Bruit
Auscultated abdominal and lower extremity arteries 1 of 1 point
Right: Renal (1/6 point) No bruit Bruit
Right: Iliac (1/6 point) No bruit Bruit Right: Femoral (1/6 point) No bruit Bruit
Left: Renal (1/6 point) No bruit Bruit Left: Iliac (1/6 point) No bruit Bruit
Left: Femoral (1/6 point) No bruit Bruit
Auscultated breath sounds 1 of 1 point
Breath Sounds (1/3 point) Present in all areas Diminished in some areas Absent in some areas
Adventitious Sounds (1/3 point) No adventitious sounds Wheezing Fine crackles Stridor Rhonchi Rales Location (1/3 point) All areas clear Adventitious sounds in anterior right upper lobe Adventitious sounds in anterior right middle lobe Adventitious sounds in anterior right lower lobe Adventitious sounds in anterior left upper lobe Adventitious sounds in anterior left lower lobe Adventitious sounds in posterior right upper lobe Adventitious sounds in posterior right lower lobe Adventitious sounds in posterior left upper lobe Adventitious sounds in posterior left lower lobe
Performed EKG 1 of 1 point
Sinus Rhythm (1/2 point) Regular Irregular
St Changes (1/2 point) No ST elevation ST elevation present
Comments
Focused Exam chest pain objective data
Course: Health-Illness Concepts Across the Lifespan I (NUR 1460C)
University: Florida State College at Jacksonville
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