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Objective Data - Robert Hall - Mobility Shadow Health
Complex Concepts of Adult Health (RNSG 1343 )
Lone Star College System
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Focused Exam: Mobility Results | Turned In
Complex Concepts of Adult Health Med/Surg 2 - Gerontology Assignments - Spring 2022, RNSG 1362
Return to Assignment (/assignments/602493/)
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Objective Data Collection: 26 of 27 (97%)
Your Results Reopen (/assignment_attempts/11535958/reope
Lab Pass (/assignment_attempts/11535958/lab_pass.
Overview Transcript Subjective Data Collection
Objective Data Collection Education & Empathy Documentation Care Plan Reflections
Correct Partially correct
Incorrect Missed
Assessed Vitals 1 of 1 point
Temperature (1/4 point) Normothermic Hyperthermic Hypothermic
Heart Rate (1/4 point) No abnormal findings Tachycardic Bradycardic Respiratory Rate (1/4 point) No abnormal findings Tachypnea Bradypnea
O2 Saturation (1/4 point) No abnormal findings Hypoxemia
Assessed Orthostatic Blood Pressure 0 of 1 poin
Blood Pressure At Rest (1/2 point) Normotensive Hypotensive Hypertensive
Evidence Of Orthostatic Hypotension (No point) No significant orthostatic changes Systolic decrease of >= 20 mmHg Diastolic decrease of >= 10 mmHg Exhibits signs of presyncope
Assessed IV Bag 1 of 1 point
Appropriate Fluid (1/3 point) Bag is normal saline Bag is not normal saline Bag is not labeled
Appropriate Label (1/3 point) Name and dosage are correct Name is incorrect Dosage is incorrect Infuse rate is incorrect Bag is not labeled
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Fluid Appearance (1/3 point) No visible abnormal appearance Cloudy Inappropriate color Crystallization
Assessed IV Pump 1 of 1 point
Observations (1/1 point) IV pump is infusing IV fluid at the ordered rate IV pump is infusing IV fluid at a slower than the ordered rate IV pump is infusing IV fluid at a faster than the ordered rate
Assessed IV Site 1 of 1 point
Insertion Site (1/2 point) No visible abnormal signs Erytherma Infiltration
Dressing (1/2 point) Dry and intact Moist dressing
Inspected Head and Face 1 of 1 point
Skull Symmetry (1/3 point) Symmetric Asymmetric
Facial Feature Symmetry (1/3 point) Symmetric Asymmetric Appearance (1/3 point) No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birth mark) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising) Drooping eye Drooping mouth
Inspected Eyes 1 of 1 point
Eyelids (1/4 point) No visible abnormal findings Ptosis Swelling Lesion Allergic shiners
Conjunctiva And Lens (1/4 point) No visible abnormal findings Sclera - injection Sclera - icterus Lens opacification
Pupillary Reaction (1/4 point) No visible abnormal findings (PERRL) Unequal Irregular Miosis Mydriasis Non-reactive to light
Accommodation (1/4 point) Normal constriction and dilation Unequal or no pupillary constriction Unequal or no pupillary dilation
Inspected Mouth 1 of 1 point
Oral Mucosa And Gums (1/3 point) Moist and pink, no bleeding Dry appearance Redness
Lips (1/3 point) Smooth, pink, and moist Dry appearance Chapped
Asymmetric
Auscultated Carotids 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 (1/3 point) S1 and S2 audible S1, S2, and S3 audible S1, S2, and S4 audible S1, S2, S3 and S4 audible
Extra Heart Sounds (1/3 point) No extra sounds Gallops Murmur Friction rub Valve clicks Rate And Rhythm (1/3 point) Regular rate and rhythm Irregular rate Arrhythmia
Auscultated Breath Sounds 1 of 1 point
Breath Sounds (1/2 point) Clear in all areas Diminished in some areas Absent in some areas
Adventitious Sounds (1/2 point) No adventitious sounds Wheezing Fine crackles Stridor Rhonchi Rales
Palpated PMI 1 of 1 point
Location (1/3 point) Present at midclavicular line and 5th intercostal space Displaced laterally right Displaced laterally left
Size (1/3 point) < 2 cm (penny or dime sized) > 2 cm (quarter sized)
Characteristics (1/3 point) Brisk and tapping Increased amplitude (hyperdynamic) Sustained Double impulse Heaving
Palpated Dorsalis Pedis Pulses 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 Posterior Tibial Pulse 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 Lower Extremities 0 of 1 poi
Right Calf (1/6 point) No abnormal findings Pitting edema Tenderness Warmth
Left Calf (No point) No abnormal findings Pitting edema Tenderness Warmth Right Ankle (1/6 point) No abnormal findings Pitting edema Tenderness Warmth
Left Ankle (1/6 point) No abnormal findings Pitting edema Tenderness Warmth Right Foot (1/6 point) No abnormal findings Pitting edema Tenderness Warmth
Left Foot (1/6 point) No abnormal findings Pitting edema Tenderness Warmth
Tested Cognition 1 of 1 point
Clock Drawing Test (1/2 point) All numbers present in correct sequence and position; hands display requested time (2 points) Missing or incorrectly placed numbers, or hands do not display requested time (0 points)
Word Recall (1/2 point) Correctly recalled three words (3 points) Correctly recalled two words (2 points) Correctly recalled one word (1 points) Correctly recalled zero words (0 points)
Tested Fine Motor Skills 1 of 1 point
Observations At Rest (Arms And Hands At Patient's Side) (1/ point) Able to perform without difficulty; no tremor Tremor Performed with difficulty Unable to perform
Observations With Held Posture (Forward Extension Of Patient's Arms) (1/3 point) Able to perform without difficulty; no tremor Tremor Performed with difficulty Unable to perform Observations With Movement (Nose To Finger Test) (1/3 point) Able to perform without difficulty; no tremor Tremor Performed with difficulty Unable to perform
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Hesitancy or multiple attempts to start Stepping foot does not pass stationary foot Step Height (1/9 point) Steps clear floor Steps do not clear floor completely
Step Symmetry (1/9 point) Right and left step length equal Right and left step length unequal Step Continuity (1/9 point) Steps are continuous Discontinuity between steps
Path (1/9 point) No deviation of path Some path deviation or use of walking aid Significant path deviation Trunk (1/9 point) No sway, no flexion, no use of arms, and no use of walking aid No sway, flexion of knees or back, or arms spread out while walking Observable sway or use of walking aid
Walking Stance (1/9 point) Heels set apart Heels almost touching while walking
Time To Complete Test (1/9 point) Less than or equal to 12 seconds (normal mobility) Greater than 12 seconds (increased likelihood of falls)
Comments
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Objective Data - Robert Hall - Mobility Shadow Health
Course: Complex Concepts of Adult Health (RNSG 1343 )
University: Lone Star College System
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