*NURSING > SHADOW HEALTH > SHADOW HEALTH Focused Exam Chest Pain Patient: Brian Foster 2018 Grade: 100% (All)
Experience Overview FOCUSED EXAM: CHEST PAIN Patient: Brian Foster Grade: 100% Subjective Data Collection 23 out of 23 Objective Data Collection 21 out of 21 Time 183 minutes total spent in a... ssignment Objective Data Collection: 21 of 21 (100%) 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 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 Left: Appearance (1/4 point) No visible abnormal findings Redness 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 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 PMI 1 of 1 point Location (1/3 point) Present at midclavicular line and 5th intercostal space Displaced laterally Diameter (1/3 point) Less than 3 cm Greater than 3 cm Amplitude (1/3 point) Brisk and tapping Increased amplitude (hyperkinetic) Palpated brachial 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 radial 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 femoral 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 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) [Show More]
Last updated: 1 year ago
Preview 1 out of 48 pages
Connected school, study & course
About the document
Uploaded On
Apr 07, 2021
Number of pages
48
Written in
This document has been written for:
Uploaded
Apr 07, 2021
Downloads
0
Views
46
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
We're available through e-mail, Twitter, Facebook, and live chat.
FAQ
Questions? Leave a message!
Copyright © Browsegrades · High quality services·