*NURSING > SHADOW HEALTH > NR 509 Shadow Health Comprehensive Assessment Instructor's Guide (All)

NR 509 Shadow Health Comprehensive Assessment Instructor's Guide

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Comprehensive Assessment Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results LLaabb PPaassss Indicates an item that you found. Indicat... es an item that is available to be found. Category Scored Items Experts selected these examinations as essential components of objective data collection for this patient. Patient Data Not Scored Thorough examinations will yield better patient data. The following actions reveal the objective data of the patient's case. HEENT Inspected head and neck Scattered pustules on face and facial hair on upper lip Head is normocephalic, atraumatic Normal scalp hair distribution Acanthosis nigricans noted on neck Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema Palpated scalp No masses Objective Data Collection: 71.0 of 73 (97.3%) Overview Transcript Subjective Data Collection Objective Data Collection Documentation Plan My Exam Self-Reflection Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips. 6/12/2018 Comprehensive Assessment | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3569767 2/10 Palpated sinuses No frontal sinus tenderness No maxillary sinus tenderness Palpated jaw No clicks, full ROM Palpated lymph nodes No axillary lymphadenopathy No supraclavicular lymphadenopathy Palpated thyroid Thyroid smooth without nodules, no goiter Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, white sclera Lower eyelids: conjunctiva pink, no lesions, white sclera Tested PERRL with penlight Right pupil: equal, round, reactive to light Left pupil: equal, round, reactive to light Tested eye movements Normal convergence EOMs intact bilaterally, no nystagmus Tested peripheral vision Peripheral vision intact in both eyes, all fields Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right Left fundus with sharp disc margins, no hemorrhages Tested visual acuity Vision 20/20 right eye with corrective lenses Vision 20/20 left eye with corrective lenses Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline on right Nasal mucosa moist and pink, septum midline on left Examined ear cavities with otoscope Right TM intact and pearly gray, positive light reflex Left TM intact and pearly gray, positive light reflex 6/12/2018 Comprehensive Assessment | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3569767 3/10 Practiced whisper test Whispered words heard on right Whispered words heard on left Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or lesions, uvula midline Gag reflex intact Respiratory Tested pulse oximetry Oxygen saturation 99% Tested lung capacity FVC is 3.91 L and FEV1/FVC ratio is 80.56% Inspected chest wall Anterior chest wall symmetric, no deformity or lesions Posterior chest wall symmetric, no deformity or lesions Palpated thoracic expansion Thoracic expansion symmetric Palpated tactile fremitus Anterior upper chest wall: normal fremitus Anterior lower chest wall: normal fremitus Posterior upper chest wall: normal fremitus Posterior middle chest wall: normal fremitus Posterior lower chest wall: normal fremitus Percussed anterior chest wall Right upper chest: resonant Left upper chest: resonant Left middle chest: resonant Right middle chest: resonant Right lower chest: resonant Left lower chest: resonant [Show More]

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