Shadow Health Cardiovascular Tina Jones Assessment.

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Correct Partially correct Incorrect Missed Inspected chest 11 ooff 11 ppooiinntt Symmetry (1/2 point) Symmetric Asymmetric Appearance (1/2 point) No visible abnormal findings Prominent pulsa... tion Abnormal apical impulse Heaves or lifts Inspected for jugular venous distension 11 ooff 11 ppooiinntt Height Of Venous Pressure (1/1 point) 4 cm or less above the sternal angle More than 4 cm above the sternal angle Inspected hands and fingernails 11 ooff 11 ppooiinntt Right: Nail Changes (1/3 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing Left: Nail Changes (1/3 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing Capillary Refill Time (1/3 point) 3 seconds or less Greater than 3 seconds Inspected lower extremities and toenails 11 ooff 11 ppooiinntt Right: Edema (1/9 point) No edema Pitting Right: Severity Of Edema (1/9 point) No edema 1+ Slight pitting Objective Data Collection: 17 of 17 (100%) Overview Transcript Subjective Data Collection Objective Data Collection Documentation This study source was downloaded by 100000830772748 from CourseHero.com on 07-06-2022 15:21:58 GMT -05:00 https://www.coursehero.com/file/49619846/Shadow-Health-Cardiovascular-Tina-Jones-Assessmentpdf/ Non-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 Right: Appearance (1/9 point) No visible abnormal findings Visible distortion or swelling Discoloration Skin thickening Ulceration Varicose veins Right: Nail Changes (1/9 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing Left: Edema (1/9 point) No edema Pitting Non-pitting Left: Severity Of Edema (1/9 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: Appearance (1/9 point) No visible abnormal findings Visible distortion or swelling Discoloration Skin thickening Ulceration Varicose veins Left: Nail Changes (1/9 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing Capillary Refill Time (1/9 point) 3 seconds or less Greater than 3 seconds Palpated temporal arteries 11 ooff 11 ppooiinntt Vibration (1/2 point) No thrill in either artery Thrill in right artery Thrill in left artery Amplitude (1/2 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Palpated carotid arteries 11 ooff 11 ppooiinntt 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) Left: Amplitude (1/4 point) This study source was downloaded by 100000830772748 from CourseHero.com on 07-06-2022 15:21:58 GMT -05:00 https://www.coursehero.com/file/49619846/Shadow-Health-Cardiovascular-Tina-Jones-Assessmentpdf/ No thrill Thrill 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Palpated PMI 11 ooff 11 ppooiinntt Location (1/3 point) Present at midclavicular line and 5th intercostal space Displaced laterally Amplitude (1/3 point) Brisk and tapping Increased amplitude (hyperkinetic) Diameter (1/3 point) 3 cm or less Greater than 3 cm Palpated radial arteries 11 ooff 11 ppooiinntt 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 brachial arteries 11 ooff 11 ppooiinntt 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 11 ooff 11 ppooiinntt This study source was downloaded by 100000830772748 from CourseHero.com on 07-06-2022 15:21:58 GMT -05:00 https://www.coursehero.com/file/49619846/Shadow-Health-Cardiovascular-Tina-Jones-Assessmentpdf/ 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 11 ooff 11 ppooiinntt 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 11 ooff 11 ppooiinntt 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 [Show More]

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