NURS 201

NURS 201Focused Exam Pain Completed Shadow Health Objective. Objective Data Collection: 27.47 of 28 (98.11%) Correct Incorrect Partially correct Missed Assessed Vitals 1 of 1 point Temperature (1/5 point) Blood Pressure (1/5 point) Normothermic Hyperthermic Hypothermic Normotensive Hypertensive Hypotensive Heart Rate (1/5 point) Respiratory Rate (1/5 point) No abnormal findings Tachycardic Bradycardic No abnormal findings Tachypnea Bradypnea Oxygen Saturation (1/5 point) No abnormal findings Hypoxemia Bag is normal saline Bag is not normal saline Bag is not labeled Name and dosage are correct Name is incorrect Dosage is incorrect Infuse rate is incorrect Bag is not labeled Fluid Appearance (1/3 point) No visible abnormal appearance Cloudy Inappropriate color Crystallization 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 No visible abnormal signs Erytherma Infiltration Dry and intact Moist dressing Symmetric Asymmetric 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 No visible abnormal findings Ptosis Swelling Lesion Allergic shiners No visible abnormal findings Sclera - injection Sclera - icterus Lens opacification Pupillary Reaction (1/3 point) No visible abnormal findings (PERRL) Unequal Irregular Miosis Mydriasis Non-reactive to light Moist and pink, no bleeding Dry appearance Redness Swelling Bleeding or ulceration Red or white patches Smooth, pink, and moist Dry appearance Chapped Red at corners Swelling Bleeding or ulceration Red or white patches Tongue (1/3 point) Moist, pink Dry appearance Redness Ulceration Swelling Red or white patches No visible abnormal findings Edema Erythema Visible mass Irregular alignment Discoloration Pelvic tilt No visible abnormal findings Redness Bruising or other discoloration Edema Visible mass Atrophy Hypertrophy No visible abnormal findings Redness Bruising or other discoloration Edema Visible mass Atrophy Hypertrophy