Shadow Health - Edward Carter - Pain –
Objective Exam Questions and Answers
Assessed Vitals - Correct Answers -Temperature: normothermic
Blood Pressure: normotensive
Heart Rate: no abnormal findings
Respiratory Rate: no abnormal findings
O2 Saturation: no abnormal findings
Assessed IV Bag - Correct Answers -Appropriate Fluid: bag is normal saline
Appropriate Label: name and dosage are correct
Fluid Appearance: no visible abnormal appearance
Assessed IV Pump - Correct Answers -Observations: IV pump is infusing IV fluids at the
ordered rate
Inspected IV Site - Correct Answers -Insertion Site: no visible abnormal signs
Dressing: dry and intact
Inspected Head and Face - Correct Answers -Skull Symmetry: symmetric
Facial Feature Symmetry: symmetric
Appearance: no visible abnormal findings
Inspected Eyes - Correct Answers -Eyelids: no visible abnormal findings
Conjunctiva and Lens: no visible abnormal findings
Pupillary Reaction: no visible abnormal findings (PERRL)
Inspected Mouth - Correct Answers -Oral Mucosa and Gums: Moist and pink, no
bleeding
Lips: smooth, pink, and moist
Tongue: moist, pink
Inspected Hips - Correct Answers -Appearance: no edema
Inspected Thighs - Correct Answers -Right: Appearance: no visible abnormal findings
Left: Appearance: no visible abnormal findings
Symmetry: symmetric bilaterally
, Inspected Knees - Correct Answers -Alignment: Valgus deformity
Left Knee: Appearance: visible swelling
Right Knee: Appearance: visible swelling
short term goal - Correct Answers -have patient, within 24-48 hours, report that his urine
is no longer prink, and ensure a balanced intake and output
interventions - Correct Answers -Administer Tamsulosin medication
Ask patient to leave urine in the assigned container for inspection
have the patient collect all urine using a strainer, documenting color, order, volume, and
consistency
inform patient that fluid intake will be increased to 1.5 to 2 liters per day
Monitor and keep a record of patient's outputs during each shift
Data collections - Correct Answers -assess patient's I/O records to ensure equalization
ask patient if urine has exhibited any abnormal color, odor, volume, consistency, or
presence of stones. Compare response against your records
Make sure to show empathy to patient - Correct Answers -improves patient treatment
outcome
Inspected Lower Legs - Correct Answers -Right: Appearance: no visible abnormal
findings
Left: Appearance: no visible abnormal findings
Symmetry: symmetric bilaterally
Inspected Skin - Correct Answers -Wounds or Sores: no abnormal findings
Signs of Skin Trauma: no abnormal findings
Color or Appearance: redness
Masses or Texture: no abnormal findings
Skin Characteristics and Hair Growth: no abnormal findings
Auscultated Carotids - Correct Answers -Right: no bruit
Left: no bruit
Auscultated Breath Sounds - Correct Answers -Breath Sounds: clear in all areas
Adventitious Sounds: no adventitious sounds
Auscultated Heart Sounds - Correct Answers -Heart Sounds: S1 and S2 audible
Extra Heart Sounds: no extra sounds
Objective Exam Questions and Answers
Assessed Vitals - Correct Answers -Temperature: normothermic
Blood Pressure: normotensive
Heart Rate: no abnormal findings
Respiratory Rate: no abnormal findings
O2 Saturation: no abnormal findings
Assessed IV Bag - Correct Answers -Appropriate Fluid: bag is normal saline
Appropriate Label: name and dosage are correct
Fluid Appearance: no visible abnormal appearance
Assessed IV Pump - Correct Answers -Observations: IV pump is infusing IV fluids at the
ordered rate
Inspected IV Site - Correct Answers -Insertion Site: no visible abnormal signs
Dressing: dry and intact
Inspected Head and Face - Correct Answers -Skull Symmetry: symmetric
Facial Feature Symmetry: symmetric
Appearance: no visible abnormal findings
Inspected Eyes - Correct Answers -Eyelids: no visible abnormal findings
Conjunctiva and Lens: no visible abnormal findings
Pupillary Reaction: no visible abnormal findings (PERRL)
Inspected Mouth - Correct Answers -Oral Mucosa and Gums: Moist and pink, no
bleeding
Lips: smooth, pink, and moist
Tongue: moist, pink
Inspected Hips - Correct Answers -Appearance: no edema
Inspected Thighs - Correct Answers -Right: Appearance: no visible abnormal findings
Left: Appearance: no visible abnormal findings
Symmetry: symmetric bilaterally
, Inspected Knees - Correct Answers -Alignment: Valgus deformity
Left Knee: Appearance: visible swelling
Right Knee: Appearance: visible swelling
short term goal - Correct Answers -have patient, within 24-48 hours, report that his urine
is no longer prink, and ensure a balanced intake and output
interventions - Correct Answers -Administer Tamsulosin medication
Ask patient to leave urine in the assigned container for inspection
have the patient collect all urine using a strainer, documenting color, order, volume, and
consistency
inform patient that fluid intake will be increased to 1.5 to 2 liters per day
Monitor and keep a record of patient's outputs during each shift
Data collections - Correct Answers -assess patient's I/O records to ensure equalization
ask patient if urine has exhibited any abnormal color, odor, volume, consistency, or
presence of stones. Compare response against your records
Make sure to show empathy to patient - Correct Answers -improves patient treatment
outcome
Inspected Lower Legs - Correct Answers -Right: Appearance: no visible abnormal
findings
Left: Appearance: no visible abnormal findings
Symmetry: symmetric bilaterally
Inspected Skin - Correct Answers -Wounds or Sores: no abnormal findings
Signs of Skin Trauma: no abnormal findings
Color or Appearance: redness
Masses or Texture: no abnormal findings
Skin Characteristics and Hair Growth: no abnormal findings
Auscultated Carotids - Correct Answers -Right: no bruit
Left: no bruit
Auscultated Breath Sounds - Correct Answers -Breath Sounds: clear in all areas
Adventitious Sounds: no adventitious sounds
Auscultated Heart Sounds - Correct Answers -Heart Sounds: S1 and S2 audible
Extra Heart Sounds: no extra sounds
