NURS 261 / NURS261 Focused Exam Abdominal Pain Objective Shadow Health GRADED A+

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Focused Exam: Abdominal Pain Results | Turned In
Health Assessment Simulations - Spring 2020
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Overview
Objective Data Collection: 20.67 of 21 (98.43%)
Transcript

Subjective Data Collection Correct Incorrect
Partially correct Missed
Objective Data Collection

Education & Empathy
Inspected head and face 1 of 1 point
Documentation

Care Plan Skull Symmetry (1/3 point) Facial Feature Symmetry (1/3 point)
Symmetric Symmetric
Asymmetric Asymmetric

Appearance (1/3 point)
No visible abnormal findings
Flushed appearance
Rash or lesion
Skin growths (freckles, moles, or birth mark)
Excessive hair growth
Evidence of skin trauma (scar, laceration, or bruising)



Inspected nasal mucosa 1 of 1 point



Appearance (1/1 point)
Moist and pink
Dry appearance
Redness



Inspected mouth 1 of 1 point



Oral Mucosa (1/1 point)
Moist and pink
Dry appearance
Redness



Inspected abdomen 0.67 of 1 point



Symmetry (1/3 point) Contour (1/3 point)
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Flat


https://www.coursehero.com/file/62480444/Focused-Exam-Abdominal-Pain-Objective-Shadow-Healthpdf/

, Asymmetric Rounded
Protuberant
Hollowed

Appearance (No point)
No visible abnormal findings
Rash
Striae
Bulging around umbilicus
Distension
Visible masses (warts, cysts, or tumors)
Freckles, birthmark, or discoloration
Excessive hair growth
Scarring
Laceration, lesion, or wound
Bruising
Redness
Jaundice
Prominent veins



Inspected for edema in lower extremities 1 of 1 point



Right: Edema (1/4 point) Right: Severity Of Edema (1/4 point)
No edema No edema
Pitting 1+ Slight pitting
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

Left: Edema (1/4 point) Left: Severity Of Edema (1/4 point)
No edema No edema
Pitting 1+ Slight pitting
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



Auscultated heart sounds 1 of 1 point



Heart Sounds (1/2 point) Extra Heart Sounds (1/2 point)
S1 and S2 audible No extra sounds
S1, S2, and S3 audible Gallops
S1, S2, and S4 audible Murmur
S1, S2, S3, and S4 audible Friction rub
Valve clicks



Auscultated breath sounds 1 of 1 point



Breath Sounds (1/3 point) Adventitious Sounds (1/3 point)
Present in all areas No adventitious sounds
Diminished in some areas Wheezing
Absent in some areas Fine crackles
Stridor
Rhonchi
Rales

Location (1/3 point)
All areas clear
Adventitious sounds in anterior right upper lobe
Adventitious sounds in anterior right middle lobe
Adventitious sounds in anterior right lower lobe
Adventitious sounds in anterior left upper lobe
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anterior left loweronlobe
07-22-2022 09:05:52 GMT -05:00


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