Danny Rivera Objective

Correct Partially correct Incorrect Missed Objective Data Collection: 13.95 of 15 (93%) Overview Transcript Subjective Data Collection Objective Data Collection Documentation SBAR Experience Overview Lab Pass This study resource was shared via CourseH This study source was downloaded by from CourseH on 10-16-2022 02:44:51 GMT -05:00 case study Inspected eyes and orbital area 1 of 1 point Orbital Area (1/4 point) No visible abnormal findings Ptosis Eyelid Lesion Sclera (1/4 point) White Yellow tint Redness Conjunctiva (1/4 point) Moist and pink Dry appearance Redness Swelling Conjunctival Discharge (1/4 point) No discharge Clear, watery discharge Purulent discharge Inspected nasal cavities 0.75 of 1 point Color (No point) Pink Red Bluish Discharge (1/4 point) No discharge Clear discharge Bloody discharge Purulent discharge Turbinate Patency (1/4 point) Patent Decreased patency Not patent Observations (1/4 point) No additional visible abnormal findings Foreign body present Polyp Septum perforated Septum deviated Lesion Inspected ears 0.8 of 1 point Right: Auditory Canal Color (No point) Pink Red Pallor Right: Tympanic Membrane Color (No point) Pearly gray Red Opaque Yellow Not visible because of cerumen Right: Tympanic Membrane Appearance (1/10 point) No visible abnormal findings Fluid observed Visible scars Bulging Perforation Retraction Right: Cone Of Light (1/10 point) 5:00 Cone of light distorted Right: Discharge (1/10 point) Left: Auditory Canal Color (1/10 point) This study resource was shared via CourseH This study source was downloaded by from CourseH on 10-16-2022 02:44:51 GMT -05:00 No discharge Cerumen Clear discharge Bloody discharge Purulent discharge Pink Red Pallor Left: Tympanic Membrane Color (1/10 point) Pearly gray Red Opaque Yellow Not visible because of cerumen Left: Tympanic Membrane Appearance (1/10 point) No visible abnormal findings Fluid observed Visible scars Bulging Perforation Retraction Left: Cone Of Light (1/10 point) 7:00 Cone of light distorted Left: Discharge (1/10 point) No discharge Cerumen Clear discharge Bloody discharge Purulent discharge Inspected mouth and throat 0.4 of 1 point Oral Mucosa (No point) Moist and pink Dry appearance Redness Tonsils (No point) No visible abnormal findings Swelling Redness Throat Color (1/5 point) Pink Red Throat Texture (1/5 point) No abnormal findings Cobblestoning Exudate Post Nasal Drip (No point) No discharge Clear discharge Purulent discharge Inspected neck 1 of 1 point Symmetry (1/2 point) Symmetric Asymmetric Appearance (1/2 point) No visible abnormal findings Swelling Visible pulsation Visible mass Discoloration Inspected chest 1 of 1 point This study resource was shared via CourseH This study source was downloaded by from CourseH on 10-16-2022 02:44:51 GMT -05:00 Symmetry (1/2 point) Symmetric Asymmetric Appearance (1/2 point) No visible abnormal findings Rash Barrel chest Intercostal retraction while breathing Excessive use of accessory muscles while breathing Skin growths (freckles or moles) Auscultated breath sounds 1 of 1 point Breath Sounds (1/3 point) Present in all areas Diminished in some areas Absent in some areas Adventitious Sounds (1/3 point) No adventitious sounds Wheezing 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 Adventitious sounds in anterior left lower lobe Adventitious sounds in posterior right upper lobe Adventitious sounds in posterior right lower lobe Adventitious sounds in posterior left upper lobe Adventitious sounds in posterior left lower lobe Auscultated for bronchophony 1 of 1 point Bronchophony (1/1 point) Positive Negative Auscultated heart sounds 1 of 1 point Heart Sounds (1/2 point) S1 and S2 audible S1, S2, and S3 audible S1, S2, and S4 audible S1, S2, S3, and S4 audible Extra Heart Sounds (1/2 point) No extra sounds Gallops Murmur Friction rub Valve clicks Percussed chest wall 1 of 1 point This study resource was shared via CourseH This study source was downloaded by from CourseH on 10-16-2022 02:44:51 GMT -05:00 Observations (1/2 point) All areas resonant Some areas dull, some resonant Some areas hyperresonant, some resonant Location (1/2 point) No areas of dullness Dullness, anterior right upper lobe Dullness, anterior right middle lobe Dullness, anterior right lower lobe Dullness, anterior left upper lobe Dullness, anterior left lower lobe Dullness, posterior right upper lobe Dullness, posterior right lower lobe Dullness, posterior left upper lobe Dullness, posterior left lower lobe