NSG 824 Focused Exam- Chest Pain- Objective Data
Inspected face 1 of 1 point Appearance (1/1 point) No visible abnormal findings Rash or lesion Cyanosis Pallor Redness or flushing Evidence of trauma (scar, laceration, or bruising) Inspected for jugular venous distension 1 of 1 point Height Of Venous Pressure (1/1 point) 4 cm or less above the sternal angle More than 4 cm above the sternal angle Inspected chest 1 of 1 point Symmetry (1/2 point) Symmetric Asymmetric Appearance (1/2 point) No visible abnormal findings Rash or lesion AP diameter abnormal Intercostal retraction while breathing Excessive use of accessory muscles while breathing Pectus excavatum Skin growths (freckles or moles) Evidence of skin trauma (scar, laceration, or bruising) Inspected abdomen 0.67 of 1 point Symmetry (1/3 point) Symmetric Asymmetric Contour (No point) Flat Rounded Protuberant Hollowed O
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