Advanced Health Assessment - December 2024, NSG_523_58785870
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Overview
Objective Data Collection: 23 of 23 (100%)
Transcript
Subjective Data Collection Correct Incorrect
Objective Data Collection Partially correct Missed
Education & Empathy
Inspected chest 1 of 1 point
Documentation
Video Tutorial Symmetry (1/2 point) Appearance (1/2 point)
Symmetric No visible abnormal findings
Asymmetric Prominent pulsation
Abnormal apical impulse
Heaves or lifts
Inspected for jugular venous distention 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 hands and fingernails 1 of 1 point
Right: Nail Changes (1/3 point) Left: Nail Changes (1/3 point)
No visible abnormal findings No visible abnormal findings
Pallor Pallor
Cyanosis Cyanosis
Splinter hemorrhages Splinter hemorrhages
Clubbing Clubbing
Capillary Refill Time (1/3 point)
3 seconds or less
Greater than 3 seconds
This study source was downloaded by 100000899194722 from CourseHero.com on 05-21-2025 17:19:12 GMT -05:00
Inspected lower extremities and toenails 1 of 1 point
https://www.coursehero.com/file/245659116/Tina-jones-CV-objectivepdf/
, Right: Edema (1/9 point) Right: Severity Of Edema (1/9 point)
No edema No edema
Pitting 1+ Slight pitting
Non-pitting 2+ Deeper pit, disappears in 10 to 15 seco
3+ Noticeably deep pit that lasts more tha
4+ Very deep pit that lasts 2 to 5 minutes
Right: Appearance (1/9 point) Right: Nail Changes (1/9 point)
No visible abnormal findings No visible abnormal findings
Visible distortion or swelling Pallor
Discoloration Cyanosis
Skin thickening Splinter hemorrhages
Ulceration Clubbing
Varicose veins
Left: Edema (1/9 point) Left: Severity Of Edema (1/9 point)
No edema No edema
Pitting 1+ Slight pitting
Non-pitting 2+ Deeper pit, disappears in 10 to 15 seco
3+ Noticeably deep pit that lasts more tha
4+ Very deep pit that lasts 2 to 5 minutes
Left: Appearance (1/9 point) Left: Nail Changes (1/9 point)
No visible abnormal findings No visible abnormal findings
Visible distortion or swelling Pallor
Discoloration Cyanosis
Skin thickening Splinter hemorrhages
Ulceration Clubbing
Varicose veins
Capillary Refill Time (1/9 point)
3 seconds or less
Greater than 3 seconds
Palpated temporal arteries
Right: Vibration (1/4 point) Right: Amplitude (1/4 point)
No thrill 0 Absent
Thrill 1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse
Left: Vibration (1/4 point) Left: Amplitude (1/4 point)
No thrill 0 Absent
Thrill 1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse
Palpated carotid arteries
Right: Vibration (1/4 point) Right: Amplitude (1/4 point)
No thrill 0 Absent
Thrill 1+ Diminished or barely palpable
2+ Expected
This study source was downloaded by 100000899194722 from CourseHero.com on 05-21-2025 17:19:12 GMT -05:00
3+ Increased
https://www.coursehero.com/file/245659116/Tina-jones-CV-objectivepdf/ 4+ Bounding pulse