Chest Pain Physical Assessment Assignment Results | Completed
Advanced Health Assessment - Chamberlain, NR509
Chest Pain Physical Assessment
... [Show More] Assignment Results | Completed
Advanced Health Assessment - Chamberlain, NR509
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Lab Pass
Overview Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy Documentation
Self-Reflection
Objective Data Collection: 32.67 of 33 (99%)
Evidence of skin trauma (scar, laceration, or bruising)
Inspected abdomen
1 of 1 point
Symmetry (1/3 point) Contour (1/3 point)
Symmetric Flat
Asymmetric Rounded
Protuberant
Hollowed
Appearance (1/3 point)
No visible abnormal findings
Rash
Striae
Bulging around umbilicus
Distension
Visible masses (warts, cysts, or tumors)
Freckles, birthmark, or discoloration
Excessive hair growth
Visible scars
Laceration, lesion or wound
Bruising
Inspected hands and fingernails
1 of 1 point
Right: Appearance (1/4 point) Right: Nail Changes (1/4 point)
No visible abnormal findings No visible abnormal findings
Redness Pallor
Moles or skin tags Cyanosis
Masses (warts, cysts, or tumors) Splinter hemorrhages
Freckles, birthmark, or other discoloration Clubbing
Excessive dry or flaking skin
Purpura
Scarring
Laceration, lesion, or wound
Bruising
Rash
Left: Appearance (1/4 point) Left: Nail Changes (1/4 point)
No visible abnormal findings No visible abnormal findings
Redness Pallor
Moles or skin tags Cyanosis
Masses (warts, cysts, or tumors) Splinter hemorrhages
Freckles, birthmark, or other discoloration Clubbing
Excessive dry or flaking skin
Purpura
Scarring
Laceration, lesion, or wound
Bruising
Rash
/
Inspected lower extremities and toenails 1 of 1 point
Right: Appearance (1/4 point) Right: Nail Changes (1/4 point)
No visible abnormal findings No visible abnormal findings
Visible distortion or swelling Pallor
Brownish pigmentation Cyanosis
Skin thickening Splinter hemorrhages
Ulceration Clubbing
Varicose veins
Left: Appearance (1/4 point) Left: Nail Changes (1/4 point)
No visible abnormal findings No visible abnormal findings
Visible distortion or swelling Pallor
Brownish pigmentation Cyanosis
Skin thickening Splinter hemorrhages
Ulceration Clubbing
Varicose veins
Inspect lower extremities for edema
1 of 1 point
Right: Edema (1/4 point)
No edema Pitting
Non-pitting
Left: Edema (1/4 point)
No edema Pitting
Non-pitting Right: Severity Of Edema (1/4 point)
No edema
1+ Slight 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: Severity Of Edema (1/4 point)
No edema
1+ Slight 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
Tested capillary refill time
1 of 1 point
Fingers (1/2 point)
Less than 3 seconds Greater than 3 seconds Toes (1/2 point)
Less than 3 seconds Greater than 3 seconds
Auscultated carotid arteries
1 of 1 point
Right (1/2 point)
No bruit Bruit Left (1/2 point)
No bruit Bruit
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
Auscultated breath sounds
0.67 of 1 point
Breath Sounds (1/3 point)
Present in all areas
Diminished in some areas Absent in some areas
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 Adventitious Sounds (No point)
No adventitious sounds Wheezing
Fine crackles Stridor
Rhonchi Rales
Auscultated abdominal aorta
1 of 1 point
Sounds (1/1 point)
No bruit Bruit
Auscultated abdominal and lower extremity arteries 1 of 1 point
Right: Renal (1/6 point) Left: Renal (1/6 point)
No bruit No bruit
Bruit Bruit
Right: Iliac (1/6 point) Left: Iliac (1/6 point)
No bruit No bruit
Bruit Bruit
Right: Femoral (1/6 point) Left: Femoral (1/6 point)
No bruit No bruit
Bruit Bruit
022/CAheusts-Pcauinl-tPahtyesdicabl-Aoswseesslmseontu-Ansdsisgnment-Objectivepdf/ 1 of 1 point
Bowel Sounds (1/2 point)
Absent Hypoactive Normoactive Hyperactive Location Of Non Normoactive Bowel Sounds (1/2 point)
All quadrants normoactive Right upper quadrant Right lower quadrant
Left upper quadrant Left lower quadrant
Palpated carotid arteries
1 of 1 point
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 PMI
1 of 1 point
Location (1/3 point)
Present at midclavicular line and 5th intercostal space
Displaced laterally
Amplitude (1/3 point)
Brisk and tapping
Increased amplitude (hyperkinetic) Diameter (1/3 point)
Less than 3 cm Greater than 3 cm
Palpated brachial arteries
1 of 1 point
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
022/Chest-Pain-Physical-Assessment-Assignment-Objectivepdf/
Palpated radial arteries
1 of 1 point
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 femoral arteries
1 of 1 point
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 popliteal arteries
1 of 1 point
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 tibial arteries
1 of 1 point
022/Chest-Pain-Physical-Assessment-Assignment-Objectivepdf/
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 dorsalis pedis arteries
1 of 1 point
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 abdomen - light
1 of 1 point
Tenderness (1/3 point) Location Of Tenderness (1/3 point)
None reported No quadrants tender
Tenderness reported Right upper quadrant
Right lower quadrant
Left upper quadrant
Left lower quadrant
Observations (1/3 point)
No additional observations
Masses
Guarding
Distension
Muscle resistance
Rigidity
Palpated abdomen - deep
1 of 1 point
Presence Of Unexpected Mass (1/2 point) Location Of Mass (1/2 point)
022/CheNsto-Ppaainlp-Pahbylesicmaal-sAsssessment-Assignment-Objectivepdf/ No palpable mass
Palpable mass Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant Around umbilicus
Palpated liver
1 of 1 point
Detection (1/1 point)
Not palpable Palpable
Palpated spleen
1 of 1 point
Detection (1/1 point)
Not palpable Palpable
Palpated kidneys
1 of 1 point
Right (1/2 point)
Not palpable Palpable Left (1/2 point)
Not palpable Palpable
Tested skin turgor
1 of 1 point
Observations (1/1 point)
No tenting Tenting
Auscultated organs
1 of 1 point
Liver (1/2 point)
No friction rub Audible friction rub Spleen (1/2 point)
No friction rub Audible friction rub
Percussed abdomen
1 of 1 point
Observations (1/1 point)
All areas generally tympanic
Some areas dull, some tympanic Some areas resonant
Percussed spleen
1 of 1 point
Spleen (1/1 point)
022/CheTsyt-mPapiann-Pyhysical-Assessment-Assignment-Objectivepdf/
Dullness
Percussed liver
1 of 1 point
Liver Span (1/1 point)
Smaller than 6 cm
Between 6 and 12 cm
Greater than 12 cm
Performed EKG
1 of 1 point
Sinus Rhythm (1/2 point)
Regular Irregular St Changes (1/2 point)
No ST elevation
ST elevation present [Show Less]