*NURSING > SHADOW HEALTH > NUR 201 Mobility Objective Data Focused Exam: Mobility Results | Turned In Objective Data Collection (All)
Focused Exam: Mobility Results | Turned In Medical Surgical Nursing: Promoting Wellness in the Older Adult (Los Angeles) - April 2019, NURS 201 Return to Assignment Shadow Health will be performing... planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience! Your Results Lab Pass Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy QSEN Competencies Documentation SBAR Reflections Correct Partially correct Incorrect Missed Assessed Vitals 1 of 1 point Temperature (1/4 point) Normothermic Hyperthermic Hypothermic Heart Rate (1/4 point) No abnormal findings Tachycardic Bradycardic Respiratory Rate (1/4 point) No abnormal findings Tachypnea Bradypnea O2 Saturation (1/4 point) No abnormal findings Hypoxemia Assessed Orthostatic Blood Pressure 0.5 of 1 point Blood Pressure At Rest (1/2 point) Normotensive Hypotensive Hypertensive Evidence Of Orthostatic Hypotension (No point) No significant orthostatic changes Systolic decrease of >= 20 mmHg Diastolic decrease of >= 10 mmHg Exhibits signs of presyncope Assessed IV Bag 1 of 1 point Appropriate Fluid (1/3 point) Bag is normal saline Bag is not normal saline Bag is not labeled Appropriate Label (1/3 point) Name and dosage are correct Name is incorrect Dosage is incorrect Infuse rate is incorrect Objective Data Collection: 25.97 of 27 (96.19%) This study source was downloaded by 100000831988016 from CourseHero.com on 04-16-2022 15:43:59 GMT -05:00 https://www.coursehero.com/file/41419953/Mobility-Objective-Datapdf/ Bag is not labeled Fluid Appearance (1/3 point) No visible abnormal appearance Cloudy Inappropriate color Crystallization Assessed IV Pump 1 of 1 point Observations (1/1 point) IV pump is infusing IV fluid at the ordered rate IV pump is infusing IV fluid at a slower than the ordered rate IV pump is infusing IV fluid at a faster than the ordered rate Assessed IV Site 1 of 1 point Insertion Site (1/2 point) No visible abnormal signs Erytherma Infiltration Dressing (1/2 point) Dry and intact Moist dressing Inspected Head and Face 1 of 1 point Inspected Eyes 1 of 1 point Eyelids (1/4 point) No visible abnormal findings Ptosis Swelling Lesion Allergic shiners Conjunctiva And Lens (1/4 point) No visible abnormal findings Sclera - injection Sclera - icterus Lens opacification Pupillary Reaction (1/4 point) No visible abnormal findings (PERRL) Unequal Irregular Miosis Mydriasis Non-reactive to light Accommodation (1/4 point) Normal constriction and dilation Unequal or no pupillary constriction Unequal or no pupillary dilation Inspected Mouth 1 of 1 point Oral Mucosa And Gums (1/3 point) Moist and pink, no bleeding Dry appearance Redness Swelling Bleeding or ulceration Red or white patches Lips (1/3 point) Smooth, pink, and moist Dry appearance Chapped Red at corners Swelling Bleeding or ulceration This study source was downloaded by 100000831988016 from CourseHero.com on 04-16-2022 15:43:59 GMT -05:00 https://www.coursehero.com/file/41419953/Mobility-Objective-Datapdf/ Red or white patches Tongue (1/3 point) Moist, pink Dry appearance Redness Ulceration Swelling Red or white patches Inspected Skin 0.8 of 1 point Inspected Thighs 0.67 of 1 point Inspected Lower Legs 1 of 1 point Right: Appearance (1/3 point) No visible abnormal findings Redness Bruising or other discoloration Edema Visible mass Atrophy Hypertrophy Left: Appearance (1/3 point) No visible abnormal findings Redness Bruising or other discoloration Edema Visible mass Atrophy Hypertrophy Symmetry (1/3 point) Symmetric bilaterally Asymmetric Auscultated Carotids 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 (1/3 point) S1 and S2 audible S1, S2, and S3 audible S1, S2, and S4 audible S1, S2, S3 and S4 audible Extra Heart Sounds (1/3 point) No extra sounds Gallops Murmur Friction rub Valve clicks Rate And Rhythm (1/3 point) Regular rate and rhythm Irregular rate Arrhythmia Auscultated Breath Sounds 1 of 1 point Breath Sounds (1/2 point) Adventitious Sounds (1/2 point) This study source was downloaded by 100000831988016 from CourseHero.com on 04-16-2022 15:43:59 GMT -05:00 https://www.coursehero.com/file/41419953/Mobility-Objective-Datapdf/ Clear in all areas Diminished in some areas Absent in some areas No adventitious sounds Wheezing Fine crackles Stridor Rhonchi Rales Palpated PMI 1 of 1 point Location (1/3 point) Present at midclavic [Show More]
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