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
...
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
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