*NURSING > QUESTIONS and ANSWERS > Tina.Jones_Cardiovascular.Objective Data.Shadow Health Objective Data Collection: 17 of 17 (100%) CO (All)
Inspected chest 1 of 1 point Symmetry (1/2 point) Symmetric Asymmetric Appearance (1/2 point) No visible abnormal findings Prominent pulsation Abnormal apical impulse Heaves or lifts ... 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 hands and fingernails 1 of 1 point Right: Nail Changes (1/3 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing Left: Nail Changes (1/3 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing Capillary Refill Time (1/3 point) 3 seconds or less Greater than 3 seconds Inspected lower extremities and toenails 1 of 1 point Right: Edema (1/9 point) No edema Pitting Non-pitting Right: Severity Of Edema (1/9 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 Right: Appearance (1/9 point) No visible abnormal findings Visible distortion or swelling Discoloration Skin thickening Right: Nail Changes (1/9 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages 00 Ulceration Varicose veins Clubbing Left: Edema (1/9 point) No edema Pitting Non-pitting Left: Severity Of Edema (1/9 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: Appearance (1/9 point) No visible abnormal findings Visible distortion or swelling Discoloration Skin thickening Ulceration Varicose veins [Show More]
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