*NURSING > EXAM > Objective Data Collection: 22 of 23 (95.65%) CORRECT SPRING FALL-2022 SOLUTION AID GRADE A+ (All)
Objective Data Collection: 22 of 23 (95.65%) CORRECT SPRING FALL-2022 SOLUTION AID GRADE A+
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Inspected chest 1 of 1 point 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 Inspected lower extremities and toenails 1 of 1 point Right: Edema (1/9 point) No edema Pitting Non-pitting Right: Appearance (1/9 point) No visible abnormal findings Visible distortion or swelling Discoloration Skin thickening Ulceration Varicose veins Left: Edema (1/9 point) No edema Pitting Non-pitting Left: Appearance (1/9 point) No visible abnormal findings Visible distortion or swelling Discoloration Skin thickening Ulceration Varicose veins Capillary Refill Time (1/9 point) 3 seconds or less Greater than 3 seconds 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: Nail Changes (1/9 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing 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: Nail Changes (1/9 point) No visible abnormal findings Pallor Cyanosis Splinter hemorrhages Clubbing Palpated temporal 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) [Show More]
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