HEENT Results | Completed Advanced Health Assessment - Spring 2019, NSG516 Online

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HEENT Results | Completed Advanced Health Assessment - Spring 2019, NSG516 Online Return to Assignment Your Results Turn In Lab Pass ... Overview Transcript Subjective Data Collection Objective Data Collection Experience Overview Patient: Tina Jones Student Performance Index 53.33 out of 58 Education & Empathy Documentation Student Survey Proficiency Level: Proficient Digital Clinical Experience Score 100% Beginning Developing Proficient Students rated as “proficient” demonstrate an entry- level expertise in advanced practice competencies and clinical reasoning skills. In comparable programs, the top 25% of students perform at the level of a proficient practitioner. This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor Subjective Data Collection 28 out of 28 Education and Empathy 2 out of 5 Objective Data Collection 23.33 out of 25 chooses to include additional components, such as documentation or time spent. Time 108 minutes total spent in assignment This study source was downloaded by 100000820177218 from CourseHero.com on 04-02-2021 02:45:52 GMT -05:00 https://www.coursehero.com/file/37208317/Tina-Jones-Objective-HEENT-Completed-Shadow-Health-3pdf/ Interaction with patient 108 minutes Objective Data Collection: 23.33 of 25 (93.32%) Skull Symmetry (No point) Facial Feature Symmetry (1/3 point) Symmetric Asymmetric Symmetric Asymmetric Appearance (No point) No visible abnormal findings Rash Papules, pustules, or comedones Skin growths (freckles, moles, or birthmarks) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising) Red, chapped nose Inspected eyes and orbital area 1 of 1 point Orbital Area (1/4 point) Sclera (1/4 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners White Injection Icterus Conjunctiva (1/4 point) Conjunctival Discharge (1/4 point) Moist and pink Pale Dry appearance Erythema Edema No discharge Clear, watery discharge Purulent discharge Inspected nasal cavities 0.75 of 1 point Color (No point) Discharge (1/4 point) Pink Pale Erythemic Bluish No discharge Clear discharge Bloody discharge Purulent discharge Turbinate Patency (1/4 point) Observations (1/4 point) This study source was downloaded by 100000820177218 from CourseHero.com on 04-02-2021 02:45:52 GMT -05:00 Patent https://www.coursehero.com/file/37208317/Tina-Jones-Objective-HEENTD-Ceomcprleeteda-Ssheaddow-pHeaaltthe-3npdcf/ y Not patent No additional visible abnormal findings Foreign body present Polyp Septum perforated Septum deviated Lesion Inspected ears 1 of 1 point Right: Auditory Canal Color (1/10 point) Right: Tympanic Membrane Color (1/10 point) Pink Red Pallor Pearly gray Red Opaque Yellow Not visible because of cerumen Right: Tympanic Membrane Appearance (1/10 point) No visible abnormal findings Fluid observed Visible scars Bulging Perforation Retraction Right: Cone Of Light (1/10 point) 5:00 Cone of light distorted Right: Discharge (1/10 point) Left: Auditory Canal Color (1/10 point) No discharge Cerumen Clear discharge Bloody discharge Purulent discharge Pink Red Pallor Left: Tympanic Membrane Color (1/10 point) Left: Tympanic Membrane Appearance (1/10 point) Pearly gray Red Opaque Yellow Not visible because of cerumen No visible abnormal findings Fluid observed Visible scars Bulging Perforation Retraction Left: Cone Of Light (1/10 point) Left: Discharge (1/10 point) 7:00 Cone of light distorted No discharge Cerumen Clear discharge Bloody discharge Purulent discharge Inspected mouth and throat 0.5 of 1 point Oral Mucosa (No point) Tonsils (No point) This study source was downloaded by 100000820177218 from CourseHerMo.coomiosnt04a-0n2-d202p1 0i2n:4k5:52 GMT -05:00 Dry appearance https://www.coursehero.com/file/37208317/Tina-Jones-Objective-HEENT-Completed-Shadow-Health-3pdf/ Erythemic No visible abnormal findings Edema Erythema Tonsil Grade (No point) Posterior Oropharynx Color (1/6 point) 0: Tonsils fit within tonsillar fossa 1+: Tonsils <25% of space between pillars 2+: Tonsils <50% of space between pillars 3+: Tonsils <75% of space between pillars 4+: Tonsils >75% of space between pillars Pink Erythemic Posterior Oropharynx Texture (1/6 point) Post Nasal Drip (1/6 point) No abnormal findings Cobblestoning Exudate No discharge Clear discharge Purulent discharge Inspected neck 1 of 1 point Symmetry (1/2 point) Appearance (1/2 point) Symmetric Asymmetric No visible abnormal findings Swelling Visible pulsation Visible mass Discoloration Palpated scalp 1 of 1 point Tenderness (1/2 point) Observations (1/2 point) None reported Tenderness reported No additional abnormal findings Balding or thinning areas in hair distribution Palpable masses Palpated sinuses 1 of 1 point Frontal (1/2 point) Maxillary (1/2 point) None reported Tenderness reported None reported Tenderness reported Palpated temporal arteries 1 of 1 point Right: Vibration (1/4 point) Right: Intensity (1/4 point) No thrill Thrill 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Left: Vibration (1/4 point) Left: Intensity (1/4 point) This study source was downloaded by 100000820177218 from CourseHerNo.coom tohn 0r4i-l0l2-2021 02:45:52 GMT -05:00 https://www.coursehero.com/file/37208317/Tina-Jones-Objective-HEENTT-Chomripllleted-Shadow-Health-3pdf/ 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Palpated carotid arteries 1 of 1 point Right: Vibration (1/4 point) Right: Intensity (1/4 point) No thrill Thrill 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Left: Vibration (1/4 point) Left: Intensity (1/4 point) No thrill Thrill 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse Palpated jaw 1 of 1 point Observations (1/1 point) No palpable abnormal findings Limited range of motion Popping or clicking Palpated lymph nodes 1 of 1 point Head And Neck (1/3 point) Supraclavicular (1/3 point) No palpable nodes Palpable nodes on right side Palpable nodes on left side No palpable nodes Palpable nodes on right side Palpable nodes on left side Axillary (1/3 point) No palpable nodes Palpable nodes on right side Palpable nodes on left side Palpated thyroid gland 1 of 1 point Observations (1/2 point) Tenderness (1/2 point) No palpable abnormal findings Nodules Enlarged Irregular This study source was downloaded by 100000820177218 from CourseHero.com on 04-02-2021 02:45:52 GMT -05:00 None reported Tenderness reported https://www.coursehero.com/file/37208317/Tina-Jones-Objective-HEENT-Completed-Shadow-Health-3pdf/ Auscultated breath sounds 1 of 1 point Breath Sounds (1/3 point) Adventitious Sounds (1/3 point) Present in all areas Diminished in some areas Absent in some areas No adventitious sounds Wheezing Fine crackles Stridor Rhonchi Rales 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 Auscultated temporal arteries 1 of 1 point Right (1/2 point) Left (1/2 point) No bruit Bruit No bruit Bruit Auscultated carotid arteries 1 of 1 point Right (1/2 point) Left (1/2 point) No bruit Bruit No bruit Bruit Tested pupillary reaction 1 of 1 point Observations With Penlight (1/1 point) No visible abnormal findings (PERRL) Unequal Irregular Miosis Mydriasis Non-reactive to light Tested extraocular eye movements 1 of 1 point This study source was downloaded by 100000820177218 from CCouraserHderoi.ncoam lonF04i-e02l-d20s21 0(21:4/52:52 pGMoTi-05t:0)0 https://www.coursehero.com/file/37208317/Tina-Jones-Objective-HEENTN-Coompvleitsedi-bShlaedowa-Hbenaltoh-3rpmdf/ al findings Nystagmus Convergence (1/2 point) No visible abnormal findings Unequal bilaterally Fixed pupil Fixed pupil Tested peripheral vision 1 of 1 point Observations (1/1 point) No abnormal findings Reduced right visual field Reduced left visual field Examined fundus with ophthalmoscope 0.75 of 1 point Right: Retina (1/4 point) Right: Disc Margin (No point) No visible abnormal findings Myelinated nerve fibers Papilledema Glaucomatous cupping Drusen bodies Cotton wool bodies Hemorrhage Sharp Blurred Left: Retina (1/4 point) Left: Disc Margin (1/4 point) No visible abnormal findings Myelinated nerve fibers Papilledema Glaucomatous cupping Drusen bodies Cotton wool bodies Hemorrhage Sharp Blurred Tested visual acuity 1 of 1 point Right (1/2 point) Left (1/2 point) 20/100 20/70 20/50 20/40 20/30 20/25 20/20 20/15 20/13 20/10 20/100 20/70 20/50 20/40 20/30 20/25 20/20 20/15 20/13 20/10 Performed Weber test 1 of 1 point This study source was downloaded by 100000820177218 from CRouresesHeurol.ctosm o(n10/41-02-p20o21i0n2:t45):52 GMT -05:00 https://www.coursehero.com/file/37208317/Tina-Jones-Objective-HEENTN-Coomrpmletead-lShadow-Health-3pdf/ Conductive or sensorineural loss Performed Rinne test 1 of 1 point Right (1/2 point) Left (1/2 point) Normal Conductive loss Normal Conductive loss Performed whisper test 1 of 1 point Right (1/2 point) Left (1/2 point) Normal Unable to hear whispered words Normal Unable to hear whispered words Tested gag reflex 1 of 1 point Observations (1/1 point) Intact Absent Hypersensitive Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health® 2018 [Show More]

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