NURSING > EXAM > SH Focused Exam Chest Pain Brian Foster | Subjective Data Collection & Objective Data Collection | G (All)

SH Focused Exam Chest Pain Brian Foster | Subjective Data Collection & Objective Data Collection | Grade100%

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SH Focused Exam Chest Pain Brian Foster | Subjective Data Collection & Objective Data Collection | Grade100%>Appearance (1/1 point) • No visible abnormal findings • Rash or lesion • Cyanosis • Pallor • Redness or flushing • Evidence of trauma (scar, laceration, or bruising) 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 chest 1 of 1 point Symmetry (1/2 point) • Symmetric • Asymmetric Appearance (1/2 point) • No visible abnormal findings • Rash or lesion • AP diameter abnormal • Intercostal retraction while breathing • Excessive use of accessory muscles while breathing • Pectus excavatum • Skin growths (freckles or moles) • Evidence of skin trauma (scar, laceration, or bruising) Inspected hands and fingernails 1 of 1 point Right: Appearance (1/4 point) • No visible abnormal findings • Redness • Moles or skin tags • Masses (warts, cysts, or tumors) • Freckles, birthmark, or other discoloration • Excessive dry or flaking skin • Purpura • Scarring • Laceration, lesion, or wound • Bruising • Rash Left: Appearance (1/4 point) • No visible abnormal findings • Redness • Moles or skin tags • Masses (warts, cysts, or tumors) • Freckles, birthmark, or other discoloration • Excessive dry or flaking skin • Purpura • Scarring • Laceration, lesion, or wound • Bruising • Rash Right: Nail Changes (1/4 point) • No visible abnormal findings • Pallor • Cyanosis • Splinter hemorrhages • Clubbing Left: Nail Changes (1/4 point) • No visible abnormal findings • Pallor • Cyanosis • Splinter hemorrhages • Clubbing Inspected lower extremities and toenails 1 of 1 point Right: Appearance (1/4 point) • No visible abnormal findings • Visible distortion or swelling • Brownish pigmentation • Skin thickening • Ulceration • Varicose veins Right: Nail Changes (1/4 point) • No visible abnormal findings • Pallor • Cyanosis • Splinter hemorrhages • Clubbing Left: Appearance (1/4 point) • No visible abnormal findings • Visible distortion or swelling • Brownish pigmentation • Skin thickening • Ulceration • Varicose veins Left: Nail Changes (1/4 point) • No visible abnormal findings • Pallor • Cyanosis • Splinter hemorrhages • Clubbing Inspect lower extremities for edema 1 of 1 point

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