Tina Jones Cardiovascular Shadow Health Objective Data Collection

Tina Jones Cardiovascular Shadow Health Objective Data Collection 23 of 23 (100%)

Correct
Partially correct
Incorrect
Missed

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 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)

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
Ulceration
Varicose veins

Right: Nail Changes (1/9 point)

No visible abnormal findings
Pallor
Cyanosis
Splinter hemorrhages
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

Left: Nail Changes (1/9 point)

No visible abnormal findings
Pallor
Cyanosis
Splinter hemorrhages
Clubbing

Capillary Refill Time (1/9 point)

3 seconds or less
Greater than 3 seconds

Palpated temporal arteries
1 of 1 point
Right: Vibration (1/4 point)

No thrill
Thrill

Right: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

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)

No thrill
Thrill

Right: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Palpated PMI
1 of 1 point
Location (1/3 point)

Present at midclavicular line and 5th intercostal space
Displaced laterally

Amplitude (1/3 point)

Brisk and tapping
Increased amplitude (hyperkinetic)

Diameter (1/3 point)

Less than 3 cm
Greater than 3 cm

Palpated radial arteries
1 of 1 point
Right: Vibration (1/4 point)

No thrill
Thrill

Right: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

NRNP-6665 Comprehensive Integrated Psychiatric Assessment Discussion Example

Palpated brachial arteries
1 of 1 point
Right: Vibration (1/4 point)

No thrill
Thrill

Right: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Palpated femoral arteries
1 of 1 point
Right: Vibration (1/4 point)

No thrill
Thrill

Right: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Palpated popliteal arteries
1 of 1 point
Right: Vibration (1/4 point)

No thrill
Thrill

Right: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Palpated tibial arteries
1 of 1 point
Right: Vibration (1/4 point)

No thrill
Thrill

Right: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Palpated dorsalis pedis arteries
1 of 1 point
Right: Vibration (1/4 point)

No thrill
Thrill

Right: Amplitude (1/4 point)

0

Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Left: Vibration (1/4 point)

No thrill
Thrill

Left: Amplitude (1/4 point)

0 Absent
1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse

Auscultated temporal arteries
1 of 1 point
Right (1/2 point)

No bruit
Bruit

Left (1/2 point)

No bruit
Bruit

Auscultated carotid arteries
1 of 1 point
Right (1/2 point)

No bruit
Bruit

Left (1/2 point)

No bruit
Bruit

Auscultated breath sounds
1 of 1 point
Breath Sounds (1/3 point)

Present in all areas
Diminished in some areas
Absent in some areas

Adventitious Sounds (1/3 point)

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 heart sounds
1 of 1 point
Heart Sounds (1/2 point)

S1 and S2 audible
S1, S2, and S3 audible
S1, S2, and S4 audible
S1, S2, S3, and S4 audible

Extra Heart Sounds (1/2 point)

No extra sounds
Gallops
Murmur
Friction rub
Valve clicks

Auscultated abdominal aorta
1 of 1 point
Sounds (1/1 point)

No bruit
Bruit

Auscultated renal arteries
1 of 1 point
Right (1/2 point)

No bruit
Bruit

Left (1/2 point)

No bruit
Bruit

Auscultated iliac arteries
1 of 1 point
Right (1/2 point)

No bruit
Bruit

Left (1/2 point)

No bruit
Bruit

Auscultated femoral arteries
1 of 1 point
Right (1/2 point)

No bruit
Bruit

Left (1/2 point)

No bruit
Bruit

Performed ankle-brachial index test
1 of 1 point
Abi (1/1 point)

> 1.40 (noncompressable)
1.00 – 1.40 (normal)
0.90 – 0.99 (borderline ischemia)
< 0.90 (abnormal)

Performed EKG
1 of 1 point
Sinus Rhythm (1/2 point)

Regular
Irregular

St Changes (1/2 point)

No ST changes
ST changes present