Shadow health focused exam abdominal pain care plan

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Focused Exam: Abdominal Pain Results | Turned In Physical Assessment - June 2020, NUR 3010

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Objective Data Collection: 21 of 21 (100%)

Your Results Reopen (/assignment_attempts/7049123/reopen Lab Pass (/assignment_attempts/7049123/lab_pass.p

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Care Plan

Correct Partially correct

Incorrect Missed

Inspected head and face 1 of 1 point

Skull Symmetry (1/3 point) Symmetric Asymmetric

Facial Feature Symmetry (1/3 point) Symmetric Asymmetric

Appearance (1/3 point) No visible abnormal findings Flushed appearance Rash or lesion Skin growths (freckles, moles, or birth mark) Excessive hair growth Evidence of skin trauma (scar, laceration, or bruising)

Inspected nasal mucosa 1 of 1 point

Appearance (1/1 point) Moist and pink Dry appearance Redness

Inspected mouth 1 of 1 point

Oral Mucosa (1/1 point) Moist and pink Dry appearance Redness

Inspected abdomen 1 of 1 point

Symmetry (1/3 point) Symmetric Asymmetric

Contour (1/3 point) Flat Rounded Protuberant

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https://www.coursehero.com/file/63204063/Esther-Parks-Focused-Exam-Abdominal-Pain-Objectivepdf/
6/6/2020 Focused Exam: Abdominal Pain | Completed | Shadow Health

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Hollowed

Appearance (1/3 point) No visible abnormal findings Rash Striae Bulging around umbilicus Distension Visible masses (warts, cysts, or tumors) Freckles, birthmark, or discoloration Excessive hair growth Scarring Laceration, lesion, or wound Bruising Redness Jaundice Prominent veins

Inspected for edema in lower extremities 1 of 1 point

Right: Edema (1/4 point) No edema Pitting Non-pitting

Right: Severity Of Edema (1/4 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: Edema (1/4 point) No edema Pitting Non-pitting

Left: Severity Of Edema (1/4 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

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 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 lobehttps://www.coursehero.com/file/63204063/Esther-Parks-Focused-Exam-Abdominal-Pain-Objectivepdf/

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https://www.coursehero.com/file/63204063/Esther-Parks-Focused-Exam-Abdominal-Pain-Objectivepdf/
6/6/2020 Focused Exam: Abdominal Pain | Completed | Shadow Health

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Adventitious sounds in posterior left upper lobe Adventitious sounds in posterior left lower lobe

Auscultated abdominal aorta 1 of 1 point

Sound (1/1 point) No bruit Bruit

Auscultated bowel sounds 1 of 1 point

Bowel Sounds (1/2 point) Absent Hypoactive Normoactive Hyperactive

Location Of Non Normoactive Bowel Sounds (1/2 point) All quadrants normoactive Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant

Auscultated abdominal arteries 1 of 1 point

Right: Renal (1/6 point) No bruit Bruit

Right: Iliac (1/6 point) No bruit Bruit

Right: Femoral (1/6 point) No bruit Bruit

Left: Renal (1/6 point) No bruit Bruit

Left: Iliac (1/6 point) No bruit Bruit

Left: Femoral (1/6 point) No bruit Bruit

Percussed abdomen 1 of 1 point

Observations (1/1 point) All areas generally tympanic Some areas dull, some tympanic Some areas resonant

Percussed CVA tenderness 1 of 1 point

Patient Reaction (1/1 point) Did not react Pain reaction

Percussed spleen 1 of 1 point

Spleen (1/1 point) Tympany Dullness

Percussed liver 1 of 1 point

Liver Span (1/1 point) Smaller than 6 cm Between 6 and 12 cm Greater than 12 cmhttps://www.coursehero.com/file/63204063/Esther-Parks-Focused-Exam-Abdominal-Pain-Objectivepdf/

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https://www.coursehero.com/file/63204063/Esther-Parks-Focused-Exam-Abdominal-Pain-Objectivepdf/
6/6/2020 Focused Exam: Abdominal Pain | Completed | Shadow Health

https://app.shadowhealth.com/assignment_attempts/7049123 4/5

Palpated abdomen - light 1 of 1 point

Tenderness (1/3 point) None reported Tenderness reported

Location Of Tenderness (1/3 point) No quadrants tender Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant

Observations (1/3 point) No additional observations Masses Guarding Distension

Palpated abdomen - deep 1 of 1 point

Presence Of Unexpected Mass (1/2 point) No palpable mass Palpable mass

Location Of Mass (1/2 point) No palpable mass Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant Around umbilicus

Palpated liver 1 of 1 point

Detection (1/1 point) Not palpable Palpable

Palpated spleen 1 of 1 point

Detection (1/1 point) Not palpable Palpable

Palpated bladder 1 of 1 point

Detection (1/1 point) Not palpable Palpable

Palpated kidneys 1 of 1 point

Right (1/2 point) Palpable Not palpable

Left (1/2 point) Palpable Not palpable

Tested skin turgor 1 of 1 point

Observations (1/1 point) No tenting Tenting

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https://www.coursehero.com/file/63204063/Esther-Parks-Focused-Exam-Abdominal-Pain-Objectivepdf/
6/6/2020 Focused Exam: Abdominal Pain | Completed | Shadow Health

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