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End of Life Shadow Health Complete (Regina Walker)- Objective Data
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End of Life Shadow Health Complete (Regina Walker)-Objective Data
Focused Exam: End of Life Results | Turned In
Medical Surgical Nursing: Promoting Wellness in the Older Adult (Los Angeles) - April 2019, NURS 201
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Your Results La b P a s s
Overview
Objective Data Collection: 17.8 of 18 (98.89%)
Transcript
Subjective Data Collection Correct Incorrect
Partially correct Missed
Objective Data Collection
Education & Empathy
Assessed Vitals 1 of 1 point
QSEN Competencies
Temperature (1/5 point) Blood Pressure (1/5 point)
Documentation
Normothermic Normotensive
SBAR Hyperthermic Hypertensive
Hypothermic Hypotensive
Reflections
Heart Rate (1/5 point) Respiratory Rate (1/5 point)
No abnormal findings No abnormal findings
Tachycardia Tachypnea
Bradycardia Bradypnea
Oxygen Saturation (1/5 point)
No abnormal findings
Hypoxemia
Assessed IV Bag 1 of 1 point
Appropriate Fluid (1/3 point) Appropriate Label (1/3 point)
Bag is normal saline Name and dosage are correct
Bag is not normal saline Name is incorrect
Bag is not labeled Dosage is incorrect
Infuse rate is incorrect
Bag is not labeled
Fluid Appearance (1/3 point)
No visible abnormal appearance
Cloudy
, Inappropriate color
Crystallization
Assessed IV Pump 1 of 1 point
Infusion Rate (1/1 point)
IV pump is infusing IV fluid at the ordered rate
IV pump is infusing IV fluid at a slower than the
ordered rate
IV pump is infusing IV fluid at a faster than the
ordered rate
Assessed IV Site 1 of 1 point
Insertion Site (1/2 point) Dressing (1/2 point)
No visible abnormal signs Dry and Intact
Erythema Moist dressing
Infiltration
Assessed Urine Quality 1 of 1 point
Clarity Of Urine (1/3 point) Color Of Urine (1/3 point)
Clear Clear
Cloudy Pale yellow
Dark yellow
Pink or amber
Red or brown
Orange
Odor (1/3 point)
No noticeable odor
Foul odor
Sweet odor
Inspected Eyes 1 of 1 point
Eyelids (1/4 point) Conjunctiva And Lens (1/4 point)
No visible abnormal findings No visible abnormal findings
Ptosis Sclera - injection
Swelling Sclera - icterus
Lesion Lens opacification
Allergic shiners
Pupillary Reaction (1/4 point) Accommodation (1/4 point)
No visible abnormal findings (PERRL) Normal constriction and dilation
Unequal Unequal or no pupillary constriction
Irregular Unequal or no pupillary dilation
Miosis
Mydriasis
Non-reactive to light
Inspected Mouth 1 of 1 point
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