Focused Exam: Cognition Results | Turned In
Gerontologic Nursing - NRSE 4560 - May 2021, NRSE_4560_SEM_SUM1_2020-21
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Your Results Lab Pass (/assignment_attempts/9891133/lab_pass.pd
Overview
Objective Data Collection: 24 of 24 (100%)
Transcript Your text here
Subjective Data Collection Correct Incorrect
Partially correct Missed
Objective Data Collection
Education & Empathy
Assessed Vitals 1 of 1 point
QSEN Competencies
Documentation Temperature (1/5 point) Blood Pressure (1/5 point)
Normothermic Normotensive
SBAR
Hyperthermic Hypertensive
Reflections Hypothermic Hypotensive
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 Support
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, 6/9/2021 Focused Exam: Cognition | Completed | Shadow Health
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 Head and Face 1 of 1 point
Skull Symmetry (1/3 point) Facial Feature Symmetry (1/3 point)
Symmetric Symmetric
Asymmetric Asymmetric
Appearance (1/3 point)
No visible abnormal findings
Rash
Papules, pustules, or comedones
Skin growths (freckles, moles, or birth mark)
Excessive hair growth
Evidence of skin trauma (scar, laceration, or bruising)
Drooping eye
Drooping mouth
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
Oral Mucosa And Gums (1/3 point) Lips (1/3 point)
Moist and pink, no bleeding Smooth, pink, and moist
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