tina jones respiratory shadow health objective data

tina jones respiratory shadow health objective data
Objective Data Collection: 6 of 6 (100.0%)

 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
 Rash or lesion
 AP diameter abnormal
 Intercostal retraction while breathing
 Excessive use of accessory muscles while breathing
 Pectus excavatum
 Evidence of trauma (scar, laceration, or bruising)

 Palpated chest expansion
1 of 1 point

Symmetry (1/1 point)

 Equal bilaterally
 Unequal bilaterally

 Palpated tactile fremitus
1 of 1 point

Symmetry (1/2 point)

 Equal bilaterally
 Unequal bilaterally

Vibration (1/2 point)

 Expected fremitus
 Decreased fremitus
 Absent fremitus

 Percussed chest wall
1 of 1 point

Observations (1/2 point)

 All areas resonant
 Some areas of dullness

Location (1/2 point)

 No areas of dullness
 Dullness, anterior right upper lobe
 Dullness, anterior right middle lobe
 Dullness, anterior right lower lobe
 Dullness, anterior left upper lobe
 Dullness, anterior left lower lobe
 Dullness, posterior right upper lobe
 Dullness, posterior right lower lobe
 Dullness, posterior left upper lobe
 Dullness, posterior left lower lobe

 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 for bronchophony
1 of 1 point

Bronchophony (1/1 point)

 Positive
 Negative


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