Shadow Health: Focused Exam: Cough Results Danny

NRS 434 Shadow Health: Focused Exam: Cough Results

Shadow Health: Focused Exam: Cough Results Danny

Objective Data Collection: 12.73 of 15 (84.87%)

  • Correct
  • Partially correct
  • Incorrect
  • Missed
Inspected eyes and orbital area
1 of 1 point
Orbital Area (1/4 point)
  • No visible abnormal findings
  • Ptosis
  • Eyelid
  • Lesion
Sclera (1/4 point)
  • White
  • Yellow tint
  • Redness
Conjunctiva (1/4 point)
  • Moist and pink
  • Dry appearance
  • Redness
  • Swelling
Conjunctival Discharge (1/4 point)
  • No discharge
  • Clear, watery discharge
  • Purulent discharge
Inspected nasal cavities
1 of 1 point
Color (1/4 point)
  • Pink
  • Red
  • Bluish
Discharge (1/4 point)
  • No discharge
  • Clear discharge
  • Bloody discharge
  • Purulent discharge
Turbinate Patency (1/4 point)
  • Patent
  • Decreased patency
  • Not patent
Observations (1/4 point)
  • No additional visible abnormal findings
  • Foreign body present
  • Polyp
  • Septum perforated
  • Septum deviated
  • Lesion
Inspected ears
0.4 of 1 point
Right: Auditory Canal Color (1/10 point)
  • Pink
  • Red
  • Pallor
Right: Tympanic Membrane Color (No point)
  • Pearly gray
  • Red
  • Opaque
  • Yellow
  • Not visible because of cerumen
Right: Tympanic Membrane Appearance (No point)
  • No visible abnormal findings
  • Fluid observed
  • Visible scars
  • Bulging
  • Perforation
  • Retraction
Right: Cone Of Light (1/10 point)
  • 5:00
  • Cone of light distorted
Right: Discharge (No point)
  • No discharge
  • Cerumen
  • Clear discharge
  • Bloody discharge
  • Purulent discharge
Left: Auditory Canal Color (1/10 point)
  • Pink
  • Red
  • Pallor
Left: Tympanic Membrane Color (No point)
Left: Tympanic Membrane Appearance (1/10 point)
  • No visible abnormal findings
  • Fluid observed
  • Visible scars
  • Bulging
  • Perforation
  • Retraction
Left: Cone Of Light (No point)
  • 7:00
  • Cone of light distorted
Left: Discharge (No point)
  • No discharge
  • Cerumen
  • Clear discharge
  • Bloody discharge
  • Purulent discharge
Inspected mouth and throat
1 of 1 point
Oral Mucosa (1/5 point)
  • Moist and pink
  • Dry appearance
  • Redness
Tonsils (1/5 point)
  • No visible abnormal findings
  • Swelling
  • Redness
Throat Color (1/5 point)
  • Pink
  • Red
Throat Texture (1/5 point)
  • No abnormal findings
  • Cobblestoning
  • Exudate
Post Nasal Drip (1/5 point)
  • No discharge
  • Clear discharge
  • Purulent discharge
Inspected neck
1 of 1 point
Symmetry (1/2 point)
  • Symmetric
  • Asymmetric
Appearance (1/2 point)
  • No visible abnormal findings
  • Swelling
  • Visible pulsation
  • Visible mass
  • Discoloration
Inspected chest
1 of 1 point
Symmetry (1/2 point)
  • Symmetric
  • Asymmetric
Appearance (1/2 point)
  • No visible abnormal findings
  • Rash
  • Barrel chest
  • Intercostal retraction while breathing
  • Excessive use of accessory muscles while breathing
  • Skin growths (freckles or moles)
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
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
Percussed chest wall
1 of 1 point
Observations (1/2 point)
  • All areas resonant
  • Some areas dull, some resonant
  • Some areas hyperresonant, some resonant
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
Measured diaphragmatic excursion
0 of 1 point
Range (No point)
  • 3-5 cm
  • Greater than 3-5 cm
  • Less than 3-5 cm
Palpated sinuses
1 of 1 point
Frontal (1/2 point)
  • None reported
  • Tenderness reported
Maxillary (1/2 point)
  • None reported
  • Tenderness reported
Palpated lymph nodes
0.33 of 1 point
Head And Neck (No point)
  • No palpable nodes
  • Palpable nodes on right side
  • Palpable nodes on left side
Supraclavicular (No point)
  • No palpable nodes
  • Palpable nodes on right side
  • Palpable nodes on left side
Axillary (1/3 point)
  • No palpable nodes
  • Palpable nodes on right side
  • Palpable nodes on left side
Palpated fremitus
1 of 1 point
Symmetry (1/2 point)
  • Equal bilaterally
  • Unequal bilaterally
Vibration (1/2 point)
  • Expected fremitus
  • Decreased fremitus
Palpated chest expansion
1 of 1 point
Symmetry (1/1 point)
  • Equal bilaterally
  • Unequal bilaterally

Within the Shadow Health platform, complete the Focused Exam: Cough Results. The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Please note, this is an average time. Some students may need longer.

This clinical experience is a focused exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.

Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 100 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 90 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 80 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (68 points).

If Proficiency is not achieved on the first attempt, it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and the course resources may help you improve your score.

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.