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Module 10 Peripheral Vascular Assignment

Module 10 Peripheral Vascular Assignment Module 10 Peripheral Vascular AssignmentYou will perform a history of a peripheral vascular problem that your instructor has provided you or one that you have experienced and perform a peripheral vascular assessment. You will document your subjective and objective findings, identify actual or potential risks,Write from a nursing perspectiveNo consideration for plagiarismClients Presentation: Subjective Data (4 points):Objective Data (4 points):Describe 2 Actual/Potential Risk Factors ( 2 points):ORDER A PLAGIARISM-FREE PAPER HERE NUR 2180: Health Assessment Instructor-Observed Skill Demonstration: Complete Head to Toe AssessmentStudent Name: ______________________________________Date: _________________Points PossiblePoints EarnedComments Pre-Procedure Steps    Knocks1  Washes hands1  Identifies the client with 2 identifiers1  Provides privacy1  Explains procedure0.5   General Survey (Appearance & Mental Status)    Assess level of consciousness and orientation to person, place and time0.5Module 10 Peripheral Vascular Assignment Assess quality and appropriateness of speech0.5  Inspect posture & general hygiene0.5   HEENT (Head, Ears, Eyes, Nose, Throat) and Neck    Inspect head for bumps, lesions, hair distribution ,and parasites0.5  Inspect face for sensation (CN V [trigeminal]) and movement (VII [facial])2  Inspect external eyes for redness & discharge. Inspect pupil size and PERRLA (CN III [oculomotor])3  Inspect extraocular muscle movements (CN III [oculomotor] IV [trochlear, VI [abducens)3  Perform confrontation test (CN II [optic])2  Inspect mouth – mucous membranes & general dentition condition, tongue midline, say “ah”-uvula midline, observe swallow (CN lX [glossopharyngeal], X [vagus], & XII [hypoglossal])4  Inspect nose for discharge, nasal patency, & deviations in shape2  Inspect ears for cerumen or other discharge in external canal, lesions & gross hearing (rub fingers together by ear – CN VIII [acoustic])2  Assess CN XI (shoulder shrug & turn head against resistance)2  Palpate the following lymph nodes: submental, submandibular, tonsillar, preauricular, postauricular, anterior cervical, posterior cervical, occipital, and supraclavicular4.5   Thorax, Lung, and Back Assessment    Inspect shape of thorax with comparison of anteroposterior to transverse diameters1  Assess respiratory rate, rhythm, depth, presence of accessory muscle use or cough1Module 10 Peripheral Vascular Assignment Inspect spinal alignment2  Percuss for costovertebral angle tenderness2  Palpate for thoracic expansion2  Palpate for tactile fremitus2  Auscultate breath sounds anterior and posterior at least 8 places on each side and 2 places in the axillary region on each side (stethoscope on skin). Total of 20 places.10   Heart and Central Vessels Assessment    Palpate carotid pulses (ONE AT A TIME)1  Student Name: ______________________________________Date: _________________Points PossiblePoints EarnedCommentsAuscultate each carotid artery for bruits1  Auscultate heart sounds in the aortic, pulmonic, Erb’s point, tricuspid, & mitral areas (stethoscope on skin)10   Gastrointestinal & Genitourinary Assessment    Inspect shape of abdomen1  Auscultate bowel sounds in all 4 quadrants (stethoscope on skin)4  Lightly palpate all 4 abdominal quadrants for distension or tenderness4  Assess bowel & urinary habits, problems & last BM1  Musculoskeletal, Neurologic, & Peripheral Vascular Assessment   Inspect and palpate extremities for edema, tenderness, temperature, deformities & lesions1      Check capillary refill of fingers and toes1Module 10 Peripheral Vascular Assignment Inspect gait and balance (Romberg test)2  Assess range of motion of neck, arms, & legs (at least 3 directions for each)4  Assess strength in all extremities4  Assess the following deep tendon reflexes: patellar, plantar, triceps, Achilles, biceps, & brachioradialis.6  Locate and palpate radial, brachial, popliteal, posterior tibial, and dorsalis pedis pulses, assessing for symmetry and strength.5   Post-Procedure Steps    Inquires if the client is comfortable0.5  Student is professional and courteous with their communication1  Ensures the client has their call light1  Ensures client’s personal items are within reach (glasses, phone, etc.)0.5  Washes hands1  Total Points Earned of 100 possibleThe above named student has:Passed this skill evaluationFailed this skill evaluation and must remediate. Plan for remediation:Module 10 Peripheral Vascular AssignmentStudent signature and date indicating agreement with remediation plan: _____________________________________ Instructor signature and date indicating agreement with remediation plan: ___________________________________Module 10 Peripheral Vascular Assignment

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