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  • Zachery Olsen - Head Toes Assessment 4 - Neurologic

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    Zack Olsen
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    Zachery Olsen was seen by the nurse on 2/11/2022 and 2/12/2022. On both visits, his vital signs were normal, neurological exam was nonfocal, lungs were clear, heart rate was regular, abdomen was soft and non-tender, and extremities showed full strength and normal pulses without edema. His skin was also within normal limits.

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    Zachery Olsen - Head Toes Assessment 4 - neurologic

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    Zachery Olsen was seen by the nurse on 2/11/2022 and 2/12/2022. On both visits, his vital signs were normal, neurological exam was nonfocal, lungs were clear, heart rate was regular, abdomen was soft and non-tender, and extremities showed full strength and normal pulses without edema. His skin was also within normal limits.

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    7 views1 page

    Zachery Olsen - Head Toes Assessment 4 - Neurologic

    Uploaded by

    Zack Olsen
    Zachery Olsen was seen by the nurse on 2/11/2022 and 2/12/2022. On both visits, his vital signs were normal, neurological exam was nonfocal, lungs were clear, heart rate was regular, abdomen was soft and non-tender, and extremities showed full strength and normal pulses without edema. His skin was also within normal limits.

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    Narrative Nursing Note Name: Zachery Olsen

    Date: 2/11/2022 Time: 14:00 Lab Partner


    V/S BP:124/84, P:68, Temp:98.3F, SaO2: 98%, Pain-0/10
    Neuro S: denies numbness/tingling.
    O: gait steady, spine straight, face movement symmetrical. A/Ox4. Speech clear
    O: eye contact, hearing intact, Calm affect. PERRLA. CMS intact
    Resp Lungs Clear A/P
    CV Apical: 66, Hr reg.
    Abd BTx4, abd soft non-tender and flat
    UE Grip equal strong, Radial Pulse equal strong, cap refill 1 second
    LE strength equal strong, DP equal strong, Cap.Refill < 3secs, no edema, no calf tenderness
    Skin W/D/P
    ZROlsen (SN)

    Date: 2/12/2022 Time: 8:00 Person A


    V/S BP:130/86, P:80, Temp:98.5F, SaO2: 98%, Pain-0/10
    Neuro S: denies numbness/tingling.
    O: gait steady, spine straight, face movement symmetrical. A/Ox4. Speech clear
    O: eye contact, hearing intact, Calm affect. PERRLA. CMS intact
    Resp Lungs Clear A/P
    CV Apical: 80, Hr reg.
    Abd BTx4, abd soft non-tender and flat
    UE Grip equal strong, Radial Pulse equal strong, cap refill 1 second
    LE strength equal strong, DP equal strong, Cap.Refill < 3secs, no edema, no calf tenderness
    Skin W/D/P
    ZROlsen (SN)

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