Assignment 2: Lab Assignment (Optional): Practice Assessment: Cardiac and Respiratory Examination

Assignment 2: Lab Assignment (Optional): Practice Assessment: Cardiac and Respiratory Examination

Assignment 2: Lab Assignment (Optional): Practice Assessment: Cardiac and Respiratory Examination

Assignment 2: Lab Assignment (Optional):
Practice Assessment: Cardiac and
Respiratory Examination
It is crucial to diagnose cardiac and respiratory conditions early due to the critical nature of these
organs. Before a condition can be diagnosed, an examination must be conducted. Properly
conducting a cardiac and respiratory examination requires detailed knowledge of the
examination procedure and experience in performing this assessment.
In preparation for the Comprehensive (Head-to-Toe) Physical Assessment due in Week 9, it is
recommended that you practice performing a cardiac and respiratory examination this week.
Note: This is an optional practice physical assessment.
To Prepare
 Arrange an appropriate time and setting with your volunteer "patient" to perform a
cardiac and respiratory examination.
 Download and review the Cardiac and Respiratory Checklists provided in this week's
Learning Resources as well as review the Seidel’s Guide to Physical Examination online
media.
 Ensure that you have a stethoscope to perform the examination.
Optional Lab Assignment
 Perform the cardiac and respiratory examination. Be sure to cover all of the areas listed in
the checklist and to use the equipment appropriately.

What's Coming Up in Week 8?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you will explore how to accurately assess the musculoskeletal system.
Week 8 Required Media

Photo Credit: [fergregory]/[iStock / Getty Images Plus]/Getty Images
Next week, you will need to view several videos and animations in the Seidel’s Guide to
Physical Examination prior to completing your Discussion. There are several videos of
various lengths. Please plan ahead to ensure you have time to view these media programs
to complete your Discussion on time.
Next Week

To go to the next week:
Week 8

Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Seidel's guide to physical examination: An interprofessional approach (9th ed.).
St. Louis, MO: Elsevier Mosby.

 Chapter 14, “Chest and Lungs”
This chapter explains the physical exam process for the chest and lungs.
The authors also include descriptions of common abnormalities in the
chest and lungs.

 Chapter 15, “Heart”
The authors of this chapter explain the structure and function of the heart.
The text also describes the steps used to conduct an exam of the heart.

 Chapter 16, “Blood Vessels”
This chapter describes how to properly conduct a physical examination of
the blood vessels. The chapter also supplies descriptions of common heart
disorders.
Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA:
F. A. Davis.

 Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487) (previously read
in Week 6; specifically focus on pp. 480–481)
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment
and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary
Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019
by Mosby. Reprinted by permission of Mosby via the Copyright Clearance
Center.

Chapter 8, “Chest Pain”
This chapter focuses on diagnosing the cause of chest pain and highlights the
importance of first determining whether the patient is in a life-threatening
condition. It includes questions that can help pinpoint the type and severity of
pain and then describes how to perform a physical examination. Finally, the
authors outline potential laboratory and diagnostic studies.

Chapter 11, “Cough”
A cough is a very common symptom in patients and usually indicates a minor
health problem. This chapter focuses on how to determine the cause of the cough
by asking questions and performing a physical exam.

Chapter 14, “Dyspnea”
The focus of this chapter is dyspnea, or shortness of breath. The chapter includes
strategies for determining the cause of the problem through evaluation of the
patient’s history, through physical examination, and through additional laboratory
and diagnostic tests.

Chapter 26, “Palpitations”
This chapter describes the different causes of heart palpitations and details how
the specific cause in a patient can be determined.

Chapter 33, “Syncope”
This chapter focuses on syncope, or loss of consciousness. The authors describe
the difficulty of ascertaining the cause, because the patient is usually seen after
the loss of consciousness has happened. The chapter includes information on
potential causes and the symptoms of each.

Note: Download the Student Checklists and Key Points to use during your
practice cardiac and respiratory examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Chest and lungs: Student checklist. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Chest and lungs: Key points. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by

Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Heart: Student checklist. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Heart: Key points. In Seidel's guide to physical examination: An interprofessional
approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.

Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., …
Losina, E. (2011). Medical decision-making among Hispanics and non-Hispanic
Whites with chronic back and knee pain: A qualitative study. BMC
Musculoskeletal Disorders, 12(1), 78–85.

This study examines the medical decision making among Hispanics
and non-Hispanic whites. The authors also analyze the preferred
information sources used for making decisions in these populations.

Smuck, M., Kao, M., Brar, N., Martinez-Ith, A., Choi, J., & Tomkins-Lane, C. C.
(2014). Does physical activity influence the relationship between low back pain
and obesity? The Spine Journal, 14(2), 209–216.
doi:10.1016/j.spinee.2013.11.010

Shiri, R., Solovieva , S., Husgafvel-Pursiainen, K., Telama, R., Yang, X., Viikari,
J., Raitakari, O. T., & Viikari-Juntura, E. (2013). The role of obesity and physical
activity in non-specific and radiating low back pain: The Young Finns study.
Seminars in Arthritis & Rheumatism, 42(6), 640–650.
doi:10.1016/j.semarthrit.2012.09.002

McCabe, C., & Wiggins, J. (2010a). Differential diagnosis of respiratory disease
part 1. Practice Nurse, 40(1), 35–41.

This article describes the warning signs of impending deterioration of
the respiratory system. The authors also explain the features of
common respiratory conditions.

McCabe, C., & Wiggins, J. (2010b). Differential diagnosis of respiratory diseases
part 2. Practice Nurse, 40(2), 33–41.

The authors of this article specify how to identify the major causes of
acute breathlessness. Additionally, they explain how to interpret a
variety of findings from respiratory investigations.

Shadow Health Support and Orientation Resources
Use the following resources to guide you through your Shadow Health orientation as well
as other support resources:

Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file].
Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY

Shadow Health. (n.d.). Shadow Health help desk. Retrieved
from https://support.shadowhealth.com/hc/en-us

Document: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)

Document: Student Acknowledgement Form (Word document)
Note: You will sign and date this form each time you complete your DCE
Assignment in Shadow Health to acknowledge your commitment to Walden
University’s Code of Conduct.

Document: DCE (Shadow Health) Documentation Template for Focused Exam:
Chest Pain (Word document)
Use this template to complete your Assignment 1 for this week.

Optional Resource
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic
examination (10th ed.). New York, NY: McGraw Hill Medical.

 Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular
Systems; The Breasts” (Section 1, “Chest Wall, Pulmonary, and
Cardiovascular Systems,” pp. 302–433)
Note: Section 2 of this chapter will be addressed in Week 10.
This section of Chapter 8 describes the anatomy of the chest wall,
pulmonary, and cardiovascular systems. Section 1 also explains how to
properly conduct examinations of these areas.

Required Media (click to expand/reduce)

Advanced Health Assessment and Diagnostic Reasoning

Thoughtful, reasoned questioning leads from initial complaint to diagnosis in

these three scenarios.

Note: Close the viewing window after the intro segment and after each diagnosis

segment to view the menu. (12m)

Photo Credit:Provided courtesy of the Laureate International Network of Universities.

Assessment of the Heart, Lungs, and Peripheral Vascular System – Week

7 (28m)

SkillStat Learning, Inc. (2019). The 6 second ECG. Retrieved from
http://www.skillstat.com/tools/ecg-simulator#/-home

This interactive website allows you to explore common cardiac rhythms. It also
offers the Six Second ECG game so you can practice identifying rhythms.

Online media for Seidel's Guide to Physical Examination
In addition to this week's media, it is highly recommended that you access and
view the resources included with the course text, Seidel's Guide to Physical
Examination. Focus on the videos and animations in Chapters 13 and 14 that
relate to the assessment of the chest, heart, and lungs. Refer to Week 4 for
access instructions on https://evolve.elsevier.com/