Module 4: Subjective
Data and Objective
Data of Heart and
Neck test with 100%
correct answers
What are the 11 subjective data components? -
answer 1. Chest pain
2. Dyspnea
3. orthopnea
4. cough
5. fatigue
6. cyanosis and pallor
7. edema
8. Nocturia
9. past cardiac history
10. family history of cardiac history
11. personal habits
, Chest pain-any chest pain or tightness?
-onset? location? character? pain brought on by
activity, what type? emotional upset? any
associated symptoms: sweating, pallor, grayness,
shortness of breath, nausea or vomiting, racing of
heart? Pain worsen by moving arms/necks,
breathing, lying flat? relieved by rest or NTG? how
many tablets? - answer Rationale: differentiating
from angina which is a important cardiac symptom
that occurs when the heart's own blood supply
cannot keep up with the metabolic demand.
-may be pulmonary, musculoskeletal or GI origin
-squeezing clenched fist characteristic of angina
-ask about sweats, pallor, palpitations, nausea etc.
to differentiate from cardiac vs. noncardiac origin
Dyspnea
-any shortness of breath?
-what type of activity and how much brings on
shortness of breath? Brought on over 6 months
ago?
-onset? duration? affected by position? awakens
you from sleep at night? - answer Rationale:
dyspnea on exertion
awakens you at night-paroxysmal noctural dyspnea
(PND) occurs with heart failure where lying down
increases volume of intrathoracic blood and
weakened heart cannot handle the load, so person
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