NR509 IMMERSION EXAM

Purple= graded aspect. Always say the cranial nerve number & name! Red = FNPS script. (black in parentheses)= patient script. Sanitize hands. Hello, my name is and I will be assessing you today. I need you sitting up for the exam. HEAD AND FACE Inspects facial skin – note abnormal lesions; Inspect head for size, symmetry, midline position I will begin by inspecting your face, and I don't see any discolorations, or any lesions and your head is midline and symmetrical. Palpates lymph nodes of the head and neck: Preauricular, Postauricular, Occipital, Tonsillar, Submandibular, submental, Anterior Cervical, Posterior Cervical, Supraclavicular (verbalize these) PPOTSS AC PC S I will palpate your lymph nodes. First, I will begin with the preauricular lymph nodes, right in front of the ear, and postauricular, right behind the ear. Then I will palpate your occipital lymph nodes in the back of the head. And then I will move forward and palpate your tonsillar lymph nodes. Come under the jawline, the submandibular lymph nodes, and the submental. Now I will go to the anterior cervical lymph nodes, and the posterior cervical lymph nodes. And I will end with the supraclavicular lymph nodes right about the clavicles. I do not feel any enlargement, and they are equal bilaterally .............................................CONTINUED...........................................