Head to Toe Assessment - PBSC (See Blackboard for details) Questions with Solutions

Head to Toe Assessment - PBSC (See
Blackboard for details)

General Inspection - answer- assessed patient's mobility, posture, build, deformities,
dress, and grooming
- assessed skin color, facial expression, alertness, eye contact
- assessed speech, hearing, or vision concerns
- obtained pt's height and weight
- checked distance vision
- took the pt's vital signs

Head and Face - answer- inspected skin, eyes, ears, and skull
- inspect and palate the scalp and hair
- palpate the temporomandibular joints
- palpate the facial bones and frontal and maxillary sinuses

Eye - answer- inspected external eye structures
- palpated the lacrimal glands
- tested near vision (with Rosenbaum Chart)
- assessed pupillary light response
- assessed accommodation
- assessed extra-ocular movements
- assessed visual fields

Ears - answer- inspected the ears
- palpated the auricles
- evaluated hearing
- inspected the external auditory canals and tympanic membranes

Nose - answer- checked nostril latency
- inspected nasal mucosa, septum, and turbinates
- evaluate nasal patency

Mouth and Pharynx - answer- inspected the lips, buccal mucosa, teeth, gums, and
tongue
- inspect and palpate the lips
- inspected the oropharynx
- had pt say "AH" and observe soft palate (rise symmetrically) and uvula (to remain
midline)
- checked gag reflex