Advanced Physical Assessment|NR 509 Week 7 Immersion: Physical Assessment Study Guide

AdvancGreet patient Inspect face – no discoloration or lesions present Inspect head – midline, symmetrical Palpate lymph nodes: Cranial nerve #5 (TRIGEMINAL) Cranial nerve # 7 (FACIAL) Inspect ears—no nodules or skin lesions present, symmetrical Cranial nerve # 8 (ACOUSTIC) Inspect eyes—conjunctiva clear and pink, no drainage or lesions present; sclera white and clear. Cranial nerve #2 (OPTIC) Cranial nerves #3 (OCULOMOTOR), #4 (TROCHLEAR), & #6 (ABDUCENS) Inspect nose—midline, no obstructions, swelling or visible fractures Palpate frontal and maxillary sinuses—assess for tenderness Inspect throat and mouth: Cranial nerve #9 (GLOSSOPHARYNGEAL) Cranial nerve #10 (VAGUS) Cranial nerve #12 (HYPOGLOSSAL) Palpate TMJ (temporomandibular joint) Inspect neck—symmetrical, no obvious deformities Palpate carotid arteries (side of trachea) — normal and bounding Range of motion—NECK Cranial nerve #11 (SPINAL ACCESSORY) Heart sounds—5 areas: Inspect anterior chest—assess for any obvious deformities and symmetry—none found Auscultate lung sounds— have patient breathe in and out through mouth Inspect upper extremities Assess ROM (*Normally assess bilaterally but for immersion only assess unilaterally) Cerebellar coordination Deep tendon reflexes (only evaluate unilaterally for immersion) Abdominal exam Percuss all 4 quadrants: checking for tympany, dullness, or flatness—normal Palpate all 4 quadrants (had over hand, circular motion) Palpate liver: Palpate spleen: Test Bloomberg sign: Inspect lower extremities—no edema or lesions noted Range of motion—HIP Range of motion—KNEE Range of motion—ANKLE Palpate dorsalis pedis pulses—2 and equal bilaterally Spine exam (have patient stand up) Romberg’s test: Gait:ed Physical Assessment|NR 509 Week 7 Immersion: Physical Assessment Study Guide