FNP (boards study review)
Study online at https://quizlet.com/_1gbg09
1. Nurse Practition- 1. History
er Process 2. Assessments
3. Labs/Diagnostic
4. Diagnosis
5. Least invasive, least expensive
6. First Line treatment
2. Nurse Practition- 1. Introduction
er Process Con- 2. CC
tinues 3. ROS
4. Physical Exam
5. Plan
6. First line tx
3. Infection Mark- Rheumatic Fever- (ESR), (C-reactive)
ers Lupus- (ESR), C-reactive, ANA
Erythrocyte Sed- Rheumatoid Arthritis - ESR, ANA
imentation rate
(ESR)
Antinuclear anti-
bodies (ANA)
C-Reactive Pro-
tein
4. Lymph Nodes Located throughout the body, but visible and palpable when they are enlarged or
swollen.
, FNP (boards study review)
Study online at https://quizlet.com/_1gbg09
5. Epitrochlear Epitrochlear lymph nodes- drains from the hand and forearm proximally via
Lymph Nodes epitrochlear lymph node
6. High Potency causes atrophy, telangiecatasia (spider veins), purport, and striae if used on the
Steroids face
7. Fundoscope The examiner
Exam a. Uses right hand for ophthalmoscope, uses right eye for pts right eye
b. Start with wheel at 0
c. Starts about 12'' from the patient with both eyes open
d. Moves in to within 1-2'' from the patient's eye
e. Should function as one with ophthalmoscope
2. After obtaining a red reflex, exam should proceed from the optic disc and end
with fovea of each eye
Inspection of the Optic Disc
1. Shape: Doughnut-like with an orange/pink neuroretinal rim and a central white
depression (physiological cup)
2. Cup disk ratio: Cup should not be more
than 1/2 the size of the diameter of disk diameter, the optic disk is area where
optic nerve and blood vessels enter the retina (if larger, consider glaucoma)
, FNP (boards study review)
Study online at https://quizlet.com/_1gbg09
Retinal vessels
1. Arteries are brighter and narrower than veins; A:V ratio = 2:3 or 4:5, if raised
area where a artery and a vein meet
- Hypertension (AV Nickling)
8. Glaucoma optic
disk
9. Macula 1. Creamy yellow Centered: 2-2.5 disc diameter temporal to the optic disk and is
avascular
- Have the pt look directly in the scope if macula is difficult to visualize, or have the
patient look directly into the light
2. The fovea centralis is a 2.5 mm-diameter reflective area that looks slightly darker
and lies in the center of the macular region
- The fovea is composed of closely packed cones on the eye
-located in the center of the macula
-responsible for sharp central vision
3. Patient should look directly into the light of the ophthalmoscope, if the macula
is difficult to visualize
10. Cones of the eye Responsible of color
, FNP (boards study review)
Study online at https://quizlet.com/_1gbg09
11. Visual Acuity 1. Snellen eye chart: 20/20 means that "the patient can see at 20 feet what the
-Snellen Chart normal person can see at 20 feet" (the larger the denominator, the poorer the
patient's vision)
-20/40 = a person can see at 20 feet what the normal person (without impair-
ment) can see at 40 ft
-If 20/30 = Referral stage
CN II = Snellen chart
12. Hyperopia "Farsightedness" (on freeway and can't see the signs)
13. Myopia Nearsightedness
14. Presbyopia Common after age 40; results in greater difficulty maintaining a clear focus at a
near distance die to a lessening of flexibility of the crystalline lens and weakening
of the ciliary muscles which control lens focusing
Study online at https://quizlet.com/_1gbg09
1. Nurse Practition- 1. History
er Process 2. Assessments
3. Labs/Diagnostic
4. Diagnosis
5. Least invasive, least expensive
6. First Line treatment
2. Nurse Practition- 1. Introduction
er Process Con- 2. CC
tinues 3. ROS
4. Physical Exam
5. Plan
6. First line tx
3. Infection Mark- Rheumatic Fever- (ESR), (C-reactive)
ers Lupus- (ESR), C-reactive, ANA
Erythrocyte Sed- Rheumatoid Arthritis - ESR, ANA
imentation rate
(ESR)
Antinuclear anti-
bodies (ANA)
C-Reactive Pro-
tein
4. Lymph Nodes Located throughout the body, but visible and palpable when they are enlarged or
swollen.
, FNP (boards study review)
Study online at https://quizlet.com/_1gbg09
5. Epitrochlear Epitrochlear lymph nodes- drains from the hand and forearm proximally via
Lymph Nodes epitrochlear lymph node
6. High Potency causes atrophy, telangiecatasia (spider veins), purport, and striae if used on the
Steroids face
7. Fundoscope The examiner
Exam a. Uses right hand for ophthalmoscope, uses right eye for pts right eye
b. Start with wheel at 0
c. Starts about 12'' from the patient with both eyes open
d. Moves in to within 1-2'' from the patient's eye
e. Should function as one with ophthalmoscope
2. After obtaining a red reflex, exam should proceed from the optic disc and end
with fovea of each eye
Inspection of the Optic Disc
1. Shape: Doughnut-like with an orange/pink neuroretinal rim and a central white
depression (physiological cup)
2. Cup disk ratio: Cup should not be more
than 1/2 the size of the diameter of disk diameter, the optic disk is area where
optic nerve and blood vessels enter the retina (if larger, consider glaucoma)
, FNP (boards study review)
Study online at https://quizlet.com/_1gbg09
Retinal vessels
1. Arteries are brighter and narrower than veins; A:V ratio = 2:3 or 4:5, if raised
area where a artery and a vein meet
- Hypertension (AV Nickling)
8. Glaucoma optic
disk
9. Macula 1. Creamy yellow Centered: 2-2.5 disc diameter temporal to the optic disk and is
avascular
- Have the pt look directly in the scope if macula is difficult to visualize, or have the
patient look directly into the light
2. The fovea centralis is a 2.5 mm-diameter reflective area that looks slightly darker
and lies in the center of the macular region
- The fovea is composed of closely packed cones on the eye
-located in the center of the macula
-responsible for sharp central vision
3. Patient should look directly into the light of the ophthalmoscope, if the macula
is difficult to visualize
10. Cones of the eye Responsible of color
, FNP (boards study review)
Study online at https://quizlet.com/_1gbg09
11. Visual Acuity 1. Snellen eye chart: 20/20 means that "the patient can see at 20 feet what the
-Snellen Chart normal person can see at 20 feet" (the larger the denominator, the poorer the
patient's vision)
-20/40 = a person can see at 20 feet what the normal person (without impair-
ment) can see at 40 ft
-If 20/30 = Referral stage
CN II = Snellen chart
12. Hyperopia "Farsightedness" (on freeway and can't see the signs)
13. Myopia Nearsightedness
14. Presbyopia Common after age 40; results in greater difficulty maintaining a clear focus at a
near distance die to a lessening of flexibility of the crystalline lens and weakening
of the ciliary muscles which control lens focusing
