GNUR 238 Exam III Questions And Answers 100% All Verified
GNUR 238 Exam III Questions And Answers 100% All Verified sensory perception - ANS--most people come into the ER with an issue with this (senses) -need to figure out if there is something wrong with the anatomy or the brain -different from neurological function HEENT assessment: skin inspection - ANS--make sure privacy is maintained by exposing only the body part being examined. -Observations of each part of the body are precisely documented, including pressure areas, skin breakdown, skin odors, unusual position of leg folds, condition of axillae skin and the area under the breasts, and any lesions or incision sites. -can be conducted while patients are sitting on an examination table or bed. -If abnormalities are noticed during inspection, the involved areas should be palpated. -A mental note should be made of the distribution and symmetry of hair, skin coloring, markings, and lesions. Inspect for General Color and Uniformality - ANS--note color, pigmentation, vascularity, bruising (ecchymosis), petechiae, lesions, discolorations, or unusual odors - color: red, pale, yellow, blue, etc. -consistent over body surfaces except for vascular areas (genitalia, cheeks, upper chest) -consistent with race/heritage -Color: look for increased pigmentation (brownness), loss of pigmentation, redness, pallor, cyanosis, yellowing of the skin (ex: jaundice- inspect sclera, conjunctiva, lips, under the tongue. Difference in Light Skin and Dark skinned clients- Cyanosis - ANS-light skin- grayish-blue tone, especially in nail beds, earlobes, lips, mucous membranes, palms, and soles of feet dark skin- ashen-gray color most easily seen in the conjunctiva of the eye, oral mucous membranes, and nails beds Difference in Light Skin and Dark skinned clients- Jaundice - ANS-light skin- yellowish color of skin, scalera of eyes, fingernails, palm of hands, and oral mucosa dark skin- yellowish-green color in palms of hands and soles of feet Difference in Light Skin and Dark skinned clients- Pallor - ANS-light skin- pale skin color that may appear white dark skin- skin tone appears lighter than normal; ashen. Specifically evident is the loss of underlying healthy red tones of the skin otoscope - ANS-instrument used for visual examination of the ear/ looking at tympanic membrane ophthalmoscope - ANS--instrument used to examine the interior of the eye -get red light reflex (people with eye disorders dont have red light reflex) tuning fork - ANS--check hearing; used during the Rinne Test -help identify what type of hearing loss they have -people tend to lose high pitch as they age CACO - ANS--acronym to use whenever something is coming out of the body -Color -Amount -Consistency -Odor -hoping for clear, thin, and odorless Eye History - ANS--History of present illness: red eye, vision, pain, secretions -Past medical history: trauma, eye surgery, chronic illness...
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