Arizona College of Nursing Health Assessment Exam 2 Questions & Answers Solved 100% Correct!!

A bull's-eye rash is associated with Lyme disease - Iris Cluster headache - pain is in and around one eye cochlear nerve - carries auditory information to the brain Crackle - abnormal respiratory sound heard on auscultation, caused by exudates, spasms, hyperplasia, or when air enters moisture-filled alveoli; also called rale Crepitus - a crackling or grating sound usually of bones CT scan (computed tomography) - takes x ray photos from different angles Epistaxis - nosebleed How long should capillary refill take? - less than 2 seconds How many teeth does the average human have? (with wisdom teeth) - 32 teeth hyperopia - farsightedness incus, stapes, malleus - Three bones of the middle ear (auditory ossicles) migrane headache - a very severe headache that occurs on one side of the head, often preceded by a warning sensation and sometimes accompanied by dizziness, nausea, or vomitingMRI (magnetic resonance imaging) - a technique that uses a magnetic field to create a computerized image of internal bodily structures Myopia - nearsightedness Palpating Tactile Fremitus - to palpate voice sound vibrations through the bronchi (hands on back) palpebral fissure - opening between eyelids PERRLA - pupils equal, round, reactive to light and accommodation pleural fricton rub - Low pitched deep rubbing sound presbyopia - farsightedness caused by loss of elasticity of the lens of the eye, occurring typically in middle and old age. Pressure ulcer healing tool - Push tool Rinne test - hearing acuity test performed with a vibrating tuning fork that is first placed on the mastoid process and then in front of the external auditory canal to test bone and air conduction Ronchi - Rhonchi are breathing sounds that are indicative of an airway obstruction (snores) Sensorineural hearing loss - the most common form of hearing loss, also called nerve deafness; caused by damage to the cochlea's receptor cells or to the auditory nerves Sinuses - frontal, maxillary, ethmoid, sphenoidT4 (thyroxine) and T3 (triiodothyronine) - increases metabolism and basal metabolic rate (BMR) Tension headache - Frontal lobe area Thoracentesis - surgical puncture to remove fluid from the chest Three abnormal nail findings - Onychomycosis, spoon nails, nail pitting Two types of body hair - vellus hair and terminal hair types of sweat glands - eccrine ( hands and feet) and apocrine (armpits and groin) vestibular nerve - nerve that conducts impulses related to maintaining balance to the brain Weber test - Test done by placing the stem of a vibrating tuning fork on the midline of the head and having the patient indicate in which ear the tone can be heard. What angle should the nail bed be at? - 160 degrees What is a bruit and what does it indicate? - Whooshing sound in the arteries. Indicates partial obstruction. What units are wounds measured in - cm White moon shape on the nail - lunula Why do we assess wounds? - To monitor for healing/ infection Why palpate a head - Tenderness, masses, depressions, wounds, macrocephalyWound assessment equipment - Tape measure, pen light, PPE wound dehiscence - separation of the layers of a surgical wound; may be partial, or superficial only, or complete, with disruption of all layers wound evisceration - protrusion of internal organs and tissues through incision Xerostomia - Dryness of the mouth caused by reduction of saliva