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Corneal light reflex - Answer>>> performed by having patient look at penlight, the light reflex
should fall within the pupil bilaterally (in same spot)
- Esotropia: in turning of one or both eyes
- Exotropia: out turning of one or both eyes
Types of urinary incontinence - Answer>>> - Urge incontinence - due to an overactive bladder
- Stress incontinence - due to poor closure of bladder
- Overflow incontinence - due to either poor bladder contraction or blockage of the urethra
- Functional incontinence - due to medications or health problems making it difficult to reach the
bathroom
Muscle strength-how to rest and grade - Answer>>> - Ask the client to flex the muscle being
assessed and then to resist when you apply opposing force against the muscle
- 0-5 scale
• 0 = no movement (no muscle contraction)
• 1 = some contraction seen, but no movement of joint
• 2 = can move with support of nurse to remove effects of gravity
• 3 = can move against gravity, but not against any resistance (less than or equal to grade 3 is
considered disabled
• 4 = can move against slight to moderate resistance
• 5 = can move against full resistance
Osteoporosis - Answer>>> - Bone disease that is characterized by increased bone resorption and
decreased calcium absorption.
, - Bone becomes weak and may break from a fall
- Risk factors: age, gender, family history, rheumatoid arthritis, menopause, alcohol, smoking,
low BMI, poor nutrition, vitamin D deficiency, low dietary calcium intake, frequent falls,
insufficient exercise
- Recommended that you start getting screened at age 65 for women for 70 for men
menopause - Answer>>> cessation of menstruation due to estrogen deletion, complete after one
year of no menses, average age is 50 (+/- 8), can be surgically induced
Prostate enlargement - Answer>>> common condition as men get older, can cause
uncomfortable urinary symptoms such as blocking the flow of urine out of the bladder,
symptoms can include slow and frequent urination, difficulty starting urination, urinary stream
that starts and stops
Consensual reaction - Answer>>> reflex observed on one side of the body when the other side
has been stimulated
- Ex: shining light in left eye and right eye constricts
Otoscopic exam - Answer>>> In adults pull the ear up and in children pull down
Tympanic membrane - Answer>>> pearly gray, shiny, translucent, cone shaped light reflex
should be noted at 5 oclock in right and 7 oclock in left
- Abnormal: red, bulging membrane, decreased or absent light reflex
- Perforated membranes can occur from ear infections or foreign bodies (tubes)
Pinna - Answer>>> or auricle, visible ear
Tragus - Answer>>> flap of skin you press down when closing ears
Otitis media - Answer>>> bulging of tympanic media may indicate pressure
Otitis externa - Answer>>> inflammation of ear canal - swimmers ear, Would hurt to move
pinna or tragus