HEENT System with all Correct & 100% Verified
Answers |Latest Update |Already Graded A+
What should the nurse include in a H&P of the head and neck? (4 bullet points) ✔Correct Answer--
Head trauma
-LOC? Is client able to have a conversation?
-Headache? Is it recurring?
-Risk assessment (use of safety helmets, etc.).
What is a common cause of head trauma? ✔Correct Answer-Falls
What can the nurse note when inspecting the head and neck? (5 bullet points) ✔Correct Answer--
Midline of trunk.
-Assess face for symmetry.
-Size, shape, contour of skull.
-Trachea midline.
-Jugular Vein Distention.
What should the nurse include in a H&P of the eyes? (7 bullet points) ✔Correct Answer--
Glaucoma.
-Retinopathy.
-Cataracts.
-Diabetes.
-HTN.
-Trauma/Surgery.
-Glasses/Contacts.
Define nystagmus ✔Correct Answer-Involuntary rhythmic movement of eyes.
What can the nurse note when inspecting the eyes? ✔Correct Answer--Symmetry.
-Clear or cloudy.
-Jaundiced.
-Pupil size and reactivity
Does the nurse measure pupil size before or after shining the light in the client's eyes? ✔Correct
Answer-measure size before shining light
What is PERRLA? ✔Correct Answer-Pupils equal, round, reactive to light and accommodation.
Define anisocoria and what does it indicate? ✔Correct Answer-Condition where one pupil is larger
than the other. May indicate neurological damage.
If a client presents with anisocoria, what is the first thing the nurse should ask? ✔Correct Answer-
Is this a new issue or is it normal?
Define cataract ✔Correct Answer-Condition where the lens of the eye becomes cloudy
Define ectropion ✔Correct Answer-Eyelid turns outward
, Define entropion ✔Correct Answer-Eyelid turns inward
Define ptosis ✔Correct Answer-Droopy eye
What are common causes of ptosis? ✔Correct Answer-Genetics, extreme fatigue, or trauma.
How does vision change with aging? (6 bullet points) ✔Correct Answer--Decreased
accommodation to near or far vision (myopia and presbyopia).
-Difficulty adjusting from light to dark.
-Yellowing of the lens.
-Altered color perception.
-Smaller pupils.
-Increased sensitivity to glare.
What is the normal pupil size? ✔Correct Answer-3-7 millimeters (mm)
What should the nurse include in a H&P of the ears? (7 bullet points) ✔Correct Answer--Pain.
-Itching.
-Vertigo
-Tinnitus
-Hearing problems.
-Occupation.
-Trauma.
Vertigo is often caused by what kind of infection? ✔Correct Answer-Inner ear infection
What can be an early predictor of hearing loss? ✔Correct Answer-Tinnitus
What are common causes of tinnitus? ✔Correct Answer-Injury, overexposure to loud noise, or
medications
What can the nurse note from inspecting the ears? (4 bullet points) ✔Correct Answer--External ear
structure (symmetry).
-Cerumen (normal).
-Other drainage.
-Lesions or wounds.
How does hearing change with aging? (4 bullet points) ✔Correct Answer--Loss of hearing for high-
frequency tones (presbycusis).
-Thickening of tympanic membrane.
-Sclerosis of inner ear.
-Build-up of cerumen.
What H&P is relevant for nose, mouth, and pharynx? ✔Correct Answer--Trauma to nose.
-Hx of allergies
-Epistaxis
-Use of nasal sprays.
-Dentures
-Weight loss
-Use of tobacco products.
-Alcohol consumption
Answers |Latest Update |Already Graded A+
What should the nurse include in a H&P of the head and neck? (4 bullet points) ✔Correct Answer--
Head trauma
-LOC? Is client able to have a conversation?
-Headache? Is it recurring?
-Risk assessment (use of safety helmets, etc.).
What is a common cause of head trauma? ✔Correct Answer-Falls
What can the nurse note when inspecting the head and neck? (5 bullet points) ✔Correct Answer--
Midline of trunk.
-Assess face for symmetry.
-Size, shape, contour of skull.
-Trachea midline.
-Jugular Vein Distention.
What should the nurse include in a H&P of the eyes? (7 bullet points) ✔Correct Answer--
Glaucoma.
-Retinopathy.
-Cataracts.
-Diabetes.
-HTN.
-Trauma/Surgery.
-Glasses/Contacts.
Define nystagmus ✔Correct Answer-Involuntary rhythmic movement of eyes.
What can the nurse note when inspecting the eyes? ✔Correct Answer--Symmetry.
-Clear or cloudy.
-Jaundiced.
-Pupil size and reactivity
Does the nurse measure pupil size before or after shining the light in the client's eyes? ✔Correct
Answer-measure size before shining light
What is PERRLA? ✔Correct Answer-Pupils equal, round, reactive to light and accommodation.
Define anisocoria and what does it indicate? ✔Correct Answer-Condition where one pupil is larger
than the other. May indicate neurological damage.
If a client presents with anisocoria, what is the first thing the nurse should ask? ✔Correct Answer-
Is this a new issue or is it normal?
Define cataract ✔Correct Answer-Condition where the lens of the eye becomes cloudy
Define ectropion ✔Correct Answer-Eyelid turns outward
, Define entropion ✔Correct Answer-Eyelid turns inward
Define ptosis ✔Correct Answer-Droopy eye
What are common causes of ptosis? ✔Correct Answer-Genetics, extreme fatigue, or trauma.
How does vision change with aging? (6 bullet points) ✔Correct Answer--Decreased
accommodation to near or far vision (myopia and presbyopia).
-Difficulty adjusting from light to dark.
-Yellowing of the lens.
-Altered color perception.
-Smaller pupils.
-Increased sensitivity to glare.
What is the normal pupil size? ✔Correct Answer-3-7 millimeters (mm)
What should the nurse include in a H&P of the ears? (7 bullet points) ✔Correct Answer--Pain.
-Itching.
-Vertigo
-Tinnitus
-Hearing problems.
-Occupation.
-Trauma.
Vertigo is often caused by what kind of infection? ✔Correct Answer-Inner ear infection
What can be an early predictor of hearing loss? ✔Correct Answer-Tinnitus
What are common causes of tinnitus? ✔Correct Answer-Injury, overexposure to loud noise, or
medications
What can the nurse note from inspecting the ears? (4 bullet points) ✔Correct Answer--External ear
structure (symmetry).
-Cerumen (normal).
-Other drainage.
-Lesions or wounds.
How does hearing change with aging? (4 bullet points) ✔Correct Answer--Loss of hearing for high-
frequency tones (presbycusis).
-Thickening of tympanic membrane.
-Sclerosis of inner ear.
-Build-up of cerumen.
What H&P is relevant for nose, mouth, and pharynx? ✔Correct Answer--Trauma to nose.
-Hx of allergies
-Epistaxis
-Use of nasal sprays.
-Dentures
-Weight loss
-Use of tobacco products.
-Alcohol consumption
