NR 509: Module 7 Advanced Physical Assessment

During the eye exam the NP should attempt to visualize the physiologic cup. Which of the following is true about the physiologic cup? It lies medial to the retinal vessels It appears light colored in dark-skinned clients It is best visualized with the blue light of the scope **Blurring of the nasal outline is normal On ophthalmic examination, there appears to a narrowing or blocking of the vessels. The significance of this finding is... **The client needs to be evaluated for chronic hypertension. This may be indicative of increased ocular pressure associated with glaucoma The finding may be associated with papilledema causing decreased venous drainage. This may represent a small embolus in the retinal vessels. Ms Shell presents with sinus pain, pressure, and yellow nasal discharge. Your examination of the patient would include palpation & transillumination of the... Ethmoid & frontal maxillary & sphenoid **Frontal & maxillary Sphenoid & ethmoid Which of the following should be assessed in a client with a potential corneal abrasion? **Visual acuity Extraocular movements Color acuity Amblyopia A 3-year-old boy is brought to the office because he has had a fever and has been tugging on his right ear since yesterday. He has had clear drainage from his nose. On physical examination of the ear, the right tympanic membrane is red and bulging with loss of landmarks. There is no purulent drainage. What is your most likely diagnosis? Serous effusion **Otitis media Tympanosclerosis Perforated eardrum Facial features are initiated by which cranial nerve