NUR 2180 Physical Assessment Module 7 Quiz HEENT

NUR 2180 Physical Assessment Module 7 Quiz HEENT 1. Types of Charts used for eye exams: snellen and jaeger 2. What does 20/20 vision mean?: What a person with perfect vision can see at 20 feet, you can also see at 20 feet 3. What does 20/50 vision mean?: A child standing 20 feet away from an eye chart can see it as well as an adult (or someone with perfect vision) standing 50 feet away 4. Vision standard for jaeger test?: 14/14 5. What does PERRLA mean?: Pupils are Equal, Round, Reactive to Light and Accommodate 6. How do we assess pupils being equal and round?: looking to see if they are symmetrical or not or if they are not round 7. How do we test if the pupils are reactive to light?: shine a light in the eye to see if the pupil constricts or not 8. What is consensual reflex?: constriction of the pupil in the other eye when light is shined in one 9. How do we assess accommodation of the eyes: ask client to look at pen light and move it close and away from the eyes to see if the eyes dilate when far and constrict close up. 10. How do we assess eye movement?: 6 cardinal gaze test, ask client to follow finger in 6 different ways 11. What do we look for in eye movement test?: smooth pursuit, any jerking of the eyes, inability to follow, any eye lagging 12. How do we assess nare patency?: The examiner will occlude one nostril at a time and ask the patient to breathe and if they can easily the nare is pate 13. How do we assess the uvula?: inspect it too see if midline, abnormally shaped, color, and size. ask patient say ahh and watch it rise midline. 14. Different lymph nodes. KNOW TYPES AND LOCATION THERE WILL BE A PHOTO ASKING YOU TO LABEL THE NODE!: preauricular postauricular occipital superficial cervical deep cervical posteror cervical supraclavicular submandibular submental tonsillar parotid 15. How can we assess hearing?: whisper test or finger rub 16. whisper test: A hearing test in which the examiner stands 28-24 inches from one of the patient's ears, has the person block sound in one ear and whispers a random set of 3 numbers and letters (or three non-related words) into the other ear, asking the person to repeat what was heard. 17. Finger rub test: you ask the person to close their eyes and you rub your fingers and ask the patient what ear it was heard in 18. How do we assess the temporomandibular joint?: You place your finger on the joint and ask the client to clench their jaw and if there is no popping or crackling felt or heard it is normal 19. normal finding for lymph nodes: nonpalpable, nontender, without pain 20. abnormal finding for lymph nodes: enlarged and seen, tender, palpable, any redness or abnormal coloring 21. What is the red light reflex?: Shine light with consensual constriction= reflec- tion of light off the retinal, white= bad for cancer, red is good 22. Abnormal findings for the nares: Holes and circles of light. Devated septum, masses or bleeding in the nares, non patent nares. Any abnormal colored dis- charge, abnormal growths ,foreign bodies. 23. Grading scale for tonsils: 1= they are visible 2=halfway between the tonsillar pillars and uvula 3=touching the uvula 4=touching each other 0=absent tonsils (removed) 24. Why do we check for head symmetry, hair and pests: to see if there is trauma, masses, swelling, lesions, infection, and the potential to spread so we can treat 25. What does the confrontation test look for and how do you do it?: It assesses the perhipheral vision. How you do it is that you face the clinet and move your hand closer to self and when they see your hands you should as well 26. How do we pull the pinna in adults: up and back 27. How do we pull the pinna in children: down and back 28. How to assess the thyroid gland: stand behind client, they tilt head back and ask client to swallow and feel for a throat rise 29. Abnormal findings of mouth: redness, bleeding, cavities, plaque, lesions, paralysis, crepitus, tooth loss or decay,