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MSN 610 HEENT Summary $12.39
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MSN 610 HEENT Summary

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This is a comprehensive and detailed summary on HEENT(head, eyes, ears, nose, and throat).

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  • November 24, 2024
  • 11
  • 2024/2025
  • Summary
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anyiamgeorge19
1. Preparation and Introduction

 Scan the Entire Room

o Ensure the examination area is clean, organized, and free from
distractions.
o Verify that all necessary equipment (e.g., otoscope, penlight,
ophthalmoscope) is available and functioning.
 Identify Yourself and Show Identification

o Script: “Hello, my name is [Your Name], and I am a Student
Nurse Practitioner. May I see your ID, please?”
o Verify patient identity using ID card.
 Introduce Yourself to the Patient

o Script: “I will be performing a head, eyes, ears, nose, and throat
exam today.”
 Orient the Patient to the Exam Process

o Explain each step of the exam briefly to reduce patient anxiety
and ensure cooperation.
 Obtain Permission to Perform the Exam and Record It

o Script: “Do I have your permission to perform this exam and
record it for educational purposes?”
 Hand Hygiene

o Action: Wash hands thoroughly or use hand sanitizer before
starting the exam.


2. Patient Introduction and Vital Signs
 Patient Information

o Example:

 Age: 32-year-old male

 General Appearance: Well-nourished, seated in an
upright position

,  Mobility: No noted mobility issues
 Vital Signs
o Measure and Document:

 Blood Pressure (BP): 118/62 mmHg
 Heart Rate (HR): 78 bpm
 Respiratory Rate (RR): 16 breaths per minute
 Oxygen Saturation (SpO₂): 99% on room air

 Temperature: 98.4°F orally


3. General Appearance Assessment
 Assess Mobility, Posture, Nourishment, and Stated Age
o Example Findings:

 Mobility: Normal
 Posture: Upright, no abnormalities
 Nourishment: Well-nourished

 Age Appearance: Appropriate for stated age


4. Head Inspection and Palpation
 Inspect Skin Characteristics

o Look for Abnormalities: Dryness, redness, cracking
o Example Findings: Warm, dry skin, pink; no abnormal
involuntary movements

 Inspect Symmetry of Eyes and Ears

o Example Findings: Eyes and ears are symmetrical and midline
 Inspect Eyebrows, Eyelids, and Eyelashes

o Example Findings:

 Eyebrows: Midline and symmetrical

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