what is the clinical manifestation of the retinal detachment - ANS ✓diminish
vision
what technique will the nurse use when assessing for extra ocular
movement of the eyes? - ANS ✓6 cardinal field of gaze.
H method and wheel wagon method
what is the leading cause of blindness - ANS ✓retinopathy
enlarge lymph nodes indicates a sign that is - ANS ✓infection
normal finding when palpating the lymph nodes in a adult?
children’s lymph nodes are? - ANS ✓non palpable-adult
children’s: palpable lymph nodes refer to MD
NURS190/ NURS
, 2
NURS
when testing the integrity of cranial nerve 3 - ANS ✓ocular motor
what should the nurse advice the patient to look up and down w. out moving the
head
assessing pt. using the otoscope and you see white patches - ANS ✓scarring
from previous infection
testing for Romberg test - ANS ✓conduct for 20 seconds. Stand erect feet
together, hands at the sides, and eyes closed. Support patients front and back.
Normal: swaying.
Abnormal: swaying front to back or side to side more than 2".
+ for romper test - ANS ✓patient is sawing side ways
when patient has a + romper test to eliminate the needs of your patient
what should the patient have? - ANS ✓bedside commode.
snellen test 20/40 - ANS ✓20 feet away from chart
40 feet away from the chart and still can read it
NURS190/ NURS
, 3
NURS
20/200 - ANS ✓legally blind
-Classic migraine: - ANS ✓preceded by aura, patient sees spots and flashes of
light, halos, patient will feel nauseated, experience numbness or tingling
sensation of the face and extremities
-Sinus: - ANS ✓caused by sinus infection
-Tension: - ANS ✓SLOW onset, pain is steady, associated with stress or
overwork, starting from the cervical region to the top of the head, unilateral or
bilateral
-Cluster: - ANS ✓numerous that occurs over a period of days or months, no aura,
SUDDEN onset, associated with alcohol consumption, stress, or emotional
distress, lasts few minutes-hours
Differentiate:
Entropian - ANS ✓upper lid is inverted into the eye, causing irritation
Ectropion: - ANS ✓lower lid is everted downward, exposing the conjunctiva
Most common type of hyperthyroidism is... - ANS ✓graves dx
NURS190/ NURS
, 4
NURS
when is the best time for an elderly client to perform a Self breast exam -
ANS ✓same day every month
when is best for a pt. that is still menstruating to do a SBE... - ANS ✓wait 3-5
days when the hormones are more stable
Most common cause for benign nipple discharge in post menopausal
patient, complaining of leakage of serum or bloody discharge of the breast -
ANS ✓Intraductal papilloma
client has orange or pale skin on skin of breast - ANS ✓malignancy or cancer
any change in consistency of breast lump must be... - ANS ✓further evaluated
MD
what is the most reliable indicator or central cyanosis w. asthma - ANS
✓oral mucosa
Using the Whispered Pectoriloquy assessing a pt bilateral PNA on both
lungs are filled with fluid - ANS ✓sounds are clear and loud bilaterally
what is the functional unit of the lungs? - ANS ✓alveoli
NURS190/ NURS
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