Exam (elaborations)
NURSING MIDTERM.
Exam of 10 pages for the course NUR 266 at NUR 266 (NURSING MIDTERM.)
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NURSING MIDTERM-
Adult ear exam - pull ear up and back
ALOPECIA - hair loss
ARCUS SENILIS - thin white ring along the margin of the iris
At the end of the breast exam, how do you check for nipple discharge? - pinch nipple
BULLA - Large blister containing watery fluid
B
cataract - CATARACT is accumulation of lens layers due to EXCESS exposure to ultraviolet light
(sun)
cloudy extra lens layers
CERUMEN - ear wax
CHALAZION - a nodule or cyst, usually on the upper eyelid, caused by obstruction in a sebaceous
gland
minor lesion
Child ear exam - pull ear down and back
CN VII CONTROL - Motor Innervation
6 Facial Expressions (Check for Symmetry)
and taste on front 2/3 of tonged sugar and salt for sensory
CN XII Hypoglossal - tongue movement
move tounge
Conjunctivitis - inflammation of the conjunctiva, pink eye
DIPLOPIA - double vision
ECYMOSIS - bruising
ERYTHEMA - redness of the skin
ESCORIATION - repetitive and compulsive picking of skin which results in tissue damage
Examination of abdomen elderly vs youth - In elderly adults, the abdominal muscles are weaker
than in a young adult, so it is easier to examine their abdomen
EXOPTHALMUS - bulging eyes, often from thyroid disease
Five stages of grief - denial, anger, bargaining, depression, acceptance
, GLAUCOMA - due to EXCESS intraocular pressure due to anatomical blockage of drainage of
aqueous fluid, limits peripheral vision cause's eye pain
HIRSUTISM - excessive hair growth
excess male hormones (androgens), primarily testosterone
HORDEOLUM - sty; eye infection
hospice care - •Who: Those with close to zero chance of recovery
•What: helping patients live every day with the highest quality of life
•When: when a person has less than 6 months to live
•Where: at the home, hospital, hospice center, or nursing home
•Why: A person's dignity can be preserved and actually enjoy their remaining days rather than
keep trying new treatments.
HOW DO YOU CHECK FOR A GAG REFLEX? WHAT CRANIAL NERVES are INVOLVED in the
GAG REFLEX? - Use tongue depressor
Test by having patient open mouth, say AH; does soft palate and uvula rise?
Alternatively point a soft tip applicator into back of throat
Cranial nerve IX and X both enable SWALLOWING and GAG REFLEX- Glossopharyngeal and
Vagus
HOW DO YOU CHECK HEARING grossly ON A PHYSICAL EXAM? - Whisper test
HOW DO YOU CHECK THE EAR IN AN ADULT? - Auricle for masses, lesions, deformity,
placement
¡Move to check for pain
Tragus: Press to check for pain
Assess for Discharge
HOW DO YOU CHECK VISION ON A PHYSICAL EXAM? - Snellen chart
HOW DO YOU DESCRIBE AND DOCUMENT A MASS THAT IS FOUND IN THE BREAST? -
Location
Size
Shape
Consistency
Discreteness
Mobility
Tenderness
Erythema
Dimpling
Depth
remembers quadrants
HOW DO YOU DIVIDE THE ABDOMEN FOR DOCUMENTING PROBLEMS? - RUQ LUQ RLQ
LLQ
How do you elicit the most information from the patient - non-judgmental, open-ended questioning
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