NSG 316: TOPIC 12-Questions with Correct Answers/Verified
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Course
NSG 316
Institution
NSG 316
Mouth and Throat-Preparation -️️o Position person sitting up straight with his or her
head at your eye level.
o If person wears dentures, offer a paper towel and ask person to remove them.
lips: african americans -️️o African Americans normally may have bluish lips and a dark
line on gi...
NSG 316: TOPIC 12-Questions with Correct Answers/Verified
Mouth and Throat-Preparation - ✔️✔️o Position person sitting up straight with his or her
head at your eye level.
o If person wears dentures, offer a paper towel and ask person to remove them.
lips: african americans - ✔️✔️o African Americans normally may have bluish lips and a dark
line on gingival margin
normal gum appearance - ✔️✔️o Pink or coral with a stippled (dotted) surface
o Tight and well-defined
gums: african american - ✔️✔️o African Americans normally have a dark melanotic line
along gingival margin
Stensen's duct - ✔️✔️opening of parotid salivary gland
Leukoedema - ✔️✔️benign grayish opaque area - normal finding in African Americans &
East Indians
Fordyce's granules - ✔️✔️o small white or yellow papules on mucosa, tongue and lips (not
significant)
anterior hard palate appearance - ✔️✔️white with irregular transverse rugae
posterior soft palate appearance - ✔️✔️pinker, smooth, and upwardly movable
Torus palatinus - ✔️✔️normal; nodular bony ridge down middle of hard palate
Tonsils graded in size as follows: - ✔️✔️- 1+ Visible
- 2+ Halfway between tonsillar pillars and uvula
,- 3+ Touching uvula
- 4+ Touching each other
normal healthy tonsil grade - ✔️✔️1+ or 2+
Touching posterior wall with tongue blade elicits what? testing... - ✔️✔️gag reflex; this
tests cranial nerves IX and X, the glossopharyngeal and vagus.
Test cranial nerve XII, hypoglossal nerve, by - ✔️✔️asking person to stick out tongue;
§ should protrude in midline; note any tremor, loss of movement, or deviation to side.
Edentulous person appearance - ✔️✔️mouth and lips fold in, giving a "purse-string"
appearance
aging adult: GI function - ✔️✔️-Salivation decreases (dry mouth and decreased sense of
taste)
-Esophageal emptying and gastric acid secretion are delayed
-Incidence of gallstones increases
-Decreased liver size, most liver functions remain normal; (however, drug metabolism is
impaired)
-frequent constipation
aging adult: common causes of constipation - ✔️✔️o Decreased physical activity
o Inadequate intake of water
o Low-fiber diet
o Side effects of medications
o Irritable bowel syndrome
o Bowel obstruction
o Hypothyroidism
o Inadequate toilet facilities, difficulty ambulating to toilet
, recommendations for obesity - ✔️✔️o healthy food patterns,
o decreased consumption of sweetened/processed foods,
o increased physical activity
when doing the physcal exam of teh abdomen, you always want to... - ✔️✔️Auscultate
prior to palpation and percussion
inspection of the abdomen: contour - ✔️✔️Determine profile from rib margin to pubic
bone; contour describes nutritional state and normally ranges from flat to rounded
-FLAT, ROUNDED, SCAPHOID, PROTUBERANT
normally the umbilicus is - ✔️✔️midline and inverted, with no sign of discoloration,
inflammation, or hernia
good skin turgor on the abdomen reflects... - ✔️✔️healthy nutriton
how do you assess skin turgor - ✔️✔️gently pinch up a fold of skin; then release to note
skin's immediate return to original position
striae - ✔️✔️striae, silvery white, linear, jagged marks about 1 to 6 cm long
Occur when elastic fibers in reticular layer of skin are broken after rapid or prolonged
stretching, as in pregnancy or excessive weight gain
recent striae are what color - ✔️✔️pink or blue
older striae are what color - ✔️✔️silvery white
Pigmented nevi (moles) - ✔️✔️circumscribed brown macular or papular areas, common on
abdomen
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