Exam (elaborations)
nur 310 exam 2 - head, neck, neuro questions with complete solutions
- Course
- NUR 310
- Institution
- University Of Alabama - Birmingham
nur 310 exam 2 - head, neck, neuro questions with complete solutions
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nur 310 exam 2 - head, neck, neuro questions with completesolutions
____ nystagmus at extreme lateral gaze is normal; nystagmus at
any other position is not. Correct Answer mild
a ___ in orientation can be a manifestation of a medical
emergency such as a stroke. the nurse needs to gather additional
info if the patient has an orientation deficit to plan an optimal
course of care. Correct Answer change
a person must be able to read a line correctly with no more than
___ errors. Correct Answer 2
a sticky, yellow discharge accompanies otitis external or may
indicate otitis ___ if the drum has ruptured. Correct Answer
media
acquired bilateral exophthalamos is associated with... Correct
Answer hyperthryoidism
african americans may have yellowish fatty deposits beneath lids
away from the cornea; do not confuse this with ____. Correct
Answer jaundice
after conducting a health history interview, what will the nurse
do? Correct Answer progress to using techniques of inspection
and palpation to gather objective data
are tonsils graded by size? Correct Answer yes
,as the denominator increases, the distance vision _____. Correct
Answer decreases
assess lateral jaw movement by... Correct Answer asking the
patient to move their jaw from side to side. note any tenderness
or immobility.
assess range of motion of the neck by... Correct Answer asking
the individual to move the neck through the range of motion
positions (ie drop chin to chest and then roll head in full circle).
observe for any limitation in movement. the neck should move
without any discomfort
assess the corneal reflex by... Correct Answer touching the
cornea with a sterile wisp of cotton; normally the person should
blink. (only done on an unconscious person)
assess the sensation of skin of face by... Correct Answer
instructing the patient to close their eyes. with a safety pin,
touch the forehead, cheeks, and jaw area with the point of the
safety pin, intermittently substituting the blunt end of the pin.
have the person tell you whether it is sharp or dull. compare
each side of the face
assessment of lips Correct Answer inspect for color, moisture,
cracking, or lesions. using a gloved hand, retract the lips and
note the inner surface as well all racial groups have lips that are
deeper or pinker than facial skin
assessment of nose Correct Answer inspect and palpate for
symmetry; normally the nose is midline and proportional to
,other facial features. inspect for any deformity, asymmetry,
inflammation, or skin lesions. if an injury is reported or
suspected, palpate gently for any pain, or break in contour
auricle Correct Answer external/outer ear; need to inspect and
palpate
auscultate for carotid bruits by... Correct Answer placing the
bell of the stethoscope beginning at the base of the artery. listen
each time you move up and toward the chin. ask the person to
hold their breath as you auscultate
bruit Correct Answer blowing, swooshing sound heard through
a stethoscope when an artery is partially occluded
bruits are only heard over ____ Correct Answer arteries
buccal mucosa Correct Answer mucous membrane lining the
cheek
bulbar conjunctiva Correct Answer the transparent membrane
of the sclera. it appears a whitish color because of the sclera
beneath it
can you usually palpate a normal adult thyroid? Correct Answer
no
cerumen Correct Answer ear wax; the color varies from gray-
yellow (fresh) to light brown and black (old), and the texture
varies from moist and waxy to dry and desiccated. a large
, amount of cerumen obscures visualization of the ear canal and
drum.
cheilitis Correct Answer severe cracking at the corners of the
mouth
chronic allergies Correct Answer individuals with allergies
such as hay fever will have swollen, boggy, and pale or grayish
mucous membranes
cone of light Correct Answer the reflection of the otoscope
light; landmark of the tympanic membrane
conjuctiva Correct Answer a delicate membrane that protects
the outer surface of the sclera and the inner surface of the eyelid
consensual response pupils Correct Answer opposite eye
responds in the same way as direct one
constriction of the pupils and convergence of the eyes are _____
findings. Correct Answer abnormal
corneal abrasion Correct Answer similar to scratch marks;
causes irregular ridges in reflected light, producing a shattered
look to light rays
cover-uncover test Correct Answer this test detects small
degrees of deviated alignment by interrupting the fusion relx
that normally keeps two eyes parallel
cranial nerve 10 Correct Answer vagus
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