NSG 500 - Advanced Health Assessment Exam 2 Question: Symptoms of tympanic membrane rupture Answer: Bloody/yellow discharge from ear, pain, hearing loss, tinnitus Question: Laryngeal obstruction Answer: Stridor Question: How to examine the ear in children vs. adults, and considerations in geriatrics Answer: Children/infant: Below 3 years old, down and back Adults: 3+ older, UP and back. Question: Risk factors for cataract development Answer: -#1 risk factor: diabetes -old age, -tobacco use, -obesity, -prolonged exposure to sunlight/uv light -long term corticosteroid use (chrohn's disease and prednisone) Question: Indicators of hypertensive retinopathy during eye exam Answer: -Cotton wool bodies, AV nicking (most common) -Disc edema, narrowing -flame shaped hemorrhages Question: Evaluation of hearing in pediatrics: at what age can an infant turn their head to their parent's voice? (Also known as the moro reflex) Answer: 4-6 mon ths Question: Nasal exam findings for drug abuse (like snorting cocaine) Answer: deviation or septal perforation, nasal damage, chronic congestion, chronic sniffing, nose bleeds Question: (Respiratory - 23:44) Diaphragmatic excursion and normal findings Answer: You're assessing for symmetry and how far lungs are able to expand; in normal findings; 5 -6 cm If this number is increased that would be concern for a pleural effusion. Question: Normal respiratory r ate to HR ratio Answer: 1:4 Question: How to perform percussion; how should the patient be placed? -What would give you dull sounds? Answer: The patient should be placed sitting up, and you want them, ideally, their arms folded and leaning forward and overtop something like a bedside table or chair and leaning forward. This is to help increase the surface area of lung fields. -Dull sounds wou ld indicate pleural effusion/pneumonia Question: Lung exams on infants; what should you NOT do? Answer: -No percussion! -Auscultate lungs first, because they'll scream! Question: As you age/older adult, what happens to your diaphragmatic excursion? Answer: -As you age, you have decreased diaphragmatic excursion due to decreased elasticity in the lungs
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller quiz_bit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for R153,22. You're not tied to anything after your purchase.
