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. 1 / 4
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 months 2 / 4
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 rate to HR ratio
Answer:
1:4
- / 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 would 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
- / 4