Most common cause of facial paralysis and Damage to CN VII (facial)
Bell's palsy
abnormally small skull and large skull is called?
microcephaly and macrocephaly
a large, elongated bones, jaw, forehead, nose, lips shape of face is called?
Acromegaly
Unequal pupils caused by Nervous system injury is called.
Anisocoria
Ishihara Test is used to assess for what?
color vision
A newsprint that have patient hold 14 inches from eyes to assess for near vision is called?
Rosenbaum Chart
Cone of light reflection in the right ear tympanic membrane is seen at what angle on inspection with the otoscope?
5 o' clock
Which of the hearing test acuity has AC>BC as expected findings?
Rinne's test
To auscultate the heart sound at Erb’s point, where should the nurse place the stethoscope?
third left intercostal space at the left sternal border?
How should the nurse position the patient to assess jugular venous distention?
30-45 degrees supine
Which bedside test assesses the adequacy of collateral circulation to the hand?
modified allen's test
Mention 3 unexpected findings during mouth inspection.
Blue, white (circumoral pallor)
Dry/rough/lesions - Herpes
Cracks at corners (Cheilitis)
Where is the popliteal pulse palpated?
popliteal fossa, behind the knee?
Which heart sound occurs at the end of diastole, just before S1?
S4 Atrial gallop Tenne- ssee
What condition involves inflammation of a vein with clot formation?
What is thrombophlebitis?
Which grade of pitting edema leaves an indentation of approximately 6 mm that takes 1–2 minutes to resolve?
+3
An older adult reports difficulty hearing high-pitched sounds and understanding conversations, especially in noisy environments. Which age-related hearing change does the nurse suspect?
What is presbycusis?
an unexpected finding during inspection of precordium in a patient with hypertrophy is called?
lifts/heaves - sustained forceful thrusting of the ventricle during systole
What is the gentle, blowing or swooshing sound heard over the chest wall that may be an expected finding in children?
innocent (physiologic) heart murmur
In older adults, what age-related change causes the arteries to become harder
What is arteriosclerosis?
Which pulsation is located beneath or behind the sternocleidomastoid muscle, appears diffuse and undulating, and descends with inspiration?
jugular venous pulsation?
A patient presents with ulcers around the ankles and thickened, darkened skin. Which condition do these findings suggest?
What is chronic venous insufficiency
A patient has a toe wound, cool skin, diminished pulses, and pale skin that becomes dusky red when the leg is lowered. Which condition do these findings suggest?
arterial insufficiency?
Which part of the stethoscope should the nurse use, and where on the neck should it be placed to auscultate the carotid arteries for a bruit?
the bell, medial border of the sternocleidomastoid muscle, just below the angle of the jaw and at the mid-neck.
What are the 5 P’s associated with arterial occlusion
Pain, Pallor, Pulselessness, Paresthesia, Paralysis