Cranial Nerves
Observe client's uvula for symmetry by having the client say ah
(2 cranial nerves)
What are Glossopharyngeal and Vagus?
Used to assess Optic Nerve
What is Snellen chart?
visual acuity
Two patient identifiers
What is name and birthday?
Raised, red, well defined lesion, less than 1 cm
What is Papule?
A
What is Asymmetry?
Lymphatic System
Raise eyebrows, puff cheeks, smile, frown
What is facial?
Assess Acoustic Nerve
What is Whisper Test?
OPQRST for pain assessment
What is
O-onset
P-provocation and palliates
Q-quality
R- radiates/region
S- severity
T- timing
Silvery, scaly patches
What is psoriasis
B
What is Border?
Shrug shoulders
What is Accessory?
Assess Olfactory Nerve
What is close eyes and have identify different smells?
Suspect a stroke, act FAST.
What does FAST stand for?
What is
F-facial drooping/symmetry
A-arm weakness
S-speech slurred
T- time to act/call911
Clear, fluid filled lesions measuring less than 1 cm
What is Vesicle?
C
What is color?
Close eyes, touch cheek with cotton ball
What is trigeminal?
Eye movement down and laterally
What is trochlear?
Assess this part of the body to distinguish the difference between sharp and dull sensations.
What is the skin?
Solid, raised lesion about 2 cm in diameter
What is Nodule?
D
What is diameter?
Stick out tongue
What is Hypoglossal?
Eyes moving laterally
What is Abducens?
Test function of this area of the brain by having client stand with feet together and close eyes. Performing the Romberg Test.
What is Cerebellar Function?
Elevated fluid filled lesions measuring more than 2 cm
What is Bulla?
E
What is Evolution?
Skin (8)
What is
Barrier to UV radiation
Assists with Thermoregulation
Synthesizes Vit D
Assists with secretion through sweating
Barrier to harmful microorganisms
Assists with sensation of touch
Perception of pain
First line of defense for infection