Head and Nose
These are the two assessment techniques used to assess the head & scalp
What are inspection and palpation
The two sinuses palpated when inspecting the face
What are the Maxillary and Facial Sinuses
A normal assessment of the neck shows full range of motion and no_______
What is Stiffness
These two implements are used when inspecting the mouth, uvula, and tonsils.
What are a Penlight and tongue depressor
A) Sudden, severe, unilateral headache
B) Chronic headaches now with nausea
C) History of Hypertension
A) Sudden, severe, unilateral headache
To inspect the scalp use the ______ ______ and gently palpate in a ________ motion.
What are
Finger pads
Circular
Press in an upward motion just under the eyebrows with your thumbs to assess this sinus
What is the Frontal Sinus
Gently press the fingers in a circular motion around the neck to assess these.
What are Lymph Nodes
Angioedema characterized by swelling of the lips is caused by what?
What is an allergic reaction
A) Chronic headache
B) Onset of photosensitivity
C) Pain 8/10
C) Pain 8/10
The septum of the nose should be:
What is Midline
Assess by pressing around the nose and under the eyes to assess this sinus
What is the Maxillary Sinus
You assess this gland by standing behind the patient, placing the fingers gently on each side of the trachea, slightly below the cricoid, and asking the client to swallow.
What is the Thyroid Gland
This is the medial term for bad breath.
What is Halitosis
A) Sore throat
B) Difficulty Swallowing
C) Persistent cough
B) Difficulty swallowing
Your client has a nose bleed. In addition to pinching the nose closed, the client should tilt their head?
What is Forward
This condition is characterized by bulging eyes
What is Graves' Disease
The trachea should be in this position in the neck
What is Midline
Assess this by placing your fingers just in front of the ears and ask the client to open and close their mouth. There should not be any clicking.
What is the Temporomandibular Joint
Priority related to health history. Client has a sore throat and hoarseness.
A) Temperature 100.3
B) History of smoking and alcohol use
C) Throat is red with swollen tonsils
B) History of smoking and alcohol use
While inspecting the head and scalp, the nurse can also inspect the?
What is the Hair
This condition is characterized by paralysis on one side of face, inability to raise eyebrows, smile on that side of face, and inability to whistle
What is Bell's Palsy
These are involuntary, repetitive muscle spasms are called
What are Tics
The mouth show open between ____ & ____ inches.
What is 1.4 & 2 inches
This is the first question you should ask when you start your assessment/health history collection
What brings you in today?
What concerns do you have today?