Eyes
Ears
Respiratory
Cardiovascular
Cranial Nerves
100
An opacity of the lens that distorts the image projected onto the retina and that can progress to blindness.
What is a cataract?
100
Exposure to loud noise and music may cause this type of hearing loss.
What is Sensorineural hearing loss?
100
Soft rustling sounds heard in the periphery lung fields over small bronchioles.
What are vesicular sounds?
100
During the assessment of an irregular heart rate, the nurse should count beats for ________________.
What is one minute?
100
The nurse assesses motor function in this cranial nerve by asking the client to clench his teeth and assessing the muscles of mastication; the nurse then tries to open the client's jaws after asking the client to keep them closed tightly.
What is cranial nerve V (trigeminal)?
200
Age related change in vision characterized by loss of elasticity in the lens and decreased ability of the eye to accommodate. Near point of vision increases and near objects must be placed farther from the eye to be seen clearly.
What is presbyopia?
200
Spinning sensation.
What is vertigo?
200
Performed after the inspection of the chest to assess respiratory movement symmetry and observable abnormalities, to identify areas of tenderness, and to check vocal or tactile fremitus.
What is palpation?
200
To assess the apical pulse, the nurse places the stethoscope _________________.
What is fifth intercostal space (ICS) to the left of the Mid Clavicular Line (MCL)?
200
This cranial nerve controls strength of the neck and shoulder muscles.
What is Cranial nerve XI (spinal accessory)?
300
The clear layer that forms the external coat on the front of the eye.
What is cornea?
300
Color of cerumen in Asians and American Indians.
What is light brown to gray?
300
A laboratory test that assesses oxygenation, alveolar ventilation, and acid-base balance. It provides information for monitoring treatment results, adjusting oxygen therapy and evaluating the patient's responses.
What is arterial blood gas (ABG) analysis?
300
Swishing sounds that occur from turbulent blood flow in narrowed or artherosclerotic arteries.
What are bruits?
300
The nurse assesses visual acuity with a Snellen chart and checks color vision to assess this cranial nerve.
What is Cranial nerve II (optic)?
400
The sunken appearance of the eye.
What is enophthalmos?
400
Compares hearing by air conduction with hearing by bone conduction.
What is Rinne test?
400
Squeaky, musical, continuous sounds associated with air rushing through narrowed airways; may be heard without a stethoscope. Arise from small airways, usually do not clear with coughing
What are wheezes?
400
Sound created by closure of the mitral and tricuspid valves. It is low pitched and best heard at the lower left sternal border or the apex of the heart. This sound marks the beginning of ventricular systole.
What is S1 ("lub")?
400
To assess this cranial nerve the nurse touches the posterior pharyngeal wall with a tongue depressor to elicit the gag reflex. The client should be able to taste bitter and sour taste.
What is Cranial nerve IX (glossopharyngeal)?
500
Constriction of the left pupil when light is shined at the right pupil.
What is a consensual response?
500
Test helpful in distinguishing middle ear pathologic conditions such as ostosclerosis, otitis media, and perforation of the ear drum. Assesses mobility of the eardrum and structures of the middle ear by systematically changing air pressure in the external auditory canal.
What is tympanometry?
500
A bronchoscopy is the insertion of a tube in the airways, usually as far as the secondary bronchi for the purpose of viewing airway structures and obtaining tissue samples for biopsy or culture. After the procedure the nurse should monitor the patient until the effects of the sedation have resolved and a ___________ has returned.
What is gag reflex?
500
A client with a history of several myocardial infarctions has overstretching or excessive filling of the ventricles, because of this finding the nurse realizes that this client will have a decrease in ________________.
What is cardiac output?
500
Controls tongue movements involved in swallowing and speech.
What is Cranial nerve XII (hypoglossal)?
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