HEALTH ASSESSMENT REVIEW

THE "EYES" HAVE IT

100

1. EXPECTED PUPILLARY LIGHT REFLEX IN BLIND PATIENT 2. SEEING TWO IMAGES OF A SINGLE OBJECT 3. REPORTING SEEING HALOS AROUND LIGHTS

1. WHAT IS BOTH WILL CONSTRICT 2. WHAT IS DIPLOPIA 3. WHAT IS ACUTE ANGLE GLAUCOMA

200

1. BLURRED VISION IN ELDERLY CLIENT 2. WEAKNESS OF EOMs DURING COVER TEST 3. LOSS OF CENTRAL VISION

1. WHAT IS POSSIBLE ONSET OF CATARACTS 2. WHAT IS A DRIFT IN GAZE AFTER EYE IS UNCOVERED 3. WHAT IS MACULAR DEGENERATION

300

1. PERRLA

1. WHAT IS PUPILS EQUAL ROUND REACTIVE TO LIGHT AND ACCOMMODATION

400

1. BROWN MACULES ON SCLERA OF BLACK CLIENT

1. WHAT IS NORMAL FINDING

500

DIAGNOSTIC POSITIONS TEST...CRANIAL NERVES

WHAT IS ASSESSING EXTRA-OCULAR EYE MOVEMENTS (EOMs) WHAT ARE CRANIAL NERVES III, IV, VI

"SKIN" -TILLATING

100

1. DEFINE: ACROCHORDONS, EPHELIDES, STRIAE, A.B.C.D.E 2. SPONGY NAIL BEDS/BASES, ANGLE EXCEEDS 180 DEGREES 3. LOCATION OF CENTRAL AXILLARY NODES

1. WHAT ARE SKIN TAGS, FRECKLES, STRETCH MARKS, ASSYMETRY, BORDER, COLOR VARIATION, DIAMETER, ELEVATION 2. WHAT IS CLUBBING 3. WHAT IS THE TAIL OF SPENCE

200

XEROSTOMIA

WHAT IS DRY MOUTH

300

ANEMIA IN A BLACK CLIENT

WHAT IS DULL, ASHEN, GRAY SKIN

400

SACRUM, SCAPULA, PELVIC ISCHIUM, COCCYX, ELBOWS, AND HEELS

WHAT ARE BONY PROMINENCES, RISK FOR PRESSURE ULCERS

500

1.PARTIAL-THICKNESS LOSS OF DERMIS,SHALLOW CRATER 2. FULL-THICKNESS TISSUE LOSS, SUBQ FAT VISIBLE 3. NON-BLANCHABLE REDNESS

1. WHAT IS STAGE 2 PRESSURE ULCER 2. WHAT IS STAGE 3 PRESSURE ULCER 3. WHAT IS STAGE 1 PRESSURE ULCER

JUST BREATHE

100

1. WHEN PERFORMING A RESPIRATORY ASSESSMENT ON A PATIENT, THE NURSE NOTICES A COSTAL ANGLE OF APPROXIMATELY 90 DEGREES. 2. RESONANT PERCUSSION TONES, SYMMETRIC TACTILE FREMITUS, VESICULAR BREATH SOUNDS, MUFFLED VOICE SOUNDS INDICATE 3. COMPLAINTS OF “BEING AWAKENED FROM SLEEP WITH SHORTNESS OF BREATH” 4. HIGH-PITCHED MUSICAL SOUNDS AT BILATERAL IN LOWER LUNG FIELDS WITH EXPIRATION

1. WHAT IS A NORMAL FINDING IN A HEALTHY ADULT 2. WHAT IS NORMAL LUNG FINDINGS 3. WHAT IS PAROXYSMAL NOCTURNAL DYSPNEA 4. WHAT IS EXPIRATORY WHEEZING AT THE BASES

200

1. WHICH ASSESSMENT FINDING WARRANTS IMMEDIATE PHYSICIAN NOTIFICATION: TRACHEAL TUG, SPIDER NEVI, CHLOASMA, INFREQUENCY OF HEADACHES 2. DEEP RESPIRATIONS FOLLOWED BY PERIODS OF APNEA 3. UNTREATED PHARYNGITIS 4. ELICITING TACTILE FREMITUS

1. WHAT IS TRACHEAL TUG 2. WHAT IS CHEYNE-STOKES RESPIRATION 3. WHAT IS LEADS TO COMPLICATION OF RHEUMATIC FEVER/RHEUMATIC HEART DISEASE 4. WHAT IS PLACE BALL OF FINGERS ON CHEST AND ASK CLIENT TO SAY "99"

300

1. DULL PERCUSSION ELICITED OVER LOWER LEFT LUNG LOBE 2. THE PRESENCE OF BRONCHOPHONY 3. PINK AND FROTHY SPUTUM 4. CHARACTERISTICS OF ATELECTATIC CRACKLES

1. WHAT IS INCREASED DENSITY OF LUNG TISSUE, AS WITH PNEUMONIA, TUMOR, EFFUSION, AND ATELECTASIS. 2. WHAT IS AN INDICATION OF PULMONARY CONSOLIDATION- ANY PATHOLOGIC CONDITION THAT INCREASES LUNG DENSITY (SEE TABLE 18-7) 3. WHAT IS PULMONARY EDEMA 4. HAVE NO PATHOLOGIC CAUSE, SHORT, POPPING, CRACKLING SOUNDS WHICH CLEAR WITH A FEW BREATHS OR A COUGH

400

1. PATIENT SAYS “A” (AAAAAY) AND YOU HEAR “E” (EEEEE) 2. SHORTNESS OF BREATH, ORTHOPNEA, PAROXYSMAL NOCTURNAL DYSPNEA, AND ANKLE EDEMA 3. TIBIAL EDEMA THAT "PITS" FOR A FEW SECONDS 4. PRODUCTIVE COUGH W/ RUST-COLORED SPUTUM, LOW-GRADE AFTERNOON FEVERS, AND NIGHT SWEATS.

1. WHAT IS EGOPHONY: http://www.easyauscultation.com/cases?coursecaseorder=6&courseid=202 2. WHAT IS HEART FAILURE 3. WHAT IS 3+ EDEMA 4. WHAT IS SIGNS & SYMPTOMS OF TUBERCULOSIS (TABLE 18-9)

500

1. CYANOSIS, TACHYPNEA, TRACHEAL DEVIATION TO THE RIGHT, DECREASED TACTILE FREMITUS, HYPERRESONANCE, AND DECREASED BREATH SOUNDS ON LEFT THORAX. 2. POPULATION W/ DECREASED MOBILITY OF THE THORAX AND WHY 3. LOW-PITCHED, SOFT BREATH SOUNDS HEARD OVER THE POSTERIOR LOWER LOBES

1. WHAT IS A PNEUMOTHORAX (TABLE 18-8) 2. WHAT IS AGING ADULT, COSTAL CARTILAGES BECOME CALCIFIED WITH AGING, RESULTING IN A LESS MOBILE THORAX 3. WHAT ARE VESICULAR BREATH SOUNDS NORMAL IN THAT LOCATION

HEADZ UP!

100

1. MASTOID SINUS LANDMARK 2. MAXILLARY SINUS LANDMARK

1. WHAT IS BEHIND THE EARS 2. WHAT IS BOTH CHEEK BONES

200

ASSESSING SINUSES (P. 359)

WHAT IS INSPECT FOR SYMMETRY, INSPECT CAVITY W/SPECULUM/LIGHT, PALPATE FOR TENDERNESS, THEN PERCUSS (HENCE THE TAPPING IN THAT QUESTION ON THE PP) LOL

300

NURSING EDUCATION FOR CLIENT WITH CLUSTER HEADACHES

WHAT IS WALKING/MODERATE EXERCISE

400

PAROTID GLAND LANDMARK

WHAT IS ANTERIOR TO AND BELOW THE EAR (POSTERIOR TO OUTER CANTHUS OF EYE) LITERALLY MEANS "BESIDE THE EAR"

500

FINDING: THYROID ENLARGEMENT AND NODULES ON ASSESSMENT- WHAT NEXT

WHAT IS AUSCULTATE THYROID FOR BRUIT

HEADZ 2

100

TINNITUS DOUBLE OR NOTHING: DEFINE AND INCLUDE CAUSES

WHAT IS RINGING IN THE EARS, WHAT ARE OTOTOXIC DRUGS LIKE GENTAMYCIN, ASPIRIN

200

ADULT- UP AND BACK

WHAT IS POSITION USED TO ASSESS EARS AND ADMINISTER OTIC DROPS

300

MOON FACE

WHAT IS NOTED IN CUSHING SYNDROME

400

DAILY DOUBLE: TONGUE BLADE TOUCHES POSTERIOR WALL OF THROAT

WHAT IS TESTING THE GAG REFLEX, CRANIAL NERVE IX

500

ANOTHER DAILY DOUBLE: ROMBERG TEST PROCEDURE AND PURPOSE OF TEST

WHAT IS STAND WITH EYES CLOSED, FEET TOGETHER WHAT IS CONDUCTED IN RESPONSE TO PT C/O DIZZINESS, VERTIGO, AND HEARING LOSS