Movements
This movement is caused by shortening of muscle fibers, resulting in joint movement and muscle contraction.
What is flexion?
This would be an expected finding when assessing the conjunctiva.
What is a pink color with vascularity present?
Abnormal findings:
Erythema, bleeding, jaundice, pale or edematous.
Expected outcomes of lymph node assessment.
What is:
may/may not be palpable
if palpable - soft, mobile, nontender and bilaterally equal
These sinuses are included in the paranasal sinuses.
What are the frontal and maxillary sinuses.
Expected findings of palpating sinuses: no tenderness or pain
Forward rounding of the back, sometimes seen with ageing patients, is known as this.
What is kyphosis?
This motion of the hip is used when crossing the leg over the opposite leg's knee.
What is external rotation?
This assessment technique involves the nurse having the patient follow the nurse's finger with their eyes.
What are extra-ocular movements?
It is important to assess a patient's baseline ______ to have a goal in mind in the event a patient becomes deconditioned while hospitalized.
What are activities of daily living?
Identifying an object through the tactile sense without visual or auditory senses is known as ______.
What is stereognosis?
The nurse is assessing this when looking at body alignment.
The relationship of one body part to another while in different positions
An example of this movement is: pointing toes down while walking.
What is plantarflexion?
This test is performed to assess visual acuity.
What is the Snellen chart (Snellen E)?
This finding is considered abnormal when assessing extra-ocular movements.
What is nystagmus?
Presbyopia (age related farsightedness) is related to this aging process in the eye.
Loss of lens elasticity
the lens in your eye gets harder and less flexible, and it stops focusing light correctly on the retina
A nurse finds a patient on the floor, the first step the nurse would take would be to do this.
Ensure the patient's safety and perform an assessment, looking for any injuries.
An example of this motion is: raising arms to the side of the body while performing dumbbell raises.
What is ABduction?
An acronym describing expected outcomes for pupil assessment.
PERRLA
Pupils Equal, Round, Reactive to Light and Accommodating
+3 - nearly touching the uvula
0 - no tonsils
+1 - visible
+2 - halfway between uvula and tonsilar pillars
+4 - touching each other
This easy to perform test is used to assess hearing loss.
The whisper test
These are the physiological effects of immobility.
What are:
Perfusion (decreased i.e. venous stasis/DVT)
Gas exchange (decreased i.e. atelectasis)
Elimination (decreased peristalsis, constipation)
Integumentary (skin breakdown)
An example of this movement is: bending the head or trunk backward.
What is extension?
The change in pupil size in the eye opposite to the eye to which the light is directed is known as this.
Consensual pupil response
The expected outcome of a muscle strength exam.
What is 5/5 strength? (Full ROM against gravity with full resistance to opposing force)
Abnormal is less than 5/5
Expected range of pupil size.
What is 2-6mm?
These are the steps to safely transfer a patient from the bed to a wheelchair.
What are:
Maintaining a proper angle between the bed and wheelchair, ensuring the wheelchair and bed brakes are locked and placing a gait belt on the patient for safety.