Skin, Hair, and Nails
The infant may have yellowing of skin, sclera, and mucous membranes due to increased numbers of red blood cells hemolyzed after birth
What is physiologic jaundice?
The suspicion of an infant's head being of abnormal size and can use which procedure to verify these findings
What is a tape measure?
The body system on an infant that the nurse examines last
What are the ears?
The nurse notes that the client has a sunken sternum and adjacent cartilages
What is pectus excavatum?
The aging adult can have a rhythmic tremor of the head
What is a senile tremor?
The normal angle of the nail beds
What is a 160-degree angle?
The nurse is assessing the maxillary and frontal sinuses of a client with allergies and uses an assessment method
What is palpation?
The first step of instilling nose drops to a school-age child
What is blowing the nose?
The lung that is narrower with 2 lobes
What is the left lung?
The six cardinal fields of gaze test for eye movement and also cranial nerves
What is cranial nerves III, IV, VI?
The encapsulated, fluid-filled cavity in dermis or subcutaneous layer that tensely elevated the skin
What is a cyst?
The symptoms of throbbing pain with nausea, vomiting, and photophobia
What is migraine headache?
The nurse observes that the client has drooping of the left eyelid
What is ptosis?
The nurse assesses a client with a productive cough for at least 3 months of the year for 2 consecutive years
What is chronic bronchitis?
The nurse is examining a lesion on the skin of a client and uses the ABCDEF assessment. The "A" represents
What is asymmetry?
The nurse observes a red, macular, bullseye rash on the right upper arm of a man who returned 2 days ago from a camping trip
What is lymes disease?
The nurse is looking for symptoms that are concerning with a basilar skull fracture
What is clear drainage from the nose or ear?
A woman in her 2nd trimester of pregnancy has more frequent nose bleeds
What is increased vascularity in the upper respiratory tract during pregnancy?
The nurse is auscultating the client's chest and notes a coarse low-pitched sound during both inspiration and expiration and the client reports pain with breathing
What is pleural friction rub?
The nursing process is a series of steps taken to assess clients and includes
What is assessment, diagnosis, planning, implementation, and evaluation?
A dark line along the gingival margin of a Black client
What is a normal finding?
The nurse is examining the cervical lymph nodes of a client and find they are normal in size of
What is smaller than 1 cm?
The nurse is asking the client to stick out their tongue to test for cranial nerve
What is cranial nerve VII, the hypoglossal?
The sternal angle, or angle of Louis, is the articulation of the manubrium and the body of the sternum and marks the site of
What is tracheal bifurcation?
The most common chronic disease in children
What is asthma?