GI
While inspecting the abdomen the pt should be in what position?
What is supine
Name 2 health promotion activities related to HEENT
What is oral care, protect vision/hearing, helmets, vision screen every 1-2 years and yearly after 60, hearing screening after 50, dental screening every 6 months.
Define Ptosis?
What is drooping of the eye lid.
What does a person have if they have tinnitus?
What is perception of sound when no external sound is present; most commonly described as “ringing”.
A sunken looking abdomen may be documented as what?
What is scaphoid
Glistening or taut skin could be indicative of what condition?
What is ascites or fluid buildup in the abdomen.
The palpebral fissures are used as a landmark when assessing symmetry of the head. Where are you palpebral fissures
What is area between open eye lids
What is called when someone has involuntary shaking of the eye?
What is nystagmus.
How would you grade tonsils that are touching each other?
What is 4+
What color striae may be due to recent skin stretching?
What is pink or purple.
Last part of the abdominal assessment?
What is palpation.
What occurs when blood flows backward from the right atrium into the jugular veins
What is JVD?
What is normal pupil size?
What is 3-5 mm
What does PERRLA stand for?
What is pupils equal round reactive to light and accommodation.
Gas, tumors, or constipation can contribute to what finding?
What is abdominal distension.
If you do not hear bowel sounds how long do you need to listen before stating bowel sounds are absent?
What is 5 minutes
What color is a normal eardrum?
What is pearl-gray.
How far would you position the patient from the chart when using the SNELLEN eye chart?
What is 20 foot
What type of hearing loss do you have when there is damage to any part of the nervous system of the ear?
What is Sensorineural Hearing Loss.
Frequency of bowel sounds per minute:
5 to 30 per minute. (It is not necessary to count the exact number.)
Where do many nurses start auscultation? 250 points
Why? 250 points
Where: Right lower quadrant.
Why: Bowel tones are usually active around the ileocecal valve.