Head, Face, Neck & Lymph
a palpable thyroid is a normal finding in what population
What does PERRLA stand for? How would you assess?
pupils equal round reactive to light accommodation
pen light
Why do pregnant women have increased oxygen demand?
Because the enlarged uterus elevates the diaphragm increasing tidal volume by 40 percent
O2 demand also goes up
What is Raynaud's syndrome?
vasospasm triggered by cold temperatures, painful
skin turn white - blue - red
Ruby has a bifid uvula. How would the nurse explain this to the patient?
it is normal and based on genetics
increased rates in American Indigenous populations
Timmy comes into the ER with the following signs and symptoms
- nuchal rigidity
- sudden fever
- confusion and dizziness
What are these symptoms associated with?
meningitis
The patient complains that their ears are ringing. How would the nurse document this (its a vocal word)
Patient repart tinnitus
In what populations would the nurse expect to find barrel chest?
infants and patients with COPD
What are the signs and symptoms of venous ulcers/insufficiencies?
dull achy pain
lower leg edema
pulses present, drainage, sores with undefined borders, yellow slough
What age does desiduous teeth appear in children?
Bonus: What is the formula to we use to calculate expected # of teeth?
2.5
**Children’s age in months - 6 = # of deciduous teeth (18 months= 12 deciduous teeth)
Stacie is 30 weeks pregnant and has a darkly pigmented spot on her forehead. What is the name of this condition?
"mask of pregnancy"
What is ectropion?
lower lid is loose and rolling out
What is the difference between pectus excavatum vs. pectus carinatum?
ex - sunken chest
car - raised, pigeon
What are the signs and symptoms of PAD?
intermittent claudication, pain relieved at rest, pulseless, no edema or drainage, round smooth sores with regular borders, black eschar
Lucy is 34 weeks pregnant and reports gum bleeding and sensitivity, nasal stuffiness, and nose bleeds. How would the nurse report these to the provider?
hyperemic gums
normal findings
What is hydrocephalus?
CSF accumulation in the skull, increases cranial pressure
specifically an issue in infants
E chart
A newborn presents to their wellness visit with a RR of 37. Should the student nurse be concerned?
No! The normal range is
24- 38
What is the biggest risk factor for developing PAD?
smoking
Mr. Martin was disgnosed with HIV ten years ago that has progressed. He has lesions on the mucous membranes of his mouth. What is the medical term the nurse would use to chart?
karposi sarcoma
What is the term for an irregular growth of the thyroid gland? That results from iodine deficiency or inflammation.
goiter
What test should the nurse perform to assess for nystagmus? What is nystagmus?
"cross eyed"
Mr. Miller is being rushed into the ED with shortness of breath, RR 32, unilateral chest movements on inspiration, stabbing chest pain, and trachea shifted to the left. What does the nurse suspect the patient is suffering from?
pneumothorax
right is deflated
Ms. Gilly has PAD. What test could the nurse preform to assess its severity?
ankle brachial index
The patient presents to the doctors office with thick white patches on the inside of their mouth. What is the term used to describe this condition? What is a likely cause?
*patient cultures came back negative
the patient is a smoker
lesion is precancerous
(no known cause but there is an association)