Red
What is an expected finding for resting pupil size?
When a nurse assesses the tonsils and uvula, they are checking this part of the throat.
What is oropharynx?
The Rinne and Weber tests are used to assess this sense.
What is sense of hearing?
This outer layer of the skin contains the basal cell layer, which forms new skin cells.
What is the epidermis?
This structured communication tool, often used during hand-offs or when calling a provider, What is the acronym ?
What is the SBAR?
This federal law protects patient health information, ensuring confidentiality, security, and the right of patients to access their medical records.
What is HIPAA (Health Insurance Portability and Accountability Act)
A mole that is asymmetrical, has irregular borders, multiple colors ( such as blue,red,white) , or a diameter larger than 6mm may indicate this type of serious skin condition.
What is melanoma?
This type of history includes details about childhood illnesses, immunizations, hospitalizations, surgeries, and allergies
What does the acronym ABCDE mean when assessing the skin?
What is A-asymmetrical, B-Border, C- Color, D-diameter, and E-Evolving?
A respiratory rate of 10 breaths per minute would be documented as this term
What is bradypnea?
At what diameter is a skin lesion considered abnormal, and a biopsy might be ordered?
What is greater than 6mm?
The pulse is assessed for two main qualities: rate and this.
What is rhythm?
When inspecting the skin this term describes a bluish discoloration often caused by lack of oxygen in the blood?
What is cyanosis?
During an eye exam, this tool is used to check a patient's visual acuity.
What is the Snellen chart?
A nurse is performing a head & neck assessment on a patient. The patient reports a high-pitched ringing in their ears. What term should the nurse use when documenting what the patient is experiencing?
What is tinnitus?
A nurse is assessing a patient that presents characteristics like yellowing of the skin and sclera, what is this called?
What is jaundice?
A technique that involves shining a bright light against the sinuses to check for fluid or blockage.
What is transillumination?
A lesion caused by scratching is known as this?
What is excoriation?
This structured conversation between the nurse and the patient collects subjective data about past illnesses, medications, family health, and lifestyle habits
What is the health history interview?
The tonsils are graded as this when they are touching the uvula
What is 3+
A nurse assesses the patient and finds enlarged lymph nodes under the jaw line, what are these lymph nodes called?
What is submandibular lymph nodes?
When palpating lymph nodes during the HEENT assessment, nodes that are hard, fixed, and non-tender may indicate this serious condition.
What is malignancy?
This ABCDE rule component refers to whether one half of the mole looks different from the other
What is asymmetry?
What is the ear test known for testing unilateral sensorineural and conductive hearing loss and functioning of the cochlear nerve?
What is the Weber test?
A deep depression involving loss of epidermis and dermis. A pressure injury which is caused by poor blood flow to an extremity.
What is called an ulcer?