Ch28 - HEAD & NECK

Question 1

PERRLA

Answer 1

Pupils clear
Equal and between 3 to 7 mm in diameter
Round
Reactive to light both directly and consensually when you direct light into one pupil and then the other
Accommodation of the pupils when they dilate to look at an object far away and then converge and constrict to focus on a near object

Question 2

EXPECTED FINDINGS FOR LIPS

Answer 2

darker pigmented skin than face
moist, symmetric, smooth, soft w/ no lesions
nontender
lip color ranges from pink (pale skin) to plum (darker skin)

Question 3

EXPECTED FINDINGS FOR GUMS

Answer 3

tight against the teeth
no bleeding on gloves from palpation
uniform in pink color
dark-skinned clients can have bluish or brown patches of pigmentation

Question 4

EXPECTED FINDINGS FOR MUCOUS MEMBRANES

Answer 4

pink and moist
no lesions
some freckled brown pigmentation (dark-skinned clients)
hyperpigmentation can occur after age 50 years

Question 5

EXPECTED FINDINGS FOR TONGUE

Answer 5

pink dorsal surface
presence of papillae
symmetric
midline, moist, free of lesions, moves freely

Question 6

EXPECTED FINDINGS FOR TEETH

Answer 6

shiny, white, smooth
yellow or darkened teeth in older adults common because of long-term wear