Ear, nose, throat, eye, mouth assessment

Question 1

every patient every time components

Answer 1

professionalism, universal precautions, pt safety, environmental survey, identify pt, general survery, orientation, explain procedure, obtain permission, pain assessment, privacy, assess anything attached to pt, hand hygeine exiting room

Question 2

environmental survey components

Answer 2

bedrails
bed low
floors clear
personal items in reach
bed alarm if indicated
room well lit

Question 3

general survey components

Answer 3

immediate intervention? respiratory effort? conscious?

range of motion, gait, posture, position

Question 4

PQRST

Answer 4

provacative (better/worse)
quantity (severity)
radiation (spread)
severity (how bad)
timing (how long?)

Question 5

what do you need for eye exam

Answer 5

snellen chart
near vision card
penlight

Question 6

tools for nose, mouth, throat exam

Answer 6

penlight
tongue blade
gauze
gloves

Question 7

tools for ear exam

Answer 7

penlight

Question 8

How to begin every skill

Answer 8

1. professional, universal precautions
2. wash hands
3. gather equipment necessary for skill
4. knock, introduce self, privacy
5. wash hands
6. perform general survey
7. identify patient using two identifiers
8. assess orientation to place, time, situation
9. environmental survey
10. explain purpose and procedure
11. obtain permission.
12. rate pain on 1-10 scale, PQRST if pain present

Question 9

NOSE focused assessment

Answer 9

inspect and palpate nose for symmetry and drainage, report findings
-test patency of nostrils (assessing for obstruction with pen light)
-inspect nasal septim (midline) report findings

Question 10

MOUTH focused assessment

Answer 10

universal precautions
-inspect and palpate lips for color, moisture, cracking, lesions, tenderness
-inspect tongue (midline)
-Palpate tongue for tenderness/masses
-inspect ventral surface of tongue (touch roof of mouth and move side to side)
PENLIGHT:
-inspect teeth and gums, note number, color, restoration
-note color of gums. check for swelling/bleeding. report findings
-inspect buccal mucosa for color and condition
-ask person to say ahhh and note the soft palate and uvula rise at midline
-inspect pharyngeal wall, describe
-inspect tonsils for size, exudate, grade
-verbilize testing of gag reflex
-note any halitosis
-report findings-report findings

Question 11

EYES assessment

Answer 11

assess visual acuity using the snellen chart and near vision testing. assess cranial nerve II, report findings.
test visual fields by confrontation test. report
insepect EOM using diagnostic positions test.Assess cranial nerves 3,4,6, report.

Inspect external eye structures (symmetry, eyebrows, eyelids/lashes, eyeballs, conjunctiva [pull lids down, pt look up] visualize sclera, describe.

inspect cornea and iris (shape and equality. describe

Question 12

EARS assessment

Answer 12

-inspect external ear for skin condition, size, symmetry, shape. report
-identify and palpate external ear structures (auricle or pinns, tragus, lobule, helix, mastoid process, external auditory meatus) for masses, lesions, tenderness
-use a penlight and retract adult ear up and back. inspect auditory meatus for foreign bodies, discharge, cerumen (describe if found)
-test hearing acuity by the whisper voice test. assess ccranial nerve 8 findings.