Health Assessment Flashcards

1
Q

anosmia

A

lack of sense of smell as a result of CN-I dysfunction

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2
Q

clonus

A

hyperactive reflex indicating upper motor neuron disease

when present, there will be alternating flexion and extension

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3
Q

diplopia

A

double vision

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4
Q

hypalgesia

A

decreased pain sensation

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5
Q

hyperesthesia

A

increased sensation to touch

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6
Q

nystagmus

A

involuntary oscillations of the eye

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7
Q

papillaedema

A

edema of the optic nerve as it enters the retina

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8
Q

Oculomotor CN III

Trochlear CN IV

Abducens CN VI

A

occulomotor=Assess by having client move eyes through cardinal fields of gaze by following finger without moving head

evaluate client’s pupillary reaction to light and accomodation

pupils should be assessed for size regularity and equality

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9
Q

Trigeminal Nerve (CN V)

A

close eyes, state when face is touched with cotton

eval corneal reflex by touching client’s eye with cotton

assess motor function by having client clench teeth

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10
Q

Facial Nerve (CN VII)

A

Have client smile, frown, show teeth, close eyes, puff cheeks and raise eybrows

Assess muscle strength-have client puff cheek and attempt to push air through lips with pressure to cheek

Test anterior aspect of tongue for taste

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11
Q

Acoustic Nerve (CN VIII)

A

determine adequate hearing and balance

Weber test-tuning fork on top of head-compares equality of hearing in both ears

Rinne test-tuning fork-bone conduction/air conduction

Romberg test-eyes closed, feet together-balance

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12
Q

Glossopharyngeal (CN IX)

Vagus (CN X)

A

have client say “ah” and test gag reflex

observe client swallow

evaluate clients voice

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13
Q

Spinal Accessory (CN XI)

A

shrug shoulders, look for symmetry

turn head to right and left

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14
Q

Hypoglossal (XII)

A

stick out tongue

move laterally

push against cheek

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15
Q

Stereognosis

A

have client id object placed in hand with eyes closed

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16
Q

Topognosis

A

Client closes eyes, identify part of body touched

17
Q

Nystagmus

A

involuntary oscillation of the eyeball due to muscle weakness, disoriention, a neurological disorder, or action of some medications

18
Q

presbyopia

A

loss of elasticity of crystalline lens, possibly caused by loss of power of ciliary muscles and resulting in inability to focus on near objects

(age 40)

19
Q

ptosis

A

condition whereby eyelid droops because levator muscle too weak

20
Q

strabismus

A

eyes cannot be focused on same object-weakened eye muscles produce convergence of the eye toward the nose

21
Q

myopia

A

nearsightedness

unable to see objects in the distance

(opposite is hyperopia–unable to see near objects)

22
Q

papilledema

A

edema of optic nerve as it enters the retina

consistent with increased intracranial pressure

=Head injury!!!

23
Q

Otosclerosis

A

Abnormal growth of bone of the middle ear that prevents structures within the ear from working properly–conductive hearing loss that results in the pt needing increased volume to hear.

24
Q

Presbycusis

A

Hearing loss associated with age.

25
Q

Labyrinthitis

A

inflammation or infection of the labyrinth causing the sensation of spinning,but not hearing loss.