Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing Essentials > HEENT Pt. 1 > Flashcards

HEENT Pt. 1 Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Pharmacology flashcards NCLEX-RN® flashcards Nursing Mental Health flashcards Nursing Fundamentals flashcards Nursing Safety & Infection flashcards Nursing Adult Health flashcards NCLEX-PN® flashcards Nursing Management of Care flashcards Nursing Pediatrics flashcards Nursing Maternity flashcards
1
Q

What are you looking at when doing a head and neck assessment

A

Skull, face, hair, neck, shoulders, lymph nodes, thyroid gland, trachea, carotid arteries, and jugular veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the techniques used when assessing the head and neck

A

Inspection and palpation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are you looking for in a head and neck assessment

A

Usual symmetry, masses, deformities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What should you ask about headaches

A

How often and how long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is location important for headaches

A

migraines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is presyncope

A

Felling of faintness, near FAINT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is disequilibrium

A

Feeling of FALLING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is certigo

A

Sensation of movement, SPINNING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is light-headedness

A

Vague description of dizziness that doesn’t FIT the other descriptions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What can cause vertigo

A

Ear issues and meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are you look at related to the head compared to the neck and sholders

A

Size and shape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is normocephalic

A

Normal head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is a normocephalic

A

No depressions, masses, or tenderness, and symmetrical, held UPRIGHT and STRAIGHT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What could cause a depression in the skull

A

Craneoctomies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What should the scalp look like

A

Intact, without lesions, redness, or falkes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is microcephaly

A

Small head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is macrocephaly

A

Big head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are we looking for in symmetry in the face

A

Facial features and expression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Why do we want to look at symmetry of facial expression

A

Stroke pts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Should there be tenderness or incoluntary movements in the face

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does CN V do

A

Clench TEETH, light TOUGHT, SENSATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does CN VII

A

SMILE, frown, raise eyebrows, MOVEMENTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What should you palpate on the face

A

frontal and maxillary sinuses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Where are the frontal sinuses

A

Forehead

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Where are the maxillary sinuses

A

Cheecks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What does tenderness in the sinuses mean

A

Sinus congestion or infection, will be present with other SYMPTOMS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What should you expect to find in the neck

A

Symmetrical, equal sholders, full ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What does CNXI do

A

Shrug sholders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Where do you palpate from the thyroid

A

Above the suprasternal notch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Should you feel the thyroid

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Should there be trachea deviation

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What can trachea deviation mean

A

Respiratory issues, collapsed lung, masses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What are you going to do if you find trachea deviation

A

Assess airway and respiratoary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What are the S+S of respiratory distress

A

Cynosis, vitals, O2, agitated, restless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Should neck movements be done if the pt has sustained a neck or head injury

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What do the lymphatic do

A

Eliminate and filter foreign substances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What does it mean if the lymphatics are soft and squishy

A

They are swollen because there is either an infection of the nodes are not draining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

How do you assess the lymphatics

A

Palpate with your index and middle finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Should the lymphatics be easy to palpate and tender

A

NO and NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

When do the head of a child grow to 90%

A

6 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What happens to the thyroid in pregnant women

A

Enlarges, normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What are the careteristics of old people skin

A

Loss of subQ fat, elasticity, and moisture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Why do old people loss elasticity

A

UV light exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What are some typical triggers of migraine attacks

A

Foods, weather, bright lights, loud nosies, exertion, lack of sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

How long can migraine attacks last

A

4-72 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What are the symptoms of a migraine attack

A

Unilateral, pulsating or throbbing, worse with movement, N+V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What is an aura

A

Visual symptoms of a migraine attack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What is the treatment of migraines

A

Avoid light and sound, photo/phonophobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What can migraine attacks affect

A

Pts lives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What is the most common form of headaches

A

tension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Who do tension headache bother

A

20-40 year olds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What are the S+S of tension headaches

A

Bilateral, slow-progressive, band-like headahce, could be many days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What are tension headaches triggered by

A

stress and dehydration

54
Q

What is the common treatment for tension headaches

A

Analgesics

55
Q

What is the rarest and most painful headache type

A

cluster

56
Q

Why are cluster headaches called cluster

A

Because they occur every day for about 8-10 weeks per year

57
Q

What is the S+S of cluster headaches

A

Excruciating, stabbing, unilateral behind the eye, BURNING STABBING

58
Q

How long to cluster headaches last aech day

A

30-60 mins

59
Q

What is used to treat cluster headaches

A

O2 therapy

60
Q

When should you worry about headaches

A

Sudden, unfamiliar, 10/10 pain, fever, nack stiffness, altered mental status, changes with position

61
Q

What is a thunderclap headache

A

The worst headache of their life

62
Q

What can neck stiffness and a headache mean

A

Meningitis, CNS infection

63
Q

What type of headache cause gets better when the pt sits up

A

Brain tumors

64
Q

What are the nursing interventions for headaches

A

Meds, cool, dark, quite enviroment, elevate HOB, O2 for CLUSTER headache

65
Q

What should you educate your pt about headaches

A

Women of 50 are a risk for STROKE, triggers, stress management, pain relief

66
Q

What is bells palsy

A

TEMPORARY UNILATERAL facial paralysis caused by damage t oCNVII (motor)

67
Q

What are the risk factors of bells palsy

A

Hx of infection, diabetes, of hypertension

68
Q

Why can infections cause bells palsy

A

The inflammation can pinch the CNVII

69
Q

Does bells palsy happen suddenly

A

Yes

70
Q

How can you diagnosis bells palsy

A

MRI and CT to rule out stroke of tumor

71
Q

Does pells palsy resolve

A

Yes in about 6 months

72
Q

What should you do if someone comes in with unilateral facial paralysis

A

Treat as a stroke

73
Q

What are the nursing interventions for bells palsy

A

Manage symptoms: pain assessment, warm, moist compress, dryness of EYES, tears, PT/OT, emotional help

74
Q

What is hydrocephalus

A

Buildup of CSF, high-pitched cry, SUNSET eyes

75
Q

What characteristic do babies with down syndrome have

A

Facial features, chromosomal defect

76
Q

What can the fontanels show as

A

Bulging or depressed

77
Q

What are we visually looking at with the eyes

A

GLOVES, in line with the tops of the EARS and are symmetrical

78
Q

Know eye anatomy

A

YUP

79
Q

What is the sclera

A

White part of the eye

80
Q

What is the conjunctiva

A

The inner pink park

81
Q

What are some questions you ask about eyes

A

Vision, changes, blurry , doubles, pain, sensitivity, itching, dryness, watery, contact, glasses, last exam, diabetes

82
Q

What is the snellen chart

A

Distant, 20 feet away

83
Q

What is the rosenbaum chart

A

Near, 14 inches

84
Q

What does the CN II do

A

visual acuity

85
Q

What type of visual type do you use for pts who are illiterate

A

Shapes

86
Q

What do the CN 3,4,5 do

A

Six cardinal fields of gaze

87
Q

What are you looking for when assessing the movement of the eyes

A

muscle weakness, mooth movement, nystagmus

88
Q

What is nystagmus

A

involuntary shaking of the iris

89
Q

What does PERRLA stand for

A

pupils are equal round and reactive to light and accommodation

90
Q

Whay should the pupils do when you focus on a distant objects

A

Dialate

91
Q

What should the pupils do when you focus on near objects

A

Constrict

92
Q

What are infants and childrens vision

A

limited at birth and poorly coordinated movemnt

93
Q

What is presbyopia

A

Farsightedness causes by loos of elasticity

94
Q

What is the vision of older adults

A

Presbyopia, less tears, pupil size, and acuity

95
Q

What can cause decreased tear production

A

Meds

96
Q

What do white people have a risk of in vision

A

Cataracts

97
Q

What do asain people have vision wise

A

Narrowed palpedral fissures

98
Q

What do balck people have vision wise

A

Muddy color to the sclera and yellowish fatty deposits beneath the lids

99
Q

What can you see with darker-skinned people

A

Small brown macules on the sclera

100
Q

What is macular degeneration

A

Central loos of vision from the macula/retina

101
Q

What are some risk factors of macular degeneration

A

smoking, diabetes, HTN, HLD

102
Q

What are the S+S of macular degeneration

A

Bad central vision, dark spot vision

103
Q

How can you assess macular degeneration

A

History, S+S, acuity

104
Q

What are the issues related with macular egeneration

A

Falls, emotions

105
Q

What are the nursing interventions of macular degeneration

A

Idependance, safety, resources, coping, changes

106
Q

What can you educate your pts with macular degeneration

A

Stop smoking, wear sunglasses and good safety

107
Q

What is cataracts

A

OPACITY in the lens, CLOUDY vision

108
Q

What are the risk factors of cataracts,

A

UV light, infection

109
Q

What are the main symptoms of cataracts

A

blurred vision, painless, glare

110
Q

How can you assess cataracts

A

White, opacity over the lens

111
Q

What are the nursing interventions of cataracts

A

Prepare for surgery (CHG bath), monitor after and promote safety

112
Q

What should people that just got a cataract surgery not do

A

Stop taking BP meds, cough or bend over

113
Q

What can you teach your pts about cataracts

A

Med adherance, avoid increase pressure, dark glasses

114
Q

What is glaucoma

A

Optic nerve issues from increased fluid and pressure

115
Q

What are the two different types of glaucoma

A

Closed/opened angle

116
Q

What is the leading cause of blindness

A

Glaucoma

117
Q

Is early diagnosis ESSENTIAL in preventing vision loss from glaucoma

A

YES

118
Q

What are the S+S of glaucoma

A

Peripheral vision loss

119
Q

When is glaucoma an emergency

A

Sudden onset of eye pain, and halos

120
Q

What is conjunctivitis

A

Pink eye

121
Q

What is pink eye

A

inflammtion of the conjuncative, bacterial, viral, and allergic

122
Q

What are the S+S of pink

A

Either uni/bilateral, edema, sensitvity to light, discharge

123
Q

What are the risk factos of pink eye

A

School, bad hand washing, sleeping with contacts

124
Q

What is the treatment of conjunctivitis

A

self if viral or antibiotics

125
Q

What does crusty eyes mean

A

Bacterial pink eye

126
Q

What does watery eyes mean

A

Viral

127
Q

What does red itchy eyes with other S+S mean

A

Allergic

128
Q

What are the nursing interventions of pink eye

A

Warm, wet compress, eye drops

129
Q

What can you teach your pts about pink eyes

A

How it’s spread, wash pillow case, wash hands

130
Q

What is periorbital edema

A

Swollen puffy lides that can mean crying, infection, kidney, heart failure, everything

Nursing Essentials (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions