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Nursing Essentials > HEENT Pt. 2 > Flashcards

HEENT Pt. 2 Flashcards

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1
Q

What is the pina

A

OUter ear

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2
Q

Know the ear attonomy

A

Yes

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3
Q

What are some questions we are going to ask relating to the ear

A

Hearing, changes, hearing aids, ringing, buzzing, cleaning

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4
Q

How can you tell if someone is HOH

A

leaning in, answering the wrong question, HUH

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5
Q

Should you remove hearing aids before the physical assessment

A

Yes

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6
Q

What is tinnitus

A

Ringing or bussing in the ears sometimes caused by meds, ANTIBIOTICS

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7
Q

Should you clean your ears with Qtips

A

NO, corner of a wet washcloth

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8
Q

What are the expected finding of the external ear

A

Alignment with eyes, color matches, no lesions, tenderness, or edema, no cerumen, good hearing

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9
Q

What is cerumen

A

Ear wax

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10
Q

What do you need to use when assess the external ear

A

Penlight

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11
Q

What does CN VIII

A

Hearing

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12
Q

What is different in the ear of children

A

Cancle is shorter and wider and horizontal

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13
Q

What does it imply that childrens ears are more horizontal

A

Can’t drain properly so it causes infections

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14
Q

What do pregnant women experence with their ears

A

Cotton ears, fullness since blood vessels are dialated

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15
Q

What are different about older peoples ears

A

Hearing LOSS, higher-frequencies can’t be heared, thicking of the tympanic membrane

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16
Q

Why is it hard for older people to hear women

A

Because they speek in a higher pitch

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17
Q

What is otitis extern

A

Swimmers ear, outer ear cancl irritation

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18
Q

What are the risk factors of otitis externa

A

Swimming, cleaning, occlusion, diabetes (poor blood flow)

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19
Q

What are the S+S of otitis externa

A

pinna traction, sticky yellow discharge, swelling

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20
Q

What is pinna traction

A

Pain when pulled on

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21
Q

What is otitis media

A

Inflammation in the outear ear

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22
Q

What are the risk factors of otitis media

A

PACIFIERS, daycare, tabacco smoke

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23
Q

What are the S+S of otitis media

A

Ear pulling in children, mastoid process pain

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24
Q

How does otits media get assessed

A

MD looks inside

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25
Q

What is the nursing interventions for otitis media

A

Pain management (FLACC scale), compress

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26
Q

What should you teach your pts

A

How to administer ear drops below and above 3 years old

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27
Q

What is cauliflower ear

A

Repeated episodes of minor blunt trauma

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28
Q

What is a hematoma caused by

A

Trauma espeacilly in sports

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29
Q

What do most people do when they get an ear hematoma

A

Pop it at home then get a bad infection

30
Q

What is darwin tubercle

A

Smaller ears

31
Q

What are some questions you should ask about the nose

A

Pain, stuffiness, fluid, apistaxis, change

32
Q

What is epistaxis and what could it mean

A

Nosebleeds could mean issues in the brain

33
Q

What are some questions to ask realted to the mouth

A

Denist, dentures, gums

34
Q

What are some questions to ask related to the throat

A

Difficulty swallowing, hoarseness

35
Q

What could a lot of coughing while eating mean

A

aspiration

36
Q

What should the nose look light

A

Midline, symmetrical, color, both cairs are patent, no discharge

37
Q

What does patent mean related to the nose

A

Open and unobstructed

38
Q

How do you assess the patentance of the naris

A

close one and breathe in

39
Q

What does outward nare flare mean

A

Resiratory distress

40
Q

What does narrowed inward nares mean

A

obstructed airway

41
Q

What are the expected finding of the mouth and throat

A

symmetrical, smooth, soft, no lesions, no bleeding gums, pink, moist, midline, moist, color

42
Q

Where do we look for signs of cyanosis

A

mucous membranes

43
Q

Do darker skined people have a blur undertone on their lips

A

Yes

44
Q

What is the normal rating of the tonsils

A

1 on a 0-4 scale

45
Q

What stage of the tonsils can lead to airway issues

A

3 and 4

46
Q

What is special about a pregnant persons nmt

A

increased epistaxis, snoring, and immflamation of the gums

47
Q

What us special about an older adults nmt

A

tinner lips, less senses, saliva, and they may lose their teeth

48
Q

What is nsal polyps

A

Overgrowth of epithelial cells, hyperplasia

49
Q

How big can nasal polyps become

A

pea

50
Q

What do nasal polyps cause

A

obstructed air flow, and drainaing which can lead to infections

51
Q

Is there a cycle with nasal polyps

A

Yes because if gets infected then inflammed which causes more infection

52
Q

What else do nasal polyps cause

A

Snoring and sleep apnea

53
Q

What is a deviated septum

A

Asymmetrical bone and carilage of the nose

54
Q

What are deviated septums caused by

A

Birht or injury

55
Q

What are the S+S of a deviated septum

A

nasal congestion, chronic sinusitis, noisy breathing, snoring

56
Q

What is the treatment of a deviated septum

A

surgery

57
Q

What are pale lips associated with

A

Anemia

58
Q

What do cracked or dry lips mean

A

Dehydration or exposure to wind and cold

59
Q

What can lesions, nodules, and ulcers on the lips be caused by

A

Herpes type 1

60
Q

What can lips swelling mean

A

injury or allergic reaction

61
Q

What does a beefy red tongue mean

A

iron or a vit B deficiency

62
Q

What does a yellow tongue with black papillea mean

A

HAIRY tongue, fungal overgrowth

63
Q

What is the treatment of hairy tongue

A

Antibiotic therapy

64
Q

What is oral thrush look like

A

White cottage cheese like lesions that won’t rub off

65
Q

What is oral thrush

A

Overgrowth of candida in the mouth

66
Q

What can cause oral thrush

A

Smoking or chewing tobacco

67
Q

What is strep throat

A

Infection by streptococcus

68
Q

How is strep thrpat spread

A

Direct contact

69
Q

What are the S+S of strep throat

A

Fecver, pain with swallowing, red and swollen tonsils, white patches, red spots of roof of mouth, NO cough or runny nose

70
Q

What could it mean if a child has a stomach ache with N+V

A

Strep

71
Q

How do you test for strep

A

swab

72
Q

What is the treatment of strep

A

Stay home until they don’t have a fever and have taken antibiotic for 12-24 hours

Nursing Essentials (16 decks)

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