HEENT Pt. 2

Question 1

What is the pina

Answer 1

OUter ear

Question 2

Know the ear attonomy

Answer 2

Yes

Question 3

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

Answer 3

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

Question 4

How can you tell if someone is HOH

Answer 4

leaning in, answering the wrong question, HUH

Question 5

Should you remove hearing aids before the physical assessment

Answer 5

Yes

Question 6

What is tinnitus

Answer 6

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

Question 7

Should you clean your ears with Qtips

Answer 7

NO, corner of a wet washcloth

Question 8

What are the expected finding of the external ear

Answer 8

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

Question 9

What is cerumen

Answer 9

Ear wax

Question 10

What do you need to use when assess the external ear

Answer 10

Penlight

Question 11

What does CN VIII

Answer 11

Hearing

Question 12

What is different in the ear of children

Answer 12

Cancle is shorter and wider and horizontal

Question 13

What does it imply that childrens ears are more horizontal

Answer 13

Can’t drain properly so it causes infections

Question 14

What do pregnant women experence with their ears

Answer 14

Cotton ears, fullness since blood vessels are dialated

Question 15

What are different about older peoples ears

Answer 15

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

Question 16

Why is it hard for older people to hear women

Answer 16

Because they speek in a higher pitch

Question 17

What is otitis extern

Answer 17

Swimmers ear, outer ear cancl irritation

Question 18

What are the risk factors of otitis externa

Answer 18

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

Question 19

What are the S+S of otitis externa

Answer 19

pinna traction, sticky yellow discharge, swelling

Question 20

What is pinna traction

Answer 20

Pain when pulled on

Question 21

What is otitis media

Answer 21

Inflammation in the outear ear

Question 22

What are the risk factors of otitis media

Answer 22

PACIFIERS, daycare, tabacco smoke

Question 23

What are the S+S of otitis media

Answer 23

Ear pulling in children, mastoid process pain

Question 24

How does otits media get assessed

Answer 24

MD looks inside

Question 25

What is the nursing interventions for otitis media

Answer 25

Pain management (FLACC scale), compress

Question 26

What should you teach your pts

Answer 26

How to administer ear drops below and above 3 years old

Question 27

What is cauliflower ear

Answer 27

Repeated episodes of minor blunt trauma

Question 28

What is a hematoma caused by

Answer 28

Trauma espeacilly in sports

Question 29

What do most people do when they get an ear hematoma

Answer 29

Pop it at home then get a bad infection

Question 30

What is darwin tubercle

Answer 30

Smaller ears

Question 31

What are some questions you should ask about the nose

Answer 31

Pain, stuffiness, fluid, apistaxis, change

Question 32

What is epistaxis and what could it mean

Answer 32

Nosebleeds could mean issues in the brain

Question 33

What are some questions to ask realted to the mouth

Answer 33

Denist, dentures, gums

Question 34

What are some questions to ask related to the throat

Answer 34

Difficulty swallowing, hoarseness

Question 35

What could a lot of coughing while eating mean

Answer 35

aspiration

Question 36

What should the nose look light

Answer 36

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

Question 37

What does patent mean related to the nose

Answer 37

Open and unobstructed

Question 38

How do you assess the patentance of the naris

Answer 38

close one and breathe in

Question 39

What does outward nare flare mean

Answer 39

Resiratory distress

Question 40

What does narrowed inward nares mean

Answer 40

obstructed airway

Question 41

What are the expected finding of the mouth and throat

Answer 41

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

Question 42

Where do we look for signs of cyanosis

Answer 42

mucous membranes

Question 43

Do darker skined people have a blur undertone on their lips

Answer 43

Yes

Question 44

What is the normal rating of the tonsils

Answer 44

1 on a 0-4 scale

Question 45

What stage of the tonsils can lead to airway issues

Answer 45

3 and 4

Question 46

What is special about a pregnant persons nmt

Answer 46

increased epistaxis, snoring, and immflamation of the gums

Question 47

What us special about an older adults nmt

Answer 47

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

Question 48

What is nsal polyps

Answer 48

Overgrowth of epithelial cells, hyperplasia

Question 49

How big can nasal polyps become

Answer 49

pea

Question 50

What do nasal polyps cause

Answer 50

obstructed air flow, and drainaing which can lead to infections

Question 51

Is there a cycle with nasal polyps

Answer 51

Yes because if gets infected then inflammed which causes more infection

Question 52

What else do nasal polyps cause

Answer 52

Snoring and sleep apnea

Question 53

What is a deviated septum

Answer 53

Asymmetrical bone and carilage of the nose

Question 54

What are deviated septums caused by

Answer 54

Birht or injury

Question 55

What are the S+S of a deviated septum

Answer 55

nasal congestion, chronic sinusitis, noisy breathing, snoring

Question 56

What is the treatment of a deviated septum

Answer 56

surgery

Question 57

What are pale lips associated with

Answer 57

Anemia

Question 58

What do cracked or dry lips mean

Answer 58

Dehydration or exposure to wind and cold

Question 59

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

Answer 59

Herpes type 1

Question 60

What can lips swelling mean

Answer 60

injury or allergic reaction

Question 61

What does a beefy red tongue mean

Answer 61

iron or a vit B deficiency

Question 62

What does a yellow tongue with black papillea mean

Answer 62

HAIRY tongue, fungal overgrowth

Question 63

What is the treatment of hairy tongue

Answer 63

Antibiotic therapy

Question 64

What is oral thrush look like

Answer 64

White cottage cheese like lesions that won't rub off

Question 65

What is oral thrush

Answer 65

Overgrowth of candida in the mouth

Question 66

What can cause oral thrush

Answer 66

Smoking or chewing tobacco

Question 67

What is strep throat

Answer 67

Infection by streptococcus

Question 68

How is strep thrpat spread

Answer 68

Direct contact

Question 69

What are the S+S of strep throat

Answer 69

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

Question 70

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

Answer 70

Strep

Question 71

How do you test for strep

Answer 71

swab

Question 72

What is the treatment of strep

Answer 72

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