Weeks 5: HEENOT Flashcards

1
Q

diplopia

A

double vision

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

snellen chart

A

measures visual acuity

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

Hydrocephalus

A

excessive fluid in the brain

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

acromegaly

A

too much growth hormone so head is very long and big

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

Paget’s disease

A

A disease that disrupts the replacement of old bone tissue with new bone tissue- large head

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

myxedema

A

swelling on skin from underlying tissues—gives a waxy appearance-often caused by hypothyroidism

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

ptosis

A

droopy upper eyelid

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

microtia

A

smaller ear than expected

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

macrotia

A

larger ear than expected

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

Weber’s test

A

(tuning fork on top of head) tests for conductive or sensorineural (root cause is inner ear) hearing loss

differentiates unilateral hearing loss

Normal result: equal sound bilaterally

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

Rinne test

A

tuning fork next to ear, raise finger when sound stops. Air conduction should be twice as long as bone conduction

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

Grading of tonsils

A

1+: Visible
2+: Halfway to uvula
3+: Touching uvula
4+: Touching each other

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

tongue deviation could indicate

A

damage to cranial nerve 7

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

halitosis

A

bad breath

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

which cranial nerves are checked for PERRLA (eye movement)?

A

3, 4, 6

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

eyes in toddlers

A

20/30 vision is normal

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

pseudoptosis

A

relaxed upper eyelid, dropping over the eye lid

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

arcus senilis

A

(“old people eyes”) .

Not pathologic, a lighter ring around eyes

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

vision in elderly

A

20/30 is considered normal

color perception of blue, violet, green is impaired

presbyopia (farsighted)

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

presbyopia (farsightedness) occurs

A

commonly over age 40 and a decrease in vision overall happens after 70

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

edentulous

A

missing teeth

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

mini cog

A

3 word recall + clock drawing test

23
Q

early childhood caries (ECC)

A

the most common chronic disease of childhood in 5-17 year olds

24
Q

ECC is ____ more common than esthma

A

5 times

25
Q

a bruit may be present with

A

hyperthyroidism or thyrotoxicosis.

26
Q

While examining the patient’s neck, the nurse finds the trachea midline but has difficulty palpating the thyroid. What action would the nurse take next?

A

document the finding as normal

27
Q

The lymph nodes that lie in front of the mastoid bone are the:

A

preauricular nodes

28
Q

Which of the following descriptions is most consistent with a patient who has hypothyroidism?

A

Slightly obese female with periorbital edema and a flat facial expression, who complains of constipation, deceased appetite, and fatigue

29
Q

The nurse can best evaluate the strength of the sternocleidomastoid muscle by having the patient

A

turn his or her head against resistance

30
Q

Which of the following best describes the instructions the nurse should give a patient when assessing the thyroid from the posterior approach?

A

Please tilt your head slightly down and to one side.

31
Q

While assessing a patient, the nurse finds a palpable lymph node in the left supraclavicular region. Which of the following should be the next action?

A

Recognize that it is not common to palpate lymph nodes in this region and they must be carefully evaluated

32
Q

While reviewing laboratory values for thyroid function on an adult patient, the nurse sees that the TSH is elevated, and the T3 and T4 are decreased. The nurse recognizes that these findings are indicative of

A

hypothyroidism

33
Q

A patient presents with a complaint of drooping of his eyes, cheeks, and mouth on one side. This finding is most likely associated with pathology of which cranial nerve?

A

cranial nerve 5

34
Q

Jaeger test and allen test are used for

A

near vision

35
Q

Patients older than 40 years of age often have a decreased ability to

A

accommodate their eyes, often needing to move the object further away to read

36
Q

nystagmus

A

rapid, involuntary movements of the eye

37
Q

astigmatism

A

common imperfection in the eye’s curvature

38
Q

Which of the following symptoms would the nurse expect the patient to report as translucent specks that drift across the visual field?

A

floaters

39
Q

Peripheral vision is evaluated by the nurse using the

A

confrontation test

40
Q

otalgia

A

earache

41
Q

tinnitus

A

ear ringing

42
Q

The whisper test evaluates

A

loss of high-frequency sounds.

43
Q

During the Rinne test, AC should be twice as long as BC. If BC is equal to or greater than AC…

A

it is evidence of conductive hearing loss

44
Q

The middle ear contains

A

the malleus, incus, and stapes (they conduct sound waves to the inner ear)

45
Q

what population has the highest risk of hearing loss

A

Older adult men of European descent have the highest incidence, which may be related to previous occupational exposure.

46
Q

Which of the following differentiates the RN assessment from the APRN assessment of the ear?

A

Otoscopic assessment

47
Q

epitaxis

A

nose bleeding

48
Q

The most common site of bleeding

A

kiesselbach plexus (highly vascular area of the nose)

49
Q

Risk factors for nose, sinus, mouth, and throat problems include

A

Risk factors specific to this area include topical decongestant use, smoking, inhaling substances and chemicals, allergies, and dust exposure.

50
Q

During routine physical examination of a 20-year-old woman, the nurse notes a septal perforation. This finding may be significant for which of the following causes?

A

Illicit drug use (cocaine and inhaled substances irritate the nose and may cause perforation)

51
Q

The nurse is testing a PT’s visual accommodation, which refers to which action?

A

pupillary constriction when looking at a near object

52
Q

which test provides a precise quantitative measure of hearing?

A

audioscope test

53
Q

a PT’s uvula raises midline when she says”ahh” and she has a positive gag reflex. The nurse has just tested which cranial nerves?

A

cranial nerves 9 and 10