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36 terms

WCU Physical Assessment Exam 3

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assist patient in reading
when a patient has an injury to the inner layer of eye, the retina (rods & cones which help distinguish lettering and reading)
teach patient their depth perception will change
client has a right eye injury and is wearing an eye patch. need to do patient teaching, what do you tell the patient?
20/20
normal vision
snellen chart
an exam, where a patient's distance vision in assessed. if read with no problem, the patient has 20/20 vision.
field of confrontation
The examiner will ask the patient to cover one eye and stare at the examiner. The examiner will then move her hand out of the patient's visual field and then bring it back in. The patient signals the examiner when her hand comes back into view. This is frequently done by an examiner as a simple and preliminary test.
CN 3 damage
when there is damage to the eye and the eye doesn't consensually respond to light (not dilating), this is a potential abnormality of what?
entropion
Is the inversion of the edge of an eyelid. The eyelashes are inverted and cause irritation to the cornea. Can be caused by a muscle spasm.
myopia
nearsightedness, can't see far. glasses will help patient see far.
papillary response
a patient is reading a contract, then looks at you, then back at the paper. the patient's pupils constrict while looking at the paper. this is a normal activity of the pupils.
diabetes retinopathy
#1 cause of blindness in the US.
acute glaucoma
patient in triage is exhibiting severe periorbital edema, pain, redness, and a change of vision. this patient should be treated first.
hyperopia
24 year old patient reports changes in near vision.

farsightedness; difficulty seeing close objects when light rays extend beyond the proper focus on the retina
overuse of antibiotics
a black, hairy tongue can be attribute to...
otitis externa
an elderly patient complains of poor hearing. at first you suspect it's presbycusis (age-related hearing loss), but it isn't. must examine ears and eliminate cerumen impaction, fluid, or pus, etc. the real cause is...
gout
there is a small lesion on the rim of the ear. it is caused by high uric acid levels. what is this a sign of?
weber test
this is done by placing a tuning fork on top of the head. lateralization of hearing.
ear infection
symptoms are sore throat and difficulty hearing
rhinitis
characterized by watery discharge from the nasal passages
lack of oxygen
see patient exhibit pallor and has cyanosis of the oral cavity. what causes this?
otitis media
14 month old client cries frequently, pulls ear, coughs, temperature is normal. what condition does the child have?
do not prop your baby
a 20 month old client has an ear infection with fever. what do you tell the mother when patient teaching?
take blood pressure
a patient presents with a nose bleed in the ER. what to do? lean forward, apply pressure, and...
oral cancer
a high school student chews tobacco. while patient teaching, inform patient of the risks of...
sinusitis
characterized by headache, malaise, severe pain on bridge of nose and forehead
severe respiratory distress
2 year old client exhibits coughing and congestion with nasal flaring and accessory muscle (intercostal) breathing, and not receiving enough oxygen. what is this child suffering from?
rhine test
a 49 year old patient who works with heavy machinery (without ear protection) reports change in hearing over the past 5 years.this test is performed and results in the air conduction being less than the bone conduction. what is this test?
rhine test
test is performed by placing a vibrating tuning fork against the patient's mastoid bone and ask the patient to tell you when the sound is no longer heard. Time this interval of bone conduction with a watch, noting the number of seconds. Quickly position the still vibrating tines 1-2 cm from the auditory canal, and again ask the patient to tell you when the sound is no longer heard. Continue timing the interval of sound due to air conduction heard by the patient. Compare the number of seconds sound is heard by bone conduction versus air conduction; air conducted sound should be heard twice as long as bone conducted sound (e.g., if bone-conducted sound is heard for 15 seconds, air-conducted sound should be heard for 30 seconds).
foreign objects
you observe a patient coming out of a burning building. their eyelashes are burned. during an eye assessment what do you look for?
ability to communicate
when interviewing a patient, what is the most important thing you assess from the start?
occipital lobe
a patient experienced a stroke and is now having trouble with their vision. what part of the brain was damaged during the stroke?
corneal light reflex
this is a normal reflex. it happens when you accidentally touch the cornea or when this reflex is tested by using a cotton ball.
3 weeks old
this age is when a baby's eye color changes
bedside commode
a patient is positive romberg. when the patient gets out of bed their gait is uneven and they cannot walk to the restroom. what would you provide for this patient?
head trauma
there is a bluish color to the tympanic membrane and has intercranial pressure. this is indicative of...
hyperplasia
a pregnant female has enlarged gums. this normal condition is...
pull up on the ear
when performing an ear exam and cannot see the tympanic membrane, you must first remove the otoscope then reposition the ear. to reposition you...