Study sets, textbooks, questions
Upgrade to remove ads
Health Assessment Test 2
Terms in this set (42)
flat, colored spot on the skin
small, raised solid pimple w/o pus
raised spot on the skin containing pus
small sac containing liquid
raised, itchy area on skin (allergies)
closed sac containing fluid or semisolid material
clear, watery plasma
resembling a line
lesions that run together
growth/lump that may be malignant or benign
pinpoint, unraised round red spots under skin caused from bleeding
purple colored spots and patches on skin
Explain ABCDEFs of skin lesion assessment
What characteristics of skin, hair, and nails do we inspect?
General color, uniformity of color, pigmentation, vascularity, bruising, lesion, unusual odors.
What characteristics of skin, hair and nails do we palpate?
Palpate skin from head, neck to trunk, arms, legs and back for texture, temperature and moisture, mobility and turgor, edema.
Palpate head/hair for bumps, consistency of hair/bald spots, texture.
Nails: capillary refill.
Can you document normal findings for a thyroid assessment?
Soft, smooth, symmetrical, non-tender, moves up and down when swallowing.
cold intolerance, fatigue, bradycardia, no appetite but weight gain, constipation, slow movement, dry skin and slow healing.
Heat intolerance, insomnia, elevated eyelids, high appetite but weight loss, diarrhea, fine soft hair and high sweating
What is a goiter?
an enlarged thyroid gland
Lymph nodes associated with infection
Moveable, discrete, soft, tender, bilateral
Lymph nodes associated with malignancy
Fixed, hard, nontender, unilateral
cranial nerve pairs
Olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, auditory, glossopharyngeal, vagus, accessory, hypoglossal
Two cranial nerves that protect airway?
9 and 10 - gag reflex
Two cranial pairs that protect the retina?
5 and 7, blinking
Cranial nerve pair II
Cranial nerve pair II, IV, VI
control the six muscles of the eye
Cranial nerve V and VII
Facial, allowing for sensation and facial expression
Cranial nerve pair IX and X
Swallowing, breathing, and communication
Vestibulocochlear, hearing and balance
How do you assess hearing?
Using rinne, weber, finger rub test, or whisper test
How do you asses balance?
Romberg test where you have a pt stand with feet together then ask them to step out... If balance is controlled it's negative..
Explain the weber test?
Hearing test using a tuning fork that is placed on the head to make sure that hearing is equal bilaterally.
Explain the rinne test
Place tuning fork on patients mastoid bone until they cannot hear noise anymore.. place near ear until they cannot hear anymore. AC > BC - normal.
What is PERRLA?
Pupils Equal, Round, Reactive to Light, Accommodating
How do you assess PERRLA?
Look at pupils for symmetry, roundness, flash light across eyes to see constriction of pupil, finger test with finger coming closer and farther.
How do you assess Vision?
A snellen chart (standard eye exam sheet).
How do you assess near/distance of the eyes?
Using a Rosenbaum or Jaeger test for fine print.
Alignment of eyes?
Outer canthus of eyes align with pinna of ears bilaterally
Assessment for alignment of eyes?
Corneal light reflex using CN II, IV, VI
Red Light Reflex
using red light reflex to make sure both reflexes present and rule out glaucoma, tumors, retina detachment... done on ALL newborns***
Other sets by this creator
Pharm test 3A patient is receiving an intravenous…