NURS 190 Midterm Exam - Questions and Answers Test of balance (ROMBERG test) cranial nerve #8 (vestibulocochlear), conduct for 20 seconds. Stand erect
... [Show More] feet together, hands at the sides, and eyes closed. Support patients front and back. Normal: swaying. Abnormal: swaying front to back or side to side more than 2". Assess peripheral vision CONFRONTATION test Normal finding for assessing ACCOMMODATION pupils constrict, convergence of eyes. Test for STRABISMUS in children cover and uncover test Normal finding for 6 cardinal field of gaze no nystagmus, no jerky movement. Transillumination pupils with direct light with constrict faster, the other eye will constrict but it will do it sluggishly Snellen test 20/30 you see at 20 feet what a normal person would see at 30 feet Myopia near sided; difficulty with far vision Hyperopia far sided; difficulty with near vision Presbyopia far sided in adults over the age of 45 or older. Difficulty with near vision.(ex:grandma When a patient is complaining about redness, burning, and grainy... dry eyes occur with aging advise to use artificial tears. OTC follow directions on bottle. Macular degeneration central vision is lost but peripheral vision is intact Ectroprion lower is everted exposing conjunctivitis Entropion upper lid is inverted, causing irritation True ribs 1-7 Floating ribs 11, 12 Angle of Louis articulation between manubrium and body of sternum, in line with second rib. Check skin turgor in elderly check skin tenting below clavicle and below wrist. Assess for yellowing of skin in darker individuals lips, palms, soles of feet, oral mucosa Clubbing of the fingers 160 degree angle Phalen's test 60 seconds-assess for carpal tunnel, no pain in arms, wrists, neck, and chest Tinel's sign elicited when you percuss the media nerve-normal is no pain around media nerve Indirect percussion technique used to listen to resonance sound of lungs Ausculatation with diaphragm when assessing for broncophony, egophony, and whisper pectoriloquy Tactile fremitus (fluid in lungs, fibrosis, tumor, infection) use palpation Percussion use for diaphragmatic excursion (normal findings: 3-5cm, can go up to7- 8 in well fit individuals) Normal findings in transillumination of the sinsues -red glow: not congested -no red glow: sinus filled with fluid or patient is congested Patient complains of a sinus headache use transilluminator or direct percussion to frontal and maxillary sinuses [Show Less]