Sensory NURS 300 – Accurate Solutions For Every
Question
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Terms in this set (52)
assessment of the head and neck internal structures of the eyes and ears are
considered an advanced nursing practice and not
performed by an RN
cannot be delegated to assistive personnel
facial structures eyes, ears, nose, mouth, throat
anterior neck structures trachea, esophagus, thyroid gland, arteries, veins,
lymph nodes
Posterior Neck Areas upper portion of the spine
HEENT head, ears, eyes, nose, throat
face inspect the head for size, shape
inspect the face for color, symmetry, lesions, and
distribution of facial hair
palpate the skull
, eyes occurs when the eyes and brain work together to
detect, translate, and interpret incoming visible
spectrum electromagnetic radiation
inspect the eye
assess visual acuity
assess for color blindness
assess central vision
assess peripheral vision
assess ocular motility
assess for accommodation
assess pupil size and consensual response
eye inspection External structures
eyelid
Eyelashes
eyeball
eyebrows
cornea
conjunctiva
sclera
PERRLA pupils equal, round, reactive to light, and
accommodations
visual acuity assess near vision by asking client to read from a
magazine or newspaper or use Rosenbaum eye chart
if available and held 14 inches from face
examines function of cranial nerve II - optic nerve
Extra-ocular movement test using the 6 cardinal points of gaze
keep penlight 1 ft from face
client should follow penlight with eyes only
examine up/down, diagonally up and down to the
left and right
eyes should move together and coordinated
test examines function of cranial nerves II, IV, VI
assessing central vision amsler grid
ask if any lines are distorted, broken, blurred, missing
areas or dark areas in the grid
Question
Save
Terms in this set (52)
assessment of the head and neck internal structures of the eyes and ears are
considered an advanced nursing practice and not
performed by an RN
cannot be delegated to assistive personnel
facial structures eyes, ears, nose, mouth, throat
anterior neck structures trachea, esophagus, thyroid gland, arteries, veins,
lymph nodes
Posterior Neck Areas upper portion of the spine
HEENT head, ears, eyes, nose, throat
face inspect the head for size, shape
inspect the face for color, symmetry, lesions, and
distribution of facial hair
palpate the skull
, eyes occurs when the eyes and brain work together to
detect, translate, and interpret incoming visible
spectrum electromagnetic radiation
inspect the eye
assess visual acuity
assess for color blindness
assess central vision
assess peripheral vision
assess ocular motility
assess for accommodation
assess pupil size and consensual response
eye inspection External structures
eyelid
Eyelashes
eyeball
eyebrows
cornea
conjunctiva
sclera
PERRLA pupils equal, round, reactive to light, and
accommodations
visual acuity assess near vision by asking client to read from a
magazine or newspaper or use Rosenbaum eye chart
if available and held 14 inches from face
examines function of cranial nerve II - optic nerve
Extra-ocular movement test using the 6 cardinal points of gaze
keep penlight 1 ft from face
client should follow penlight with eyes only
examine up/down, diagonally up and down to the
left and right
eyes should move together and coordinated
test examines function of cranial nerves II, IV, VI
assessing central vision amsler grid
ask if any lines are distorted, broken, blurred, missing
areas or dark areas in the grid
