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What are the different types of health assessments, and when would each be
performed? - ANSWERS-Comprehensive: detailed history and physical exam
performed at onset of care in primary care setting or on admission to a
hospital/long-term facility: encompass health problems experienced by patient;
health promotion/prevention and assessment for health problems.
Know the difference between a macule, papule, vesicle and pustule. - ANSWERS-
Macule: flat ,circumscribe area that is change in color of skin;less than 1cm
diameter ex. freckles, moles
Papule: elevated, firm, circumscribe area less than 1cm diameter ex. wart
vesicle: elevated, circumscribed, superficial, not into dermis, filled with serous
fluid;less than 1 cm
ex. varicella, impetigo
Pustule: elevated, superficial lesion, filled with purulent fluid, ex. acne, herpes
simplex
Discuss how skin color may affect assessment and how findings may differ based
on skin color. For example, how does a bruise appear differently in light skinned
and dark skinned individuals? - ANSWERS-A problem of the skin may be
overlooked if not thoroughly assessing patient. Necessary to evenly inspect the
skin, palpate for warmness and texture
,Describe how to palpate the skin for moisture, temperature, texture, turgor, and
mobility, including what part of the hand is used for palpation. - ANSWERS-
temperature: back of the hand (dorsal)
mobility and turgor: slightly pinch
moisture: touching
Discuss at least one health promotion or health protection strategy for the
integument. - ANSWERS-health promotion: examine your body on a regular basis,
have a good diet, immunizations
health protection: wear sunscreen when going outside, avoid suntanning/bathing
What are the health history questions (Review of System) related to the
integumentary system? - ANSWERS-helps determine the predisposition of skin
disorders, since some have familial and genetic links. ex. rash and alopecia which
are autoimmune disorders
What are the early signs of melanoma, also known as the signs of a worrisome
lesions? - ANSWERS-Asymmetry, border irregularity, color variation (can be
mixed, brown to pink to purple) elevation (flat to raised) diameter is greater than
66mm, and feelings (itching, tingling, stinging)
Document the expected findings for assessment of visual acuity. - ANSWERS-
Distance vision: using Snellen Chart, 20/20 is normal, where as 20/30, is patient
can read at 20 feet what a person with normal person can read at 30 feet
Near vision: using Rosenbaum or Jaegar chart. Cover one eye and read chart 14
inches from eye
What does PERRLA stand for, and how do you assess it? - ANSWERS-Pupils are
Equal and Round and React to Light and Accommodation
, for size: use pupil gauge
for reaction to light or consensual: dim room and hold eyes open and fix or their
gaze on an object across room, shine penlight on pupil (from the side)
for accommodation: ask patient to shift their gaze and follow finger
Describe how to conduct two valid assessments of auditory acuity, and what the
expected results are. - ANSWERS-Whispered Voice Test: should be able to hear
and repeat 50% of all words whispered
Finger-rubbing test
Describe inspection of the teeth, buccal membrane, and hard and soft palates.
Include the usual findings for the assessment. - ANSWERS-Teeth: inspect for
condition, color, surface characteristics, stability and alignment
Buccal membrane: using penlight and tongue blade, inspect anterior and
posterior pillars; note color, odor and characteristics; should be pale, color pink
with light vascularity
Hard palate: smooth and pale and immovable
Soft palate: smooth and pink, should rise simultaneously with uvula remaining in
midline position
What questions are included in the health history (Review of System) for HEENT? -
ANSWERS-General:
1) have you know any changes in your overall health or changes in HEENT?
2) Any chronic conditions or infections that affect HEENT? Any other additional
chronic conditions (Hypertension, HIV, etc.)
Past:
1)Have you ever had an injury (HEENT area), and continue to have problems b/c
of that injury?