NUR 2092 Exam 2 Health Assessment Verified Questions and Answers

What are the eyes rectus muscles Superior Inferior Medial Lateral What are the obique muscles Superior Inferior 5 Parts of the eye examination Visual acuity Ocular motility Visual fields by confrontation External structures (conjunctive& sclera) Visualizing the Fundus including the optic disc, retina and retinal vessels How to test for Visual acuity Use the Snellin eye chart Stand 20 feet away from the chart Test one eye at a time anything less than 20/40 should be referred for correction how to test for Ocularmoitlity Corneal light reflex, six positions of gaze How to test Visual feilds Stand face to face, about 2 feet apart, cover opposite eyes, bring your finger into at least 8 feilds of vision and ask the patient when the finger comes into view. What do you check the Pupils for? PERRLA What 5 areas do you test with the ophtalmoscope Red reflex Optic disk vessels Retina Macula/ fovea What do you look for in the ear exam Lesions, redness and Wax What do you try to locate on the tympanic membrane Cone of light What is the gross hearing test? Whisper test What does the weber test do? Checks bone conduction checks for equal laterlization Rinne test Hit the tuning fork and place it on the mastoid process when the patient can no longer hear the vibrations then move it in front of the ear Air conduction should be greater than bone conduction. What does Wheezing sound like? Musical sounding What do you palpate the lungs for? vibrations as the patient speaks in 4 areas on the front and 5 areas on the back How do you percuss the lungs Strike using the tip of your tapping finger, use the lightest percussion that produces a clear note, percussion helps est whether the underlying tissue are air filled, fluid filled or solid What do you note when percussing the lungs Flatness Dullness Resonance Hyperresonace Tympany How do you access for Transmitted Voice Sounds Listent to areas over the chest wall and have the patient say 99 then ee then have the patient whisper 99 When do you hear S1 with closure of the AV valves and thus signals the beginning of systole When do you hear S2 Occurs with the closure of the semilunar valves and signals the end of systole Where do you hear the S1 Over all the percordium, but usually it is loudest at the apex Where do you hear the S2 Loudest at the base Where does the right ventricle pump blood into the pulmonary arteries Where does the left Ventricle pump blood? into the aorta What are murmurs attributed to ? Turbulent blood flow What are the chest landmarks? Midsternal, Midclavicular, anterior axillary and midaxillary What goes into the physical exam of the heart? BP Pulses Exam the face Vessels of the neck heart Inspection of extremities What is systolic bp Pressure generated by the left ventricle when the LV ejects blood into the aorta and arterial tree