NURS 225: Assessments of the Ears, Nose, Throat &
Mouth
1. What do you ask when trying to obtain health history of one's ears?: - Do you have any hearing
problems?
- Have you ever had ringing in your ears? (Tinnitus)
- Do you have any ear pain?
2. Steps of Assessing the Ear: 1. Inspect Externally and Internally
2. Palpate external ear
3. Assess hearing
4. Weber test and Rinne test
5. Romberg test
3. Normal Ear attachment: 10 degrees
4. What do you palpate for on the external ear?: Palpate...
1. Condition of skin (texture)
2. Presence of lesions
3. Presence of tenderness or pain
5. Normal findings of inspecting tympanic membrane: - Tympanic membrane is pearly gray and
shiny
- Ear canal is patent (open)
- Small amount of wax
- Bony landmarks are visible
6. Abnormal findings of ear: 1. Otitis media
2. Perforated Tympanic Membrane
7. How to test gross hearing: using Whisper Test
8. Whisper test: Test in which patients covers one ear and the healt whispers hcare
something and asking what patient heard worker
9. Weber test: Test done by placing the stem of a vibrating tuning fork of the on the
head and having the patient indicate in which ear the tone can midline be
heard
10.Weber test is negative =: sound heard equally in both ears
11.Weber test is positive =: sound not heard equally in both ears
12.Rinne Test: Hearing test using a tuning fork around the ear area
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, NURS 225: Assessments of the Ears, Nose, Throat &
Mouth
13.Rinne test is done when?: Performed only when Weber Test is positive (abnor- mal)
14.Rinne Test Function: - checks for differences in bone conduction and air con- duction
- measures how long patient hears sounds for
15.Romberg Test: assesses ability of vestibular apparatus in inner ear to maintain hel
standing balance p
16.Romberg Test Function: notes patient's balance
17.How to assess Romberg Test: Have patient stand with feet together
- Healthcare worker's hands should be at side with eyes open
18.Findings of Romberg Test: 1. Balanced = negative (normal)
2. Not balanced & swaying = positive (abnormal)
19.What do you ask when trying to obtain health history of one's nose?: - "Do you have any nasal
congestion?"
- "Do you have a history of nose or sinus problems?"
- "Do you experience nose bleeds? (epistaxis)"
- "Any seasonal allergies?"
20.NORMAL findings of inspecting external structures of nose: nose is midline & symmetrical; no
discharge or flaring
21.ABNORMAL findings of inspecting external structures of nose: severe asymmetry; nasal
flaring; presence of nasal drainage
22.Patency of nares: whether or not the nasal airways are open an is able to d whether
travel in and out of the nares air
23.What to check when inspecting internal structures of nose: N and septum of asal
patient's nose mucosa
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Mouth
1. What do you ask when trying to obtain health history of one's ears?: - Do you have any hearing
problems?
- Have you ever had ringing in your ears? (Tinnitus)
- Do you have any ear pain?
2. Steps of Assessing the Ear: 1. Inspect Externally and Internally
2. Palpate external ear
3. Assess hearing
4. Weber test and Rinne test
5. Romberg test
3. Normal Ear attachment: 10 degrees
4. What do you palpate for on the external ear?: Palpate...
1. Condition of skin (texture)
2. Presence of lesions
3. Presence of tenderness or pain
5. Normal findings of inspecting tympanic membrane: - Tympanic membrane is pearly gray and
shiny
- Ear canal is patent (open)
- Small amount of wax
- Bony landmarks are visible
6. Abnormal findings of ear: 1. Otitis media
2. Perforated Tympanic Membrane
7. How to test gross hearing: using Whisper Test
8. Whisper test: Test in which patients covers one ear and the healt whispers hcare
something and asking what patient heard worker
9. Weber test: Test done by placing the stem of a vibrating tuning fork of the on the
head and having the patient indicate in which ear the tone can midline be
heard
10.Weber test is negative =: sound heard equally in both ears
11.Weber test is positive =: sound not heard equally in both ears
12.Rinne Test: Hearing test using a tuning fork around the ear area
1/
7
, NURS 225: Assessments of the Ears, Nose, Throat &
Mouth
13.Rinne test is done when?: Performed only when Weber Test is positive (abnor- mal)
14.Rinne Test Function: - checks for differences in bone conduction and air con- duction
- measures how long patient hears sounds for
15.Romberg Test: assesses ability of vestibular apparatus in inner ear to maintain hel
standing balance p
16.Romberg Test Function: notes patient's balance
17.How to assess Romberg Test: Have patient stand with feet together
- Healthcare worker's hands should be at side with eyes open
18.Findings of Romberg Test: 1. Balanced = negative (normal)
2. Not balanced & swaying = positive (abnormal)
19.What do you ask when trying to obtain health history of one's nose?: - "Do you have any nasal
congestion?"
- "Do you have a history of nose or sinus problems?"
- "Do you experience nose bleeds? (epistaxis)"
- "Any seasonal allergies?"
20.NORMAL findings of inspecting external structures of nose: nose is midline & symmetrical; no
discharge or flaring
21.ABNORMAL findings of inspecting external structures of nose: severe asymmetry; nasal
flaring; presence of nasal drainage
22.Patency of nares: whether or not the nasal airways are open an is able to d whether
travel in and out of the nares air
23.What to check when inspecting internal structures of nose: N and septum of asal
patient's nose mucosa
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