NR 509 Assessment Study Guide Solutions
First step obtain - Ans:-patient consent to video and assessment
Face most note - Ans:-head is midline and symmetrical
no discoloration or lesions
Palpation of Lymph nodes on face and neck - Ans:-preauricular lymph nodes-at front of ear
postauricular lym...
Note intact: if able to perform and equal and symmetrical bilaterally
Inspect the Ears
1. note the outer ear
2. use an otoscope to look inside for adult pull ear - Ans:✔✔-1. equal and symmetrical no nodules or
lesions or discoloration
2. up and back and note external auditory canal is clear, no redness, drainage, effusion (full of fluid)
swelling and absent of cereum and tympanic membrane is bright or pearly grey
do same with other ear
Palpate the ears
1. palpate the
2. next palpate the - Ans:✔✔-1. pinna (top of the ear) note absence of nodules or tenderness
2. tragus (inner ear triangle) note absence of tenderness
Cranial nerve VIII: the Acoustic Nerve
1. this will assess (blank) you will use the Whisper test - Ans:✔✔-1. patient's hearing have them cover
one ear and whisper something "123 or 456" into the opposite ear and have them repeat back to you.
Do this on both ears Note hearing is intact bilaterally
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