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NUR 265 Exam 4 (HEENT, mouth, neck, mental health, and neuro)
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NUR 265 Exam 4 (HEENT, mouth, neck, mental health, and neuro)
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NUR 265 Exam 4 (HEENT,mouth, neck, mental health,
and neuro)
HEENT
head, eyes, ears, nose, throat
Health History Questions: Head
•Headache
•Head injury
•Dizziness
•surgery
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Brainpower
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Health History Questions: Neck
•Pain
•Limitation in range of motion
•Lumps or swelling
•Surgery
,Head Inspection/Palpation
•Position
•Size, shape, symmetry
•Skin lesions
•Tenderness
•Temporal area
•Sutures in children
•Hair texture, color, distribution
face inspection
•Facial structures & features
•Color
•Skin
•Symmetry
•Ear setting
Inspect and palpate frontal and maxillary sinuses
Transillumination
Inspect and palpate neck
•Symmetry
•Swallowing
•Range of motion
•Trachea
•Thyroid gland
•Posterior approach
•Anterior approach
•Lymph nodes
Neck Assessment
•Inspect the neck at slight extension
•Thyroid using side lighting
•Trachea should be midline
•Neck should be symmetric
•Palpate thyroid
•Size, shape, symmetry, tenderness and nodules
Palpating the thyroid: posterior approach
Rest thumbs on back of person's neck, place fingers on cricoid
cartilage. Displace gland & palpate isthmus as person swallows,
thyroid rises
, head and neck lymph nodes
posterior auricular, preauricular, tonsillar, submental,
supraclavicular, posterior cervical, submanibular, occipital,
superficial cervical, deep cervical chain
Infant head inspection
•Head circumference
•Head symmetry of shape
•Fontanels
•Scalp scaling or crusting (cradle cap or infantile seborrheic
dermatitis)
•Hair Caput succedaneum or cephalhematoma
•Head control, position, movement
Pregnant women assessment
•Changes in thyroid gland and hormones
•Pregnancy is an euthyroid state.
•Early and sustained increase seen in the renal clearance of iodine.
•Thyroid compensates by enlarging to produce sufficient thyroid
hormones.
•Chloasma-mask of pregnancy
older adult assessment
•Faces vary with nutritional status
•Sunken eyes
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