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NURS 3276 Unit 3 Twenty-one Questions
Intro To Health Assess/Well (NURS 3276)
Columbus State University
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NURS 3276: Introduction to Health Assessment
Unit 3: Eyes, Ears, Nose, Mouth, & Throat Twenty-one Questions
How does a nurse test distance vision with the Snellen chart? What does 20/20 or 20/ mean? 20/20 means a person is able to see at 20 feet what a person with normal vision would expect to see at 20 feet. 20/200 shows myopia, they must be 20 feet away from object to see it when a erson with normal vision could see object from 200 feet away.- nearsighted
How does the nurse assess peripheral vision? wagon wheel or the H method
Which cranial nerves are responsible for extraocular eye movements? oculomotor, abducens, trochlear
How does the nurse test extraocular eye movements using the Letter “H” or Wagon Wheel method? How far should the pen or object be away from the patient’s face? 18 inch
When assessing corneal light reflex, approximately how far away should the light be? 12 in
When assessing the Six Cardinal Fields of Gaze, rapid fluttering of the eyeball occurs, what it this called? nystagmus
When performing the cover/uncover test, the uncovered eye moves towards the nose, what is this abnormal finding called? strabismus
What does PERRLA stand for? pupils equal round, reactive to light and accomodating When the nurse documents PERRLA what is he or she saying? she is annotating the condition of the pt eyes
In a dim room, when the penlight light is shined into the cornea of the right eye, what should happen to the left eye? What is this called? the pupil of the left eye should react as the right eye and dilate
When a penlight is shined into the cornea, does the nurse shine across the eye from the nose or outer eye? outer
If the illuminated pupil fails to constrict, which cranial nerve is responsible for consensual response? defect in the direct pupillary response of the cranial nerve III
The nurse notes that the patient’s right eyelid is drooping, what medical term would the nurse document this finding? ptosis What cranial nerve is responsible for this finding? systematic neuromuscular
The patient is looking off into the distant and changes to focus on the penlight and both pupils converge and change size. What is this called? accomodation, if not there is a defect with the cranial nerve III, IV, and VI
Same scenario as 13. If the pupils fail to converge, dysfunction of which cranial nerves?
Which bacteria is responsible for Blephartis and Hordeolum (Stye)? staph
In an older patient, the nurse notes the lower eyelids are everted which the conjunctiva can be seen. The nurse would document this as what? ectropion, if inversion entropion
Exophthalmos occurs secondary to Graves’ disease, which is hyper- or hypothyroidism? hyperthyroidism
The nurse notes that the patient has extremely puffy and swollen eyelids. The nurse is concerned what this is associated with which systemic health problems? kidney failure, heart failure, and allergies
The nursing student notices that his or her grandmother has cloudy appearance over her cornea. The student suspects that the grandmother has which abnormal eye condition? cataract
A patient wakes up from anesthesia with both pupils fixed and dilated. The nurse would document this as? mydriasis
A patient prevents to the emergency room with fixed and constricted pupils. The nurse would document this as? mitosis The nurse is aware that it is associated with which conditions? CNS damage, glaucoma treatment, and narcotic use
Think about Ears, Nose, Mouth, & Throat with the same type of Questions.
NURS 3276 Unit 3 Twenty-one Questions
Course: Intro To Health Assess/Well (NURS 3276)
University: Columbus State University
