6 hours ago Normally, the nose is symmetrical with no swelling or malformations. Describe the appearance and location of any abnormalities. Inspect the nasal cavity and mucosa of the nose for colour, discharge/bleeding, swelling, foreign bodies, and malformations. See Figure 3.8 and Video 3.4. Ask the client to tilt their head gently backwards while you ... >> Go To The Portal
With your thumb, gently palpate one sinus at a time. Use a circular motion to palpate. Begin with the frontal sinuses inferior to the eye brows over the bony ridge. Avoid the eye socket. Then, palpate the maxillary sinuses inferior to the zygomatic bone slightly lateral to the nose. Inquire if the client had any pain/tenderness upon palpation.
An older adult patient with COPD and on continuous oxygen per nasal cannula presents for a physical exam. Which of the following positions should the medical assistant place the patient in? A. forward, arms at the side with palms turned toward the front.
When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should: A. leave the error on the PCR but inform the staff of the patient's actual blood pressure.
If unable to locate the client's popliteal pulse during a routine examination, what should the nurse perform next? 1. Check for a pedal pulse. 2. Check for a femoral pulse. 3. Take the client's blood pressure on that thigh. 4. Ask another nurse to try to locate the pulse
Normal findings might be documented as: “External nose is symmetrical with no discolouration, swelling or malformations. Nasal mucosa is pinkish red with no discharge/bleeding, swelling, malformations or foreign bodies.” Abnormal findings might be documented as: “Bright red nasal mucosa with purulent discharge.”
What technique should the nurse use to examine the sinuses of a client with a sinus infection? Press up on the brow on each side of the nose to palpate the frontal sinus. An elderly client diagnosed with sinusitis undergoes a transillumination test to detect the presence of fluid or pus in the maxillary sinus.
What is the correct way to palpate the frontal sinuses? Press the thumbs against the brow bones. Rationale: Pressing the thumbs against the brow bones is the correct way to palpate the frontal sinuses.
0:001:06Sinus exploration - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd although the sinus is up here the way that we palpate it again is by going under the brow boneMoreAnd although the sinus is up here the way that we palpate it again is by going under the brow bone pushing in and pushing up the maxillary sinus is through here I want to identify the cheekbone.
Palpation: The sinuses are assessed for any signs of tenderness and infection.
Maxillary sinuses are posterior to the cheekbones; use digital pressure and percussion on the cheeks to elicit tenderness. Tapping on the upper teeth with a tongue depressor may evoke pain in the corresponding maxillary sinus. The floor of the maxillary sinuses may be approached by pressing upward on the palate.
Direct percussion is the technique of tapping the body with the fingertips of the dominant hand. It is used to assess thorax of an infant and also to assess the sinuses of an adult client.
Palpation is a method of feeling with the fingers or hands during a physical examination. The health care provider touches and feels your body to examine the size, consistency, texture, location, and tenderness of an organ or body part.
Endoscopic sinus surgery is a procedure used to remove blockages in the sinuses. These blockages may cause pain, drainage, recurring infections, impaired breathing or loss of smell. Sinus surgery is used to relieve symptoms associated with: Sinusitis and nasal polyps. Nasal congestion.
Brief assessmentSit facing the patient with your knees together and to one side of the patient's legs. ... Ask the patient to look forward, keeping their head in a neutral position.Carefully elevate the tip of the nose with your thumb, so that the nasal cavity becomes visible.More items...•
The paranasal sinuses are located in your head near your nose and eyes. They are named after the bones that provide their structure. The ethmoidal sinuses are located between your eyes. The maxillary sinuses are located below your eyes.
Because the patient is likely to be distracted just before discharge, giving discharge instructions just before discharge is not ideal.
After noting absent fremitus, the nurse should then auscultate the lungs to assess for the presence or absence of breath sounds. Absent fremitus may be noted with pneumothorax or atelectasis. The vibration is increased in conditions such as pneumonia, lung tumors, thick bronchial secretions, and pleural effusion.
Labeling of specimens is within the scope of practice of UAP. The other actions require nursing judgment and should be done by licensed nursing personnel. 1. A patient is scheduled for a computed tomography (CT) scan of the chest with contrast media.
The other actions are not contraindications for CT of the chest, although they may be for other diagnostic tests, such as magnetic resonance imaging or pulmonary spirometry. 1. While listening to the posterior chest of a patient who is experiencing acute shortness of breath, the nurse hears these sounds.
A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding, as well as other areas that have a white, cheesy coating.
During an inspection of his mouth, the nurse should look for: Bruising on the buccal mucosa or gums.
A woman who is in the second trimester of pregnancy mentions that she has had "more nosebleeds than ever" since she became pregnant. The nurse recognizes that this is a result of: Increased vascularity in the upper respiratory tract as a result of the pregnancy. The nurse is teaching a health class to high-school boys.
The primary purpose of the ciliated mucous membrane in the nose is to: Filter out dust and bacteria. The projections in the nasal cavity that increase the surface area are called the: Turbinates. The nurse is reviewing the development of the newborn infant.
Rheumatic fever. During a checkup, a 22-year-old woman tells the nurse that she uses an over-the-counter nasal spray because of her allergies. She also states that it does not work as well as it used to when she first started using it. The best response by the nurse would be.
This could be an early sign of: Acquired immunodeficiency syndrome (AIDS). A mother brings her 4-month-old infant to the clinic with concerns regarding a small pad in the middle of the upper lip that has been there since 1 month of age. The infant has no health problems.
A mother is concerned because her 18-month-old toddler has 12 teeth. She is wondering if this is normal for a child of this age. The nurse's best response would be: "This is a normal number of teeth for an 18 month old.".
When documenting general appearance, the nurse should document this information under the section that covers:#N#A) posture.#N#B) mobility & general appearance#N#C) mood and affect.#N#D) physical deformity.
place one hand on his forehead and the other on his jaw and ask him to try to open his mouth. place a finger on his temporomandibular joint and ask him to open and close his mouth. The nurse has just completed an examination of a patient's extraocular muscles.