NURS 251 Lecture Notes - Lecture 1: Paranasal Sinuses, Facial Symmetry, Temporomandibular Joint
Document Summary
Must achieve 90% pass categories to pass the examination. Hand hygiene and explanation to patient, provision of privacy. Facial expressions match mood: general mood and affect, dress. Pulse (rate, rhythm, force: temperature, respirations, bp. Palpate skin for moisture, texture, edema, turgor, presence of any lesions: hair distribution, color, infestation, cleanliness, nail shape, color, contour, any irregularities, capillary refill. Inspect skull, temporomandibular joints, facial symmetry: any involuntary facial movements. Inspection and palpation: range of motion, trachea position, thyroid palpation. Inspect eyebrows, lids, lashes, globes, conjunctivae and sclera. Inspect external ear: palpate pinna, tragus and mastoid process, otoscopic exam canal, wax, tm bilat, whisper test, rinne/weber tests. Inspection for symmetry, deformity, lesions, patency: nasal cavity (using otoscope, turbinates. Inspect lips, teeth, gums, tongue, buccal musosa, palate, uvula. Breasts (can demonstrate on a mannequin or describe the procedure) Skin: nipples, areolae, lymph glands in axillae, complete maneuvers to screen for retraction, compress nipples. Identify verbally: angle of louis, suprasternal notch, c7.
