NURSNG 220 Lecture Notes - Lecture 11: Biceps, Trachea, Bruit
Document Summary
Principles: patient comfort and safety, organization/ef ciency (don"t make pt. stand up/sit down a million times - gure out a good order, comprehension. General survey: physical appearance, body habitus/structure, mobility (speech, cn x - cranial nerve 10, behavior, snellen chart (cn ii) Vital signs: bp, hr, rr, temp, o2 sat. Head & face: head, inspect, palpate scalp, face, inspect, palpate sinuses. !1: motor (cn vii, sensation (cn v) Eyes: external appearance (per, light re exes (rl, eoms, confrontation, accommodation (a, cn iii, iv, vi. Nose: inspect external, internal, patency, smell (cn i) Mouth: inspect: lips, buccal membranes, palate, dentition, tongue: mobility, inspect underneath (cn xii, phonation, gag (cn ix) Ears: whisper test (cn viii, rinne & weber, if indicated, inspect: auricle & meatus, palpate: nodes & auricle, otoscopic. Neck: lymph nodes, trachea, thyroid, carotid (listen with bell because if there is a bruit it will be low pitched, roms, resistance, shrug (cn xi)
