Questions and Answers
How would you describe gait after inspection/observation?
Steady gait
How would you describe the skin after inspection?
Skin appears pink, well-hydrated, with no obvious lesions
How would you describe a person's nail beds after inspection?
Nail beds appear pink without lines, ridges, clubbing, or cyanosis
How would you grade a pulse that feels 'normal'?
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How would you describe the head after palpating the head and scalp?
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How would you describe the alignment and symmetry of the eyes?
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How would you describe external eye structures after inspection?
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What would you say when the patient passes the EOM test (H pattern), convergence, and accommodation?
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What would you say when the patient passes the papillary response to light tests?
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How will you describe a normal finding after inspection of the ears?
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How will you describe a normal finding after palpation of the external ear?
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How will you describe the mucosa, septum, and turbinates after inspection of the nose?
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How will you describe a normal finding after palpation of the sinuses?
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How will you describe a normal finding after inspection of the mouth, lips, and gums?
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What is the tonsillar grading scale?
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Study Notes
Gait and Skin Assessment
- Gait is described as steady, indicating stability in movement.
- Skin assessment reveals a pink appearance, well-hydrated condition, and absence of lesions.
Nail Bed Evaluation
- Normal nail beds are pink, lacking lines, ridges, clubbing, or signs of cyanosis.
Pulse Grading
- A palpated pulse graded as 2+ signifies a brisk and normal strength.
Head and Scalp Inspection
- Normocephalic head is observed with no scars, masses, or tenderness; hair distribution is good with average texture.
Eye Assessment
- Eyes appear symmetrical and aligned, with well-distributed eyebrows and eyelashes.
- External eye structures show no abnormalities; conjunctiva is pink, and sclera is white with no excessive tearing or discharge.
Extraocular Movements
- Extraocular movements assessed via the H pattern indicate intact cranial nerves 3, 4, and 6.
Pupillary Response
- Pupils constrict in response to light, and are equally reactive, demonstrating normal neural function.
Ear Examination
- External ears are free from lesions, deformities, and tenderness upon inspection.
- Both the pinna and tragus are palpated without tenderness, indicating normal findings.
Nasal Examination
- Nasal mucosa is pink, septum is midline, and there are no ulcerations or polyps.
Sinus Palpation
- No tenderness is noted in the frontal or maxillary sinuses, reflecting normal sinus conditions.
Oral Cavity Inspection
- Lips are pink and moist; oral mucosa, gums, and pharynx are pink with no lesions.
- Good dentition observed; tongue and uvula are midline, tonsils are rated 1+ with no crypts or exudate, and sublingual area is free from lesions.
Tonsillar Grading Scale
- Tonnillar grading is from 0 (fit within fossa) to 1+ (present but not enlarged).
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Description
This quiz focuses on flashcards that provide examples of nursing charting, emphasizing the description of gait, skin, and nail beds. Perfect for nursing students looking to strengthen their observational skills and documentation accuracy.