Health Assessment Test 2

Front 1

During a subjective assessment of the head and neck, what date should you obtain from the patient?

Back 1

Headache (HA)?
Injury?
Dizziness/Syncope?
Neck pain?
Limited ROM?
Lumps or Swelling?
History of head or neck injury?

Front 2

What objective data should you assess for in the head and neck?

Back 2

Examination of the head
Cranium (Skull): Inspect and palpate
Temporal area: Inspect and palpate
Face: Inspect and palpate, note symmetry, test cranial nerves (CN) V and VII
Inspect the nose and test for CN I

Front 3

What subjective date should you assess pertaining to the nose?

Back 3

Discharge?
Frequent upper respiratory infections?
Sinus pain?
Trauma?
Epistaxis?
Allergies?
Sense of smell?

Front 4

What objective date should you assess for the nose?

Back 4

Inspect external nose:
symmetry
deformity
lesions

Palpate sinuses, note tenderness

Test patency of each nostril

Inspect using nasal speculum

Front 5

What subjective date should you assess pertaining to the oral cavity?

Back 5

Sores/lesions?
Sore throat?
Bleeding gums?
Toothache?
Dysphagia?

Front 6

What are bleeding gums a sign of?

Back 6

gingivitis (inflammation of gums)

Front 7

What objective data should you assess for the oral cavity?

Back 7

Client opens and closes jaw- feel TMJ

Note condition teeth, gums, mucosa

Parotid glands: swelling

Lips: (lumps, lesion, etc)

Open mouth, stick out tongue, move side to side (Tests CN XII)

Say Ahh... soft palate rises midline (tests CN X)

Inspect uvula, palate, tonsils

Uvula looks like hanging pendant if split in two-bifid

Palate: anterior hard palate, whitish while posterior soft palate pinkish

Tonsils- graded by enlargement
1+ = visible
2+ = near uvual
3+ = touching uvula together
4+ = touching

Wharton's Duct: opening of submandibular glands

Stensen's Duct: opening of parotid salivary glands

Warm client and elicit gag by touching posterior wall of pharynx with tongue blade (tests CN IX & X)

With tongue blade inspect cheeks and underside lips

With gloves and gauze- pull tongue L and R

Front 8

What subjective data should you assess pertaining to the neck?

Back 8

History of problems?
Neck pain?
Lumps?
Swelling?
Surgery?

Front 9

What objective data should you assess for the neck?

Back 9

Inspect
Symmetry, midline, errect

Palpate
carotid pulse

Note enlargement of lymph nodes
Masses
Swelling
Bruises

Use of accessory muscles

Alignment

Test for ROM, naturally decreases with age

Auscultate carotid arteries

Front 10

What subjective data should you assess pertaining to the trachea?

Back 10

History of trachea problems?
Tracheotomy?
Tracheostomy?

Front 11

What objective data should you assess for the trachea?

Back 11

Palpate trachea for:
Deviations
Tenderness
Masses
Masses push trachea away from affected area, whereas atelectasis causes pull toward affected area

Front 12

What subjective data should you assess pertaining to the thyroid?

Back 12

History of thyroid problems?
Thyroid levels?
Thyroid medication?

Front 13

What objective data should you assess for the thyroid?

Back 13

Inspect: note deviations or bulges

As person extends neck slightly and swallows water, note upward symmetrical movement of trachea and other cartilage

Front 14

What should you know about palpating the thyroid?

Back 14

Ask person to tilt head slightly to side and palpate lobes

Use fingers on opposite siges to displace gland in lateral direction, ask person to swallow: isthmus rises

Posterior approach:
Rest thumbs on back of person's neck, fingers on carotid cartilage. Displace gland & palpate isthmus as person swallows, thyroid rises.

Anterior approach:
Rest fingers around sternomastoid muscle. Place thumbs on side of trachea. Displace gland & palpate isthmus as person swallows, thyroid rises.

Front 15

How should you document a normal thyroid?

Back 15

Thyroid palpated as symmetric, without enlargement. Texture consistent, with no masses, nodules or tenderness.