HEENT System

What is the neck composed of?

hyoid bone, several major blood vessels,larynx,trachea,and thyroid gland

Where is the cervical vertebrae located?

posterior neck

What happens if someone is wearing a head covering?

explain to them the need for it and let them know we will do it quickly and orivately but if they do not want to you cannot force it

What is the C7 used for?

landmark used to help located other vertebrae

What are Lymph Nodes

filter lymph and remove bacteria and turmor cells and produce lymphocytes and antibodies

What is the size of lymph nodes?

less than 1 cm

How do lymoh nodes appear in?

clusters of 2 to 100 nodes

Can you typically feel lymph nodes

usually not palpable or feel like small beads

What are amonormal findings of lymph nodes

swelling, pain, unable to move lymph nodes, not palpable , very big

How palpate tmj?

open their jaw

How to palpate the trachea?

place your finger in the sternal notch adf feel each side of the notch and palpate the tracheal rings

How to paplate thyroid gland?

you can only feel it when its enlarged but if need to palpate you do it from the back

Where are the eyelids joined at

lateral and medial canthus

what is the Lacrimial apparatus consist of

glands and ducts

Lacrimal gland

helps prodces tears

duct

everything gets drained itno

do muscles in the eye work seperately or together

coordinate with each other to move the eyes

Which carnial

Sclera

dense protective white covreing and supports internal structures of eye

What does the cornea do?

permits light entrance and responsive to pain and touch

What does the iris and ciliary body do?

controls pupil size and eye color and ciliary body controls lens thicknless

retina

recives visiula stimili and sends to the brain and contains rods and cone

abrnomal findings on eyelids and eyelashes

mites, parasite, crust

What to assess when inspecting eyelids and eyelashes?

assess ability of eyelids to close and notice any unusual turnings, colors, swelling, lesions, discarhge, or redness

How to inspect the conjustiva and scelera?

have client keep head straight while looking from side to side then uo toward the celing and observing for clarity color and texture

What does perrla mean

pupilrs reacted round light accomindation

What is the external ear composed of ?

Composed of the auricle (pinna) and the external auditory canal

What is the nose composed of?

bone and cartilage and lined with mucous membrane

what does the external nose consist of?

bridge tips nares

What is the mouth or oral cavity formed by?

lips cheeks hard and soft palates, uvula tongue and its muscles

What is the roof ot the oral cavity formed by ?

acnterior hard plate and posteier soft palate

What does the mandible provide?

structural support for the floor of the mouth

malignancy

immombie non tender hard

During assesment the cnurse notes that clients trachea is deviated to the left what is the priority action

notify provider immedatily

Which finding during thyroid assesment requries further evaluation?

rapid enlargment of single nodule

The nurse is performing the cardinal fields of gaze test. Which cranial nerves are being observed?

III IV VI

A nurse documents that a client is PERRLA what does this indicate

pupils equila round reactive light and accommodation

The nurse identifies frequent nosebleeds originating from the Kiesselbach area. What is the significant of this area?

highly vascular

Which finding is most consistent with sinusitis?

pain with palpation of sinuses

Which finding during oral assesment requires follow up?

white patches on tongue that does not scrape of which is called thrush

Which client fiending should the nurse address first

Which subjective is most concernng furing a HEENT assesment

sudden loss of one eye

What do you do when assessing mouth of a patient?

insoect lips, teeth, buccal mucosa, , ask client to stick tongue out, assess the ivula, and inspect the tonsils

What is the mouth formed by?

lips, cheeks, hard and soft palates, uvula, and tongue

What does it mean when thyroid gland is enlarged?

graves disease, hyperhyroidism, goites

What are abnormal findings of lymphnodes?

swelling, tenderness,hardness, immobility

What is the external ears abnormal findings?

low set ears,otix externa,lesions, carcinoma, or tophi

What is the abnormal findings of the external audiotory canal?

cerumum impaction, foreign body, discharge, otis externa,or funal infection

What are the abnormal findings of typmanic membrane?

red/bulging tympanic membrane,perforation,scarring, estachian blockage

What are the abnormal findings for palpating trachea?

pneumothorax,mass

What is the semicircular canals

part of the labrynith of ear and regulate balance

What is presbyopia?

results for loss elasticity, imparing near vision

What do cataracts