NR 509 Immersion – Physical Assessment Sudy guide

1) Greet patient 2) Inspect face – no discoloration or lesions present 3) Inspect head – midline, symmetrical 4) Palpate lymph nodes:  Preauricular  Postauricular  Occipital  Tonsillar  Submandibular  Submental  Anterior cervical  Posterior cervical  Supraclavicular *No enlargement, equal bilaterally. 5) Cranial nerve #5 (TRIGEMINAL)  Motor: palpate masseter muscle and have patient clench teeth -no distortions, great strength  Sensory: have patient close eyes and touch face with q-tip, have them verbalize where on face you are touching - Pt. verbalized appropriate areas that were touched. Cranial nerve # 5 is intact. 6) Cranial nerve # 7 (FACIAL)  Facial expressions: smile, frown, puff cheeks—symmetric and equal bilaterally, pucker lips—tight 7) Inspect ears—no nodules or skin lesions present, symmetrical  Use otoscope to inspect external auditory canal. Pull ear up and back. - No swelling, redness, drainage or cerumen. -Tympanic membrane is pearly gray, no effusion present in middle ear. *Repeat on other side.  Palpate pinnae & tragus - no nodules or tenderness