Using the award-winning Incredibly Easy! type, Best of tremendously Easy! is an wonderful, useful, accomplished reference on a variety of subject matters which are important to fashionable nursing perform. The booklet offers an important issues and ideas from a number of the different Incredibly effortless! Series® volumes, utilizing a hugely visible structure, with a variety of illustrations, routine emblems, reminiscence joggers, bulleted lists, and charts to augment learning.
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Riveting on the retina Completely scan the retina by following the four blood vessels that extend from the optic disk to different peripheral areas. The retina should have a uniform color and be free from scars and pigmentation. As you scan, note any lesions or hemorrhages. Movin’ in on the macula Finally, move the light laterally from the optic disk to locate the macula, the part of the eye most sensitive to light. It appears as a darker structure, free from blood vessels. Most patients can’t tolerate having a beam of light fall on the macula.
Inspect the ventral surface of the tongue and the floor of the mouth. Next, wrap a piece of gauze around the tip of the tongue and move the tongue first to one side then the other to inspect the lateral borders. They should be smooth and even-textured. qxd 28/8/08 14:44PM Page 28 HEALTH ASSESSMENT 28 Assessing the throat To inspect the patient’s oropharynx, ask him to open his mouth while you shine the penlight on the uvula and palate. You may need to insert a tongue blade into the mouth and depress the tongue.
Then let the arm drop to the patient’s side. It should fall easily. To test leg muscle tone, guide the hip through passive ROM exercises; then let the leg fall to the bed. The leg shouldn’t fall into an externally rotated position; this finding is considered abnormal and may suggest myasthenia gravis or multiple sclerosis. Muscle strength To perform a general examination of muscle strength, observe the patient’s gait and motor activities. To evaluate muscle strength, ask the patient to move major muscles and muscle groups against resistance.