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NR 509 Completion of Immersion Program/Exam

NR 509 Completion of Immersion Program/Exam 
………..I’ll begin with inspecting your face. I’ll note that I don’t see any discolorations or lesions & the head is midline & symmetrical.
  1. LYMPH NODES: Next, I’ll palpate the lymph nodes. I’ll begin with the preauricular lymph nodes & postauricular lymph nodes. Next the occipital lymph nodes. I’ll move forward to palpate the tonsillar lymph nodes, submandibular & submental. I’m palpating the anterior cervical lymph nodes & posterior cervical lymph nodes & lastly the supraclavicular lymph nodes. I don’t feel any enlargement & they’re equal bilaterally. NR 509 Completion of Immersion Program/Exam.

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  1. FACE : I’m testing trigeminal nerve, which is cranial nerve # 5. Palpating over the masseter muscle as the pt clenches the jaw. I don’t feel any distortions & my pt has great strength. Now, I’m testing the sensory portion of the trigeminal nerve. I’ll ask my pt to close your eyes & let me know where you feel my touch. (>> Forehead, right cheek, left cheek, chin, nose)……….Next, I’ll test the facial nerve, which is cranial nerve # 7. I’m going to ask you to do some facial expressions. I’m going to have you smile, next, frown for me. Now raise your eyebrows & puff up your cheeks, pucker your lips. I notice all expressions have bilateral symmetry.
  2. EARS
  3. EYES
  4. NOSE
  5. MOUTH
  6. NECK & THROAT
  7. HEART/CHEST
  8. UPPER EXTREMITIES
  9. ABDOMEN
  10. LOWER EXTREMITIES
  11. NR 509 Completion of Immersion Program/Exam