NUR 304: Assessing Head and Neck

myxedema

(severe hypothyroidism) characterized by dull, puffy face, edema around the eyes, and dry, course and sparse hair.

auscultate

__________ the thyroid only if you find an enlarged thyroid gland during inspection or palpation

85%

__________% of head and neck cancers are linked to tobacco use. alcohol use is also a risk factor of these cancers.

trigeminal neuralgia

___________ is manifested by sharp, shooting, piercing facial pains that last from seconds to minutes. pain occurs over the divisions of the 5th trigeminal cranial nerve.

cushing syndrome

___________ may be present with a moon-shaped face with reddened cheeks and increased facial hair

cachexia (emaciation or wasting)

a "sunken" face with depressed eyes and hollow cheeks is typical of _________.

tension headaches

a client visits the clinic and tells the nurse that he is depressed because of a recent job loss. he complains of dull, aching, tight, and diffuse headaches that have lasted for several days. the nurse should recognize that these are symptoms of?

meningeal irritation

a client visits the outpatient center w/a complaint of sudden head and neck pain and stiffness. temp is 100F. the nurse suspects the client is experiencing symptoms of?

late evening or night

a cluster headache typically occurs in the ______________ and is intense.

migraine headache

a female client visits the clinic and tells the nurse that she frequently experiences severe recurring headaches that sometimes last for several days and are accompanied by nausea and vomiting. the nurse determines that the type of headache the client is describing is a?

health-seeking behaviors related to verbalization of wanting to stay healthy and concerns over weight loss

a female client visits the clinic and tells the nurse that she wants to "stay healthy". the nurse observes that the client has diffuse neck enlargement, is perspiring, and is quite fidgety. the client tells the nurse that she is "hungry all the time, but I have lost weight." a priority nursing diagnosis for the client is?

the associated condition is improved

a sinus headache can lasts until?

hyperthyroidism

a soft, blowing, swishing sound auscultated over the thyroid lobes is often heard in __________ because of an increase in blood flow through the thyroid arteries.

meningitis

a stiff neck is often a late symptom seen in ___________.

scleroderma

a tightened face with thinning facial skin is seen with _______

microcephaly

abnormally small head

migraine headache

accompanied by nausea, vomiting, and sensitivity to light or noise may have prodromal stage; may be precipitated by emotional disturbances; anxiety; or ingestion of alcohol, cheese, chocolate, or other foods and substances to which client is sensitive located around eyes, temples, cheeks, or forehead; may affect only one side of the face.

tumor related headache

aching, steady; neurologic and mental symptoms as well as nausea and vomiting may develop no prodromal stage; may be aggravated by coughing, sneezing, or sudden movements of the head location varies depending on the location of the tumor

paget disease

acorn-shaped, enlarged skull bones are seen in _________ disease of the bone

cluster headaches

an adult client visits the clinic and tells the nurse that she has had headaches recently that are intense and stabbing and often occur in the late evening. the nurse should suspect the presence of?

goiter

an enlargement of the thyroid gland

tumor-related headache

an older client visits the clinic accompanied by his daughter. the daughter tells the nurse that her father has been experiencing severe headaches that usually begin in the morning and become worse when he coughs. the client tells the nurse that he feels dizzy when he has the headaches. the nurse refers the client for further evaluation bc these symptoms are characteristics of a?

sinus headache

deep, constant, throbbing pain; pressure-like pain in one specific area of the head or face. face tender to touch occurs w/ or after a cold, acute sinusitis, or acute febrile illness with purulent discharge from nose. one area of the face or along eyebrow ridge and below the cheek bone.

bell palsy

drooping, weakness, or paralysis on one side of the face may also result from a neurologic condition known as __________.

tension headache

dull, tight, diffuse no prodromal stage; may occur with stress, anxiety, or depression usually located in the frontal, temporal, or occipital region

acromegaly

enlargement of the skull and facial bones

hyperthyroidism

exophthalmos is seen with __________.

HIV

generalized lymphadenopathy that persists for more than 3 months may be a sign of __________.

fibrotic changes

if palpable, the older client's thyroid may feel more nodular or irregular because of ___________ changes that occur with aging; the thyroid may also be felt lower in the neck because of age-related structural changes.

kyphosis

in older clients, cervical curvature may increase because of __________ of the spine. moreover, fat may accumulate around the cervical vertebrae (especially in women). this is sometimes called a dowager's hump.

shrink

in older clients, facial wrinkles are prominent because subcutaneous fat decreases with age. in addition, the lower face may ________ and the mouth may be drawn inward as a result of resorption of mandibular bone, also an age-related process.

up to 3 days

migraine headaches can last up to ________. they are throbbing, severe

cluster headache

stabbing pain; may be accompanied by tearing, eyelid drooping, reddened eye, or runny nose has a sudden onset; may be precipitated by ingesting alcohol localized in the eye and orbit and radiating to the facial and temporal regions

days, months, or years

tension headaches can last ____________. they are aching

11th cranial nerve

the _____________ is responsible for muscle movement that permits shrugging of the shoulders by the trapezius muscles and turning the head against resistance by the sternomastoid muscles.

temporal artery

the _____________, a major artery, is located between the eye and the top of the ear.

cranium and face

the framework of the head is the skull which can be divided into tow subsections: the ______________.

vascular muscle contraction traction inflammatory causes

the most common types of headaches are related to:

reduction of the blood supply to the brain

the nurse assesses an adult client's head and neck. while examining the carotid arteries, the nurse assesses each artery individually to prevent a?

approach the client posteriorly

the nurse is planning to assess an adult client's thyroid gland. the nurse should plan to?

swallow a small sip of water

the nurse is preparing to asses the neck of an adult client. to inspect movement of the clients thyroid gland, the nurse should ask the client to?

sit in an upright position

the nurse is preparing to assess the lymph nodes of an adult client. the nurse should instruct the client to?

ask the client if touching the head is permissible

the nurse is preparing to perform a head and neck assessment of an adult client who has immigrated to the US from Cambodia. the nurse should first?

C7

the vertebra prominens is _______, which can easily be palpated when the neck is flexed.

morning

tumor-related headaches commonly occur in the ________ and last for several hours.

lymphadenopathy

when lymph node enlargement exceeds 1 cm, the client is said to have _____________, which may be caused by acute or chronic infection, an autoimmune disorder, or metastatic disease.

parotid gland enlargement

while assesses an adult client's head and neck, the nurse observes asymmetry in front of the client's earlobes. the nurse refers the client to the physician bc the nurse suspects the client is most likely experiencing a?

acromegaly

while assessing an adult client's skull, the nurse observes that the client's skull and facial bones are larger and thicker than usual. the nurse should assess for?

refer the client to a physician for further evalution

while assessing an older client's neck, the nurse observes that the client's trachea is pulled to the left side. the nurse should?

trigeminal neuraligia

while assessing the head and neck of an adult client, the client tells the nurse that she has been experiencing sharp shooting facial pains that last from 10 to 20 seconds but are occurring more frequently. the nurse should refer the client for possible?