Chapter 15- Assessing the Head and Neck

nurse practitioner notes that the thyroid gland is enlarged and auscultates both lobes of the thyroid. Nurse is listening for?

Bruits

The nurse notes unilateral facial drooping and reports the finding immediately to the healthcare provider. The client is diagnosed with Bell palsy. The nurse should include assessment of which affected cranial nerve in the client's head and neck assessment?

Cranial nerve VII

an adult client is admitted to the hospital with severe diarrhea. Moon shaped face, buffalo hump at the nape of neck, a velvety discoloration around the neck.

Cushing's syndrom

A client presents to the emergency department with reports of neck pain and a sudden onset of a headache. Upon examination, the nurse finds that the client has an increased temperature and nuchal rigidity. The nurse recognizes these findings as most likely to be caused by what condition?

Meningeal inflammation

severe pain in the posterior region of the neck and difficulty turning the head to the right--- additional information the nurse should collect

Previous injuries to the head and neck

Associated factors when a patient complains of cluster of headaches

Rhinorrhea Ptosis Mitosis Lacrimation

Palpation of a 15-year-old boy's submandibular lymph nodes reveals them to be enlarged and tender. What is the nurse's most reasonable interpretation of this assessment finding?

There is an infection in the area that these nodes drain

A 82 year old female presents with neck pain, decreased strength and sensation of the upper extremities. The nurse identifies that this could be related to what?

arthritic changes of the cervical spine

when palpating the lymph nodes of the neck, the nurse assesses for---

consistency, delineation, mobility, tenderness

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

explain to client if touching the head is permissible

most common type of hyperthyroidism

grave's disease

dressed warm, patient gained weight-- nurse suspects

hypothyroidism

A client presents to the emergency department with reports of neck pain and a sudden onset of a headache. Upon examination, the nurse finds that the client has an increased temperature and neck stiffness. The nurse recognizes these findings as most likely to be caused by what condition?

meningeal inflammation

A client visits the outpatient center with a complaint of sudden head and neck pain and stiffness. The client's oral temperature is 37.7 °C (100 °F). The nurse suspects the client is experiencing symptoms of

migraine headache

Which risk factor for traumatic brain injury should a nurse include in a discussion about prevention for a group of adolescents?

modes of transportation are the leading cause

A 73-year-old woman comes to the office for evaluation of new onset of tremors. She is not taking any medications, herbs, or supplements. She has no chronic medical conditions. She does not smoke or drink alcohol. She walks into the examination room with slow, shuffling steps. She has decreased facial mobility with a blunt expression without any changes in hair distribution on her face. Based on this description, what is the most likely reason for the client's symptoms?

parkinsons disease