[INCOMPLETE] thePoint :: Chapter 15: Assessing Head and Neck :: NCLEX-Style Review Questions
Upon examination of the head and neck of a client, a nurse notes that the submandibular nodes are tender and enlarged. The nurse should assess the client for further findings related to what condition? a) Metastatic disease b) Acute infection c) Cushing's disease d) Chronic infection
b) Acute infection The lymph nodes are enlarged and tender in acute infections. Normally, lymph nodes are not sore or tender and are usually not palpable. Chronic infection causes the nodes to become confluent. In metastatic disease, the nodes enlarge and become fixed in place and are nontender. The lymph node findings may vary in Cushing's disease.
Which are should the nurse inspect for facial symmetry when performing a head and neck assessment? a) Preauricular nodes b) Earlobe placement c) Nasolabial folds d) Temporomandibular joint
c) Nasolabial folds The nasolabial folds are ideal places to check facial features for symmetry. Inspection of the temporomandibular joint cannot elicit facial symmetry. Preauricular nodes are common head and neck lymph nodes that cannot be inspected as they are very small. Earlobe placement is not an appropriate method to determine facial symmetry.
A nurse is examining a client's goiter and explaining the characteristics and functions of the thyroid gland. Which of the following should the nurse mention? SELECT ALL THAT APPLY. a) Consists of two lateral lobes b) Located anterior and inferior to the ears and behind the mandible c) Covered mostly by the sternomastoid muscles d) Largest endocrine gland in the body e) Produces saliva f) Produces hormones that increase the metabolic rate of most body cells
d) Largest endocrine gland in the body, f) Produces hormones that increase the metabolic rate of most body cells, a) Consists of two lateral lobes, c) Covered mostly by the sternomastoid muscles The thyroid gland is the largest endocrine gland in the body. It produces thyroid hormones that increase the metabolic rate of most body cells. The thyroid gland consists of two latera
