HA: 14 & 17

bifid uvula

a variation that looks split or partially severed and may be associated with a submucous cleft palate

don clean gloves for the procedure

before examining the mouth of an adult client, the nurse should first

Kliesselbach's area

common site of nasal bleeding

side of tongue

most common site of tongue cancer

lip pits

normal variation that occurs in the crease between the upper and lower lip

stensen's duct

openings found on buccal mucosa across from second upper molar

trapezius and sternomastoid muscles

paired muscles that allow movement and provide support to the head and neck

method used to palpate frontal sinuses

press up on brow on each side of nose

torus palatinus

bony protuberance in the midline of the hard palate

wharton's duct

openings found on either side of the frenulum of the floor of the mouth

method used to palpate maxillary sinuses

press up with thumb on sinuses

cricoid cartilage

ringlike cartilage forming the lower and back part of the larynx

absence of a red flow with transillumination

sinus filled with fluid or pus

CN XI

spinal accessory nerve contraction of trapezius and sternomastoid muscles

trachea

the air passage extending from the throat and larynx to the main bronchi

depress the tongue blade slightly off center

the is planning to inspect an adult clients mouth, using a tongue depressor. the nurse should plan to

approach the client posteriorly

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

adam's apple

the throid cartilage located just above the cricoid cartilage

grade 3+ tonsils

touch the uvula

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

Paget's disease

while assessing an adult client's skull, the nurse observes that the client's skull bones are acorn shaped and enlarged. the nurse should refer the client to a physician for possible

paratoid gland

The largest of the three main parts of salivary glands, located on either side of the face, just below and in front of the ears

riboflavin

a client visits the clinic and tells the nurse that she has painful cracking in the corners of her lips. the nurse should assess the client's diet for a deficiency of

stress and anxiety

an adolescent client tells the nurse that her mothers says she grinds her teeth when she sleeps. the nurse should explain to the client that grinding the teeth may be a sign of

tension headaches

an adult client visits the clinic and tells the nurse that he is depressed bc of a recent job loss. he complains of dull, aching, tight, and diffuse headaches that have lasted for several days. the nurse should document the presence of

cheilosis

cracking at the corner of the lips seen in riboflavin deficiency

method for assessing the internal nose

inspection using the otoscope with short wide tip attachment

transillumination

method used to test for fluid in the sinuses

palpation and percussion

method used to test for sinus tenderness

significance of a red flow w/transillumination

sinus filled with air

thyroid gland

the largest of the endocrine glands, situated in the front and sides of the neck just below the thyroid cartilage

trigeminal neuralgia

the nurse assesses an adult client's head and neck, the client has benn 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.

area under the tongue

the nurse is assessing an adult clients oral cavity for possible oral cancer. the nurse should explain to the client that the most common site of oral cancer is

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 asses the client for

meningeal irritation

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

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. what type of headache is determined?

health-seeking behaviors related to verbalization of wanting to stay healthy

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 has lost weight. a priority nursing diagnosis for the client is

hyoid bone

a horseshoe shape bone at the base of the tongue; the only bone in the body not directly attached to another bone

refer the client for further eval

a nurse assesses the mouth of an adult male client and observes a rough, crusty, eroded area. the nurse should

sublingual gland

a salivary gland on either side of the tongue

cluster headache

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 document the presence of

touching each other

an adult client visits the clinic complaining of a sore throat. after assessing the throat, the nurse documents the client' tonsils as 4+. the nurse should explain to the client that 4+ tonsils are present when the nurse observes

aphthous stomatitis

an adult client visits the clinic complaining of recurrent ulcers in the mouth. the nurse assess the client's mouth and observes a painful ulcer. the nurse should document the presence of

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 evalutaion bc these symptoms are characteristics of a

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

an upper respiratory infection

the nurse has assessed the nose of an adult client and has explained to the client about her thick yellowish nasal discharge. the nurse determines that the client understands the instructions when the client says that the yellowish discharge is most likely due to

Candida

the nurse is assessing a client who has been taking antibiotics for an infection for 10 days. the nurse observes whitish curd-like patches in the client's mouth. the nurse should explain to the client that these spots are most likely

aspiration

the nurse is assessing the mouth of an older adult and observes that the client appears to have poorly fitting dentures. the nurse should instruct the client that she may be at greater risk for

diets low in fruits and veggies are a possible risk factor for oral cancer.

the nurse is planning a presentation to a group of high school students about the risk factors for oral cancer. which of the following should be included in the nurses plan?

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

maxillary sinuses

the nurse is preparing to examine the sinuses of an adult client. after examining the frontal sinuses, the nurse should proceed to examine

position the handle of the otoscope to one side

the nurse is preparing to inspect the nose of an adult client with an otoscope. the nurse plans 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

refer the client to a physician for further eval

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