chp 15 question
Where is the temporal artery palpated? Between the mandibular joint and the base of the ear Just left of midline at the base of the neck Above the cheek bone near the scalp line Just left or right of the spine at the base of the skull
Above the cheek bone near the scalp line
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? Metastatic disease Chronic infection Acute infection Cushing's disease
Acute infection
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 Bacterial thyroiditis Cranial damage Muscle tension
Arthritic changes of the cervical spine
During the physical examination of a client, a nurse notes that a client's trachea has been pushed toward the right side. The nurse recognizes that the pathophysiologic cause for this finding is related to what disease process? Tuberculosis Bronchitis Atelectasis Endocarditis
Atelectasis
A client admitted to the hospital for a gastrointestinal bleed is now experiencing right-sided facial weakness. The nurse assesses the client and determines no other neurological deficits exist. The nurse determines the client is most likely exhibiting signs of which of the following disorders? cranial nerve XII dysfunction cranial nerve V dysfunction trigeminal neuralgia Bell palsy
Bell palsy
The nurse is palpating a client's neck as part of a physical assessment. Which of the following blood vessels should the nurse be especially careful to avoid bilaterally compressing during the assessment? Internal jugular vein Carotid artery External jugular vein Temporal artery
Carotid artery
When palpating the lymph nodes of the neck, the nurse assesses for which of the following characteristics? Congruency, induration, size, turgor Delineation, integrity, shape, color Consistency, delineation, mobility, tenderness Configuration, discreteness, temperature, color
Consistency, delineation, mobility, tenderness
What is the most common type of hyperthyroidism? Graves' disease Moon face Thyroid cancer Cushing's syndrome
Graves' disease
A client presents to the health care clinic with reports of a stiff neck for the past 3 days. What objective information can the nurse obtain during the health history using inspection? Range of motion Head position Neck tenderness Thyroid size
Head position
A client presents at the clinic for a routine check-up. The nurse notes that she is dressed in warm clothing even though the temperature outside is 73°F (22.8°C). The nurse also notes that the client has gained 10 pounds (4.5 kg) since her last visit 9 months ago. What might the nurse suspect? Hypothyroidism Hyperthyroidism Brain tumor Effects of age-related changes
Hypothyroidism
While the nurse is assessing a client for an unrelated health concern, the client experiences a sudden, severe headache with no known cause. He also complains of dizziness and trouble seeing out of one eye. What associated condition should the nurse suspect in this client? Diabetes Hyperthyroidism Brain tumor Impending stroke
Impending stroke
A nurse is caring for a client admitted with neck pain. The client is febrile. What is the most likely medical diagnosis for this client? Migraine Cervical fracture Measles Meningitis
Meningitis
A client reports sudden head and neck pain with stiffness, a new sensitivity to light, and has developed a fever. What is a priority action of the nurse? Administer acetaminophen for the pain. Continue to monitor the client. Document the findings. Notify the health care provider.
Notify the health care provider.
A client reports severe pain in the posterior region of the neck and difficulty turning the head to the right. What additional information should the nurse collect? Stiffness in the right shoulder Difficulty with swallowing Changes in sleeping habits Previous injuries to the head and neck
Previous injuries to the head and neck
A nurse performs a comprehensive assessment on a client. The nurse observes the following findings: enlarged hands, feet, and facial features (nose, ears). Which of the following disorders do these findings indicate? scleroderma Cushing syndrome acromegaly Parkinson disease
acromegaly
A client reports slight swelling and tightness at the base of their neck. The nurse palpates the client's throat and neck and determines the thyroid gland is enlarged. What medical term will the nurse use when charting this finding? hypothyroidism hyperthyroidism goiter iodine deficiency
goiter
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 migraine headache. tension headache. tumor-related headache. cluster headache.
migraine headache.
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 trigeminal neuralgia. cancerous lesions. inner ear disease. arterial occlusion.
trigeminal neuralgia.
The nurses assesses the thyroid gland of a client with recent weight loss. On auscultation, a low, soft, rushing sound is heard over the lateral lobes. Which condition is most likely? hyperthyroidism thyroid cyst Hashimoto thyroiditis benign tumor
hyperthyroidism
The nurse in a community health clinic is preparing to assess the thyroid gland of a 22-year-old female client. Complete the table by selecting which action to take for each step of the thyroid assessment process. Step of the Assessment Position self to complete the assessment-: --1--- Identify landmarks by palpation: ----2-- Displace the thyroid gland for palpation-: ---3--
1: Stand behind the client 2: Identify thyroid and cricoid cartilages and thyroid isthmus 3: Ask the client to swallow
The nurse assesses a client's submental lymph nodes. In which area of the client's head should the nurse palpate these lymph nodes? Superficial to the sternomastoid In front of the ear In the midline, a few centimeters behind the tip of the mandible At the angle of the mandible
In the midline, a few centimeters behind the tip of the mandible
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 Migraine headache Trigeminal neuralgia Parkinson's disease
Meningeal inflammation
A young adult client has just had X-rays and computed tomography scanning of the head and neck following a mountain bicycling accident. All results are negative. What should the nurse assess for ne328xt? Shortness of breath Range of motion of the neck Headache Range of motion of the arms and shoulders
Range of motion of the neck
The nurse is assessing an elderly woman who reports lethargy and weakness. During the examination, the nurse notices that the client's face is drooping slightly on the right side. Why does this finding require emergency intervention? The client could be experiencing a stroke The client could be suffering from dehydration This is a sign of hypothyroidism This is a sign of hyperthyroidism
The client could be experiencing a stroke
A nurse is teaching nursing students about the risks associated with developing head and neck cancers. The nurse determines student understanding when the students make which of the following statements? "Chewing tobacco does not cause cancer." "Alcohol plays a very little role in head and neck cancers." "Most head and neck cancers are linked to smoking." "Asbestosis does not cause head and neck cancers."
"Most head and neck cancers are linked to smoking."
