ch 12: head and neck

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A female client asks a nurse why it seems like her headaches are more severe and longer in duration than male friends who also have migraines. What is the best response by the nurse?

"Hormones affect the severity of migraine headaches."

characteristics of cluster headaches

- Frequent - Short - High intensity - 10X more common in men vs. women

subjective data for head and neck

- headache - injury - dizziness - neck pain, limitation of ROM - lumps or swelling - history of head/neck surgery - family history - lifestyle

When to worry about lymph nodes

- larger than 1c, - fixed, hard, rubbery nodules

sutures

Areas where the cranial bones have joined together

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

Lymph nodes of the neck

Preauricular Postauricular Tonsillar Occipital Submandibular Submental Superficial cervical Posterior cervical Deep cervical Supraclavicular

thyroid gland secretes

T3 and T4

A nurse is examining a client's neck and is preparing to palpate the thyroid gland. The nurse would most likely expect to palpate how many lobes?

The thyroid gland consists of two lateral lobes

A client seeks medical attention for sharp, shooting facial pain that lasts for several minutes at a time. For which health problem should the nurse assess this client?

Trigeminal neuralgia

submandibular gland

a salivary gland inside the lower jaw on either side that produces

The lymph nodes are enlarged and tender in ? Normally, lymph nodes are not

acute infections. Normally, lymph nodes are not sore or tender and are usually not palpable.

how to test that facial muscles are symmetriclal and working well?

ask pt to smile, raise eyebrows, blink, open jaw

bruit

blowing, swooshing sound heard through a stethoscope when an artery is partially occluded

shape pf thyroid

butterfly 2 lobes

Neck vertebrae

c1-c7

blood supplied to head through

carotid arteries

assess face for

color, symmetry, masses, lesions

head made of

cranium and facial skeletons

lymphadenopathy

enlarged lymph nodes, a good thing shows immune system is working

temporal artery supplies blood to the

face

stabilization of head and neck is essential to avoid

further neurological injury

Hypothyroidism more common in

in pt over 60

characteristics of migraines

last 4-72 hours, unilateral, pulsating, moderate to severe intensity, aggravated by routine physical activity, there are triggers, associated with nausea/vomiting, photophobia/phonophobia (aura)

Fever + Headache

meningitis

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.

characteristics of tension heachaches

most common, bilateral, pressing or tightening, gradual

to palpate thyroid

o Instruct the person to swallow a sip of water, the thyroid gland and cartilage should rise as the person swallows o Palpate as the person is swallowing o Enlarged thyroid gland is called a goiter Do not palpate if visibly enlarged, a bruit may be auscultated if the thyroid is enlarged

sublingual gland

salivary gland under the tongue

parotid gland

salivary gland within the cheek, just anterior to the ear

assess the head for

size and shape, depressions, lumps

blood supply for neck lies under the

sternocleidomastoid

major muscles of the neck

sternocleidomastoid and trapezius

A nurse has completed the assessment of an older adult client's head and neck and is now analyzing the assessment findings. Which finding should the nurse attribute to age-related physiological changes?

The strength of the pulsation of the temporal artery may be decreased in the older client.

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?

Tobacco use increases the risk of head and neck cancer. Eighty-five percent of head and neck cancers are linked to tobacco use

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?

Whenever a lymph node is enlarged or tender, the nurse should assess for infection in the area that the particular nodes drain.

major facial muscles enable

chewing, speaking, smiling and frowning

cranial nerve 5 does what

supplies motor and sensory

assess the neck for

symmetry, range of motion, masses/swelling


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