PA Study Guide Ch. 15

9. While assessing an adult client's skull, the nurse observes that the client's skulls and facial bones are larger and thicker than usual. The nurse should assess the client for

Ans: Acromegaly

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

Ans: Approach the client posteriorly

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

Ans: Refer the client to a physician for further evaluation

10. While assessing an adult client's head and neck, the nurse observes asymmetry in front of the client's ear lobes. The nurse refers the client to the physician because the nurse suspects the client is most likely experiencing an

Ans: Parotid gland enlargement

11. The nurse is preparing to assess the neck of an adult client. To inspect movements of the client's thyroid gland, the nurse should ask the client to

Ans: Swallow a small sip of water

8. 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 first

Ans: Ask the client if touching the head is permissible

5. An adult client visits the clinic and tells the nurse that she has had headache recently that are intense and stabbing and often occur in the late evening. The nurse should suspect the presence of

Ans: Cluster headache

15. 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 I have lost weight." A priority nursing diagnosis for the client is

Ans: Health-seeking behaviors related to verbalization of wanting to stay healthy and concerns over weight loss

2. A client visit 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

Ans: Meningeal irritation

3. 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 occuring more frequently. The nurse should refer the client for possible

Ans: Trigeminal neuralgia

4. A female client visits the clinic and tells the nurse that she frequently experiences severe recurring headache 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

Ans: Migraine headache

14. The nurse is preparing to assess the lymph nodes of an adult client. The nurse should instruct the client to

Ans: Sit in an upright position

6. A client visits the clinic and tells the nurse that he is depressed because of a recent job loss. He complains of dull, aching, tight, and diffuse headaches that have lasted for several days. The nurse should recognize that these are symptoms of

Ans: Tension headaches

1. The nurse assesses an adult client's head and neck. While examining the carotid arteries, the nurse assesses each artery individually to prevent a

Ans: Reduction of the blood supply to the brain

7. An older client visits the clinic accompanied by his daughter. The daughter tells the nurse that her father has been experiencing severe headache 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 evaluation because these symptoms are characteristic of a

Ans: Tumor-related headache