Exam 13: Head, Neck, and Related Lymphatics

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The nurse is preparing to assess an adult client suspected of having hyperthyroidism. Which assessment findings does the nurse anticipate? Select all that apply.

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A,B,E

The nurse is preparing to palpate the submental lymph node. Which anatomical location should the nurse palpate?

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C

The nurse is teaching a client with a history of migraines about avoiding foods that are rich in tyramine. Which foods should the nurse include in the teaching? Select all that apply.

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A,B,E

The nurse is examining a client's neck. Which techniques should the nurse use to palpate the trachea? Select all that apply.

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A client tells the nurse they have been experiencing "severe headaches intermittently over the past 3 days" that are accompanied with unilateral pain over the right side of their face and nasal congestion. Which should the nurse suspect the client is experiencing?

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The nurse is preparing to perform a head and neck assessment on a client with Parkinson's disease. Which finding should the nurse anticipate?

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The nurse is planning care for a client with hypothyroidism. Which should the nurse recognize is a priority nursing diagnosis?

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A client has a history of palpable submental lymph nodes. Which anatomical area should the nurse assess?

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A client tells the nurse that they experience daily headaches. Which should the nurse include in the assessment? Select all that apply.

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The nurse is assessing the client's neck. Which should the nurse recognize is an abnormal finding?

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The nurse suspects a client has a concussion. Which findings should the nurse expect to support the suspicion?

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A client asks why the nurse is looking at their jugular veins and arteries. Which response should the nurse provide? Select all that apply.

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The nurse is preparing to assess a client that is experiencing TMJ discomfort. Which should the nurse be concerned with? Select all that apply.

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The nurse is auscultating the temporal artery and hears a soft blowing sound. Which term should the nurse use to document the findings?

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A client asks why they are being asked about tobacco products during a head and neck assessment. Which response should the nurse recognize the primary reason for the question?

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A client tells the nurse they are experiencing headaches. Which question should the nurse ask the client that best encourages a detailed description?

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The nurse assessing a newborn notes an enlarged head with visible prominent scalp veins. Which should the nurse suspect the newborn is experiencing?

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A client tells the nurse they are experiencing sudden intermittent headaches after seeing "flashes of light" and experiencing nausea. Which should the nurse suspect the client is experiencing?

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The nurse is preparing to assess a client's lymph nodes. Which technique should the nurse use?

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Which best describes the function of the axis?

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