Exam 13: Head, Face, and Neck, Including Regional Lymphatics

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A patient's thyroid gland is enlarged,and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit.A bruit is a __________ sound that is heard best with the __________ of the stethoscope.

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C

A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed.He states that he cannot raise his eyebrow or whistle.The nurse suspects that he has:

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D

The physician reports that a patient with a neck tumor has a tracheal shift.The nurse is aware that this means that the patient's trachea is:

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B

During a well-baby checkup,a mother is concerned because her 2-month-old infant cannot hold her head up when she is pulled to a sitting position.Which response by the nurse is appropriate?

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During an examination,the nurse finds that a patient's left temporal artery is tortuous and feels hardened and tender,compared with the right temporal artery.The nurse suspects which condition?

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A physician tells the nurse that a patient's vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour.The area of the body the nurse will assess is:

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A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:

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During an examination,the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement?

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While performing a well-child assessment on a 5 year old,the nurse notes the presence of palpable,bilateral,cervical,and inguinal lymph nodes.They are approximately 0.5 cm in size,round,mobile,and nontender.The nurse suspects that this child:

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A mother brings her newborn in for an assessment and asks,"Is there something wrong with my baby? His head seems so big." Which statement is true regarding the relative proportions of the head and trunk of the newborn?

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A patient,an 85-year-old woman,is complaining about the fact that the bones in her face have become more noticeable.What explanation should the nurse give her?

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The nurse is assessing a 1-month-old infant at his well-baby checkup.Which assessment findings are appropriate for this age? Select all that apply.

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A visitor from Poland who does not speak English seems to be somewhat apprehensive about the nurse examining his neck.He would probably be more comfortable with the nurse examining his thyroid gland from:

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A woman comes to the clinic and states,"I've been sick for so long! My eyes have gotten so puffy,and my eyebrows and hair have become coarse and dry." The nurse will assess for other signs and symptoms of:

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When examining children affected with Down syndrome (trisomy 21),the nurse looks for the possible presence of:

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During an admission assessment,the nurse notices that a male patient has an enlarged and rather thick skull.The nurse suspects acromegaly and would further assess for:

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The nurse notices that a patient's submental lymph nodes are enlarged.In an effort to identify the cause of the node enlargement,the nurse would assess the patient's:

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A 19-year-old college student is brought to the emergency department with a severe headache he describes as,"Like nothing I've ever had before." His temperature is 40° C,and he has a stiff neck.The nurse looks for other signs and symptoms of which problem?

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A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head.The nurse suspects damage to CN ______ and proceeds with the examination by _____________.

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The nurse is aware that the four areas in the body where lymph nodes are accessible are the:

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