Exam 14: Head, Face, and Neck, Including Regional Lymphatics

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 recognizes that he needs testing for:

During an examination of a patient in her third trimester of pregnancy, the nurse notices that the patient's thyroid gland is slightly enlarged.No enlargement had been previously noticed.The nurse recognizes that the patient:

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

The nurse is performing an assessment on a 7-year-old child who has symptoms of chronic watery eyes, sneezing, and clear nasal drainage.The nurse notices the presence of a transverse line across the bridge of the nose, dark blue shadows below the eyes, and a double crease on the lower eyelids.These findings are characteristic of:

A patient is concerned that while studying for an examination he began to notice a severe headache in the left front and side of his head that was throbbing and was relieved when he lay down.He tells the nurse that his mother also had these headaches.The nurse suspects that he may be suffering from:

During an examination of a 3-year-old child, the nurse notices a bruit over the left temporal area.The nurse should:

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:

A patient is admitted to the hospital with paralysis to the left side of his mouth.On assessment, the nurse notes that the patient can close his eyes but is not able to whistle or smile when asked to.The nurse recognizes that the patient needs additional assessment for:

A mother brings her 2-month-old daughter in for an examination and says, "My daughter rolled over against the wall, and now I have noticed that she has this spot that is soft on the top of her head.Is something terribly wrong?" The nurse's best response would be:

A male patient with a history of AIDS has come in for an examination and he states, "I think that I have the mumps." The nurse would begin by examining the:

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

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.)

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

A patient's laboratory data reveal an elevated thyroxine (T₄) level.The nurse would proceed with an examination of the _____ gland.

When examining the face of a patient, the nurse is aware that the two pairs of salivary glands that are accessible for examination are the ___________ and ___________ glands.

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?

A patient, an 85-year-old woman, is concerned that the bones in her face have become more noticeable.The nurse tells her that:

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.

The nurse notices that a patient's palpebral fissures are unequal.On examination, the nurse may find that damage has occurred to which cranial nerve (CN)?

A mother brings in her newborn infant for an assessment and tells the nurse that she has noticed that whenever her newborn's head is turned to the right side, she straightens out the arm and leg on the same side and flexes the opposite arm and leg.After observing this on examination, the nurse tells her that this reflex is: