Exam 14: Head, Neck, and Related Lymphatics

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

The nurse is planning care for an older adult client. Which topic will the nurse include in the teaching session when discussing thyroid function?

The pregnant client, who just entered the third trimester of pregnancy, develops hypertension and is diagnosed with preeclampsia. Which assessment data does the nurse anticipate for this client?

The pediatric nurse is conducting physical assessments during a shift in the outpatient clinic. Which findings are considered abnormal?

The nurse is auscultating the thyroid gland and notes a bruit. Which conclusion by the nurse is appropriate based on this assessment finding?

The client is complaining of pain in the temporomandibular joint. During the nurse's assessment of this client, which pieces of information does the nurse expect to find?.

The nurse is assessing the client's head and neck. The nurse provides the client with a glass of water. Which structure is the nurse assessing while observing the client drinking the water?

Which location would the nurse use for palpation when assessing the submental lymph node during a physical assessment?

Which action by the nurse is appropriate when palpating the client's lymph nodes during the physical assessment?

Which information is true regarding the assessment of the thyroid or thyroid function in an infant or child?

The nurse is examining a client's neck. Which techniques are appropriate when palpating the trachea?

The nurse is conducting a seminar regarding cultural implications for physical assessment. A client of which ethnicity might prohibit the nurse from examining the head?

During a focused assessment and interview regarding the client's head and neck, the client reveals the occurrence of severe headaches intermittently over a three-day period. The client denies any aura, but admits to severe and unilateral pain over the right side of the face along with nasal congestion. Which diagnosis does the nurse anticipate based on this assessment data?

The nurse is auscultating the temporal artery and hears a soft blowing sound. Which term will the nurse use when documenting this finding?

While assessing a client, the nurse notes the client is irritable, anxious, and has lost 12 pounds over the last two months. The client's eyes appear to bulge from their sockets. Based on this data, which assessment findings does the nurse anticipate for this client?

The nurse notes the client's thyroid gland is enlarged during the physical assessment. While reviewing the client's history, the nurse notes that the client has a history of a goiter. Based on this information, which question is the priority during the focused interview?

The nurse is assessing the 1-month-old infant's fontanels and notes they are sunken. Based on this data, which conclusion is most appropriate?

The nurse is assessing the function of the client's cranial nerves. The nurse finds that the client is unable to demonstrate the ability to chew. Which cranial nerve is not functioning properly based on this assessment finding?

Which country has decreased their population's risk of developing thyroid disease by adding iodine to salt?

The nurse is assessing the client's neck. Where is the axis located?