Assessment of the neck - Unit 2 Flashcards
Inspection - observe __ movement.
Head. Do ROM
When assessing the neck, it’s okay to hyperextend it. T/F?
False - IT IS NOT OKAY TO DO THIS!
To see neck veins and if they are protruding, place the patient in a ___ position.
Fowler’s position. If everything is okay, the veins in the neck should not be visible.
If the veins are visible in the neck, this is called ____ ____ ____.
Jugular Vein Distention (could be caused by a heart problem, increased central veinous pressure, etc.)
Lymph Nodes - oval structures located throughout the body that are packed with ____.
Lymphocytes.
Lymph node inspection - normally visible. T/F?
False - they are typically not visible!
Lymph Node Assessment - what do we do?
We feel the lymph nodes. We face the client, have them flex neck forward or toward side, we use our finger tips, and feel for them in a gentle rotating motion.
We feel for the deep cervical chain, supraclavicular chain, and cervical nodes - T/F?
True!
Tracheal Alignment - We feel to make sure it is….
in the correct line. If it is really out of place, it is a MEDICAL EMERGENCY!
Carotid Pulse - we can check both at the same time, right?
FALSE - we must only check one at one time!
Carotid Pulse - bruit - what is it?
A blowing/swooshing sound. It is caused by opening of carotid artery - may be blocked 1/2 - 2/3.
Carotid Pulse - thrill - what is it?
Vibration - feels like a cat purring.
