Jarvis 14 (Head&Neck) Flashcards
The ____ includes the skull, a rigid, bony box that
protects the brain and special sense organs.
head
(Jarvis Chapter 14 Key Points)
The head includes the ____ , a rigid, bony box that
protects the brain and special sense organs.
skull
(Jarvis Chapter 14 Key Points)
Cranial bones unite at immovable joints called ______.
sutures
(Jarvis Chapter 14 Key Points)
_______ facial bones articulate at sutures, except the mandible, which has the movable temporomandibular joint anterior to each ear.
Fourteen
(Jarvis Chapter 14 Key Points)
Fourteen facial bones articulate at sutures, except the ______, which has the movable temporomandibular joint anterior to each ear.
mandible
(Jarvis Chapter 14 Key Points)
Fourteen facial bones articulate at sutures, except the mandible, which has the movable ____________ joint anterior to each ear.
temporomandibular
(Jarvis Chapter 14 Key Points)
The _________ _______ lies superior to the temporalis
muscle and its pulsation is palpable anterior to
the ear.
temporal artery
(Jarvis Chapter 14 Key Points)
The _________ and glands
are accessible to examination. The parotid glands are in the cheeks over the mandible and are not normally palpable.
sublingual and submandibular salivary
(Jarvis Chapter 14 Key Points)
The ______ is delimited by the skull and mandible above and the manubrium sterni, clavicle, first rib, and first thoracic vertebra below.
neck
(Jarvis Chapter 14 Key Points)
The neck is delimited by the _____ and _____ above and the _______ ______, ______, _____ ____, and _____ _____ _____ below.
skull and mandible above
manubrium sterni, clavicle, first rib, and first thoracic vertebra below
(Jarvis Chapter 14 Key Points)
Along with nerves and lymphatics, parts of the
______ and _____ systems pass through
the neck.
respiratory and digestive
(Jarvis Chapter 14 Key Points)
The _______ ______ are in the cheeks over the mandible and are not normally palpable.
parotid glands
(Jarvis Chapter 14 Key Points)
The _____ artery and _____ _____ ____ vein lie
beneath the sternomastoid muscle.
carotid and internal jugular
(Jarvis Chapter 14 Key Points)
The ______ _____ vein runs diagonally across this muscle.
external jugular
(Jarvis Chapter 14 Key Points)
The major neck muscles are the _______ and ______
the and are innervated by cranial nerve ___.
sternomastoid and trapezius, XI
(Jarvis Chapter 14 Key Points)
The sternomastoid muscle divides each side of the neck into two triangles. It accomplishes head rotation and flexion. The_____ triangle extends to the mandible above and the midline of the body medially.
anterior
(Jarvis Chapter 14 Key Points)
The sternomastoid muscle divides each side of the neck into two triangles. It accomplishes head rotation and flexion. The_____ triangle lies behind the sternomastoid muscle and in front of the trapezius.
posterior
(Jarvis Chapter 14 Key Points)
The _____ gland is an important endocrine gland that straddles the trachea in the middle of the neck. The thyroid cartilage, with a small palpable notch, lies above the thyroid isthmus.
thyroid
(Jarvis Chapter 14 Key Points)
The thyroid gland is an important endocrine gland that straddles the _____ in the _______
trachea, middle of the neck.
(Jarvis Chapter 14 Key Points)
The thyroid cartilage, with a small palpable notch, lies _________
above the thyroid isthmus
(Jarvis Chapter 14 Key Points)
lymph nodes labels correspond to ________
adjacent structures
(Jarvis Chapter 14 Key Points)
The ___________ are located in front of the ear.
preauricular nodes
(Jarvis Chapter 14 Key Points)
The __________ lie superficial to the mastoid process
posterior auricular nodes
(Jarvis Chapter 14 Key Points)
The _________ are felt at the base of the skull.
occipital nodes
(Jarvis Chapter 14 Key Points)
The _______ are midline structures behind the tip of the mandible.
submental nodes
(Jarvis Chapter 14 Key Points)
The _______ are found halfway between the angle of the mandible and its tip.
submandibular nodes
(Jarvis Chapter 14 Key Points)
The __________ exist under the angle of the mandible.
jugulodigastric (tonsillar) nodes
(Jarvis Chapter 14 Key Points)
The _____________overlay the sternomastoid muscle.
superficial cervical nodes
(Jarvis Chapter 14 Key Points)
The _______ are deep under the sternomastoid muscle.
deep cervical nodes
(Jarvis Chapter 14 Key Points)
____________ appear in the posterior triangle along the edge of the trapezius muscle
posterior cervical nodes
(Jarvis Chapter 14 Key Points)
The ___________ are located just above and behind the clavicle, at the sternomastoid muscle
supraclavicular nodes
(Jarvis Chapter 14 Key Points)
At birth, the head is ______ than the chest circumference
larger
(Jarvis Chapter 14 Key Points)
neonate’s ________ are separated by sutures and fontanels
skull bones
(Jarvis Chapter 14 Key Points)
neonate’s skull bones are separated by _________ and _______
sutures and fontanels
(Jarvis Chapter 14 Key Points)
Lymphoid tissue is well developed at birth and grows to adult size by age ____
6
(Jarvis Chapter 14 Key Points)
At age _______, lymph tissue exceeds adult size and then slowly atrophies.
10 or 11
(Jarvis Chapter 14 Key Points)
During pregnancy, the _______ enlarges as a result of hyperplasia of the tissue and increased vascularity.
thyroid gland
(Jarvis Chapter 14 Key Points)
In aging adults, the ________ and ______ appear more prominent as the facial skin sags due to decreased elasticity, moisture, and subcutaneous fat.
facial bones and orbits
(Jarvis Chapter 14 Key Points)
When assessing the head, face, and neck you should collect subjective data on
Headaches, head injury, dizziness, neck pain, limited range or motion, numbness or tingling, lumps or swelling, history of surgeries.
(Jarvis Chapter 14 Key Points)
When assessing the head, face, and neck you should collect objective data on
Observe size and and shape and note any deformities, lumps, or tenderness. Palpate the temporal artery and temporomandibular joint.
(Jarvis Chapter 14 Key Points)
When inspecting the face, note the facial _____ and the
_____________, which reflect the functioning of cranial nerve VII. Also observe for any involuntary movements, edema, or lesions.
expression and symmetry of movement
(Jarvis Chapter 14 Key Points)
Then inspect and palpate the neck. Check for __________ and active ____________.
symmetry of head position and range of motion
(Jarvis Chapter 14 Key Points)
Test muscle strength and the status of cranial nerve ___ by performing the shrug test.
XI
(Jarvis Chapter 14 Key Points)
If palpation reveals lymph node abnormalities,
explore the area________ to the affected node.
proximal
(Jarvis Chapter 14 Key Points)
If the thyroid is enlarged, auscultate it for ______ and _____
bruits a soft pulsatile, whooshing sound.
(Jarvis Chapter 14 Key Points)
When measuring an infant head size, palpate the fontanels, and note the ______
tonic neck reflex
(Jarvis Chapter 14 Key Points)
In a pregnant woman, assess for______ (a blotchy,
hyperpigmented area over the cheeks and forehead) and thyroid gland enlargement.
chloasma
(Jarvis Chapter 14 Key Points)
In an aging adult, observe for _______, ________ and _______.
prominent temporal arteries kyphosis of the spine, and senile tremors
(Jarvis Chapter 14 Key Points)
During the ______ ______, the nurse should question the patient about the history of present illness related to head and neck complaints.
patient interview
(Jarvis Sherpath: Ch14 Head and Neck)
To thoroughly assess the head and neck, the nurse should inspect for _____, _____. and _____
symmetry, shape, and contour.
(Jarvis Sherpath: Ch14 Head and Neck)
The nurse should also palpate the head and neck for _____, _____. and _____/.
texture, temperature of the overlying skin, tracheal position, and thyroid consistency.
(Jarvis Sherpath: Ch14 Head and Neck)
When inspecting the infant head and neck, the nurse must remember that the neck:
may not be visible, and the nurse should measure the head circumference and note head shape and condition of the fontanels.
(Jarvis Sherpath: Ch14 Head and Neck)
During inspection and palpation of the head, the nurse expects to find ____, ____, ____, and ______
symmetry, even hair distribution, no masses, and no unexpected movement.
(Jarvis Sherpath: Ch14 Head and Neck)
Normal findings for the neck inspection include _____, _____, and _____.
symmetry, a midline trachea, and nonpalpable lymph nodes
(Jarvis Sherpath: Ch14 Head and Neck)
The nurse also palpates and auscultates the temporal and carotid arteries and expects to find ______ or ______
no thrills or bruits.
(Jarvis Sherpath: Ch14 Head and Neck)
When assessing the head, the nurse understands that ____, ____, and _____ are abnormal findings.
gross asymmetry, patchy bald spots, and varied pigmentation
(Jarvis Sherpath: Ch14 Head and Neck)
____, ____, and ____ are all abnormal findings for the neck assessment.
Tracheal deviation, enlarged thyroid gland, and palpable lymph nodes
(Jarvis Sherpath: Ch14 Head and Neck)
When documenting history of present illness related to the head and neck, the nurse should include ____, ____, ____, and ____
pain, bleeding, fever, and recent illness or trauma.
(Jarvis Sherpath: Ch14 Head and Neck)
The nurse should also document personal/social information related to the head and neck, including _____ and _____.
the patient’s use of tobacco and environmental hazards.
(Jarvis Sherpath: Ch14 Head and Neck)
The nurse should document findings related to the head and neck, including ____, ____, ____, and ____.
fever, enlarged lymph nodes, and palpable masses.
(Jarvis Sherpath: Ch14 Head and Neck)
