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ARCHIVES > Jarvis 14 (Head&Neck) > Flashcards

Jarvis 14 (Head&Neck) Flashcards

1
Q

The ____ includes the skull, a rigid, bony box that
protects the brain and special sense organs.

A

head

(Jarvis Chapter 14 Key Points)

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2
Q

The head includes the ____ , a rigid, bony box that
protects the brain and special sense organs.

A

skull

(Jarvis Chapter 14 Key Points)

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3
Q

Cranial bones unite at immovable joints called ______.

A

sutures

(Jarvis Chapter 14 Key Points)

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4
Q

_______ facial bones articulate at sutures, except the mandible, which has the movable temporomandibular joint anterior to each ear.

A

Fourteen

(Jarvis Chapter 14 Key Points)

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5
Q

Fourteen facial bones articulate at sutures, except the ______, which has the movable temporomandibular joint anterior to each ear.

A

mandible

(Jarvis Chapter 14 Key Points)

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6
Q

Fourteen facial bones articulate at sutures, except the mandible, which has the movable ____________ joint anterior to each ear.

A

temporomandibular

(Jarvis Chapter 14 Key Points)

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7
Q

The _________ _______ lies superior to the temporalis
muscle and its pulsation is palpable anterior to
the ear.

A

temporal artery

(Jarvis Chapter 14 Key Points)

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8
Q

The _________ and glands
are accessible to examination. The parotid glands are in the cheeks over the mandible and are not normally palpable.

A

sublingual and submandibular salivary

(Jarvis Chapter 14 Key Points)

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9
Q

The ______ is delimited by the skull and mandible above and the manubrium sterni, clavicle, first rib, and first thoracic vertebra below.

A

neck

(Jarvis Chapter 14 Key Points)

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10
Q

The neck is delimited by the _____ and _____ above and the _______ ______, ______, _____ ____, and _____ _____ _____ below.

A

skull and mandible above
manubrium sterni, clavicle, first rib, and first thoracic vertebra below

(Jarvis Chapter 14 Key Points)

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11
Q

Along with nerves and lymphatics, parts of the
______ and _____ systems pass through
the neck.

A

respiratory and digestive

(Jarvis Chapter 14 Key Points)

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12
Q

The _______ ______ are in the cheeks over the mandible and are not normally palpable.

A

parotid glands

(Jarvis Chapter 14 Key Points)

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13
Q

The _____ artery and _____ _____ ____ vein lie
beneath the sternomastoid muscle.

A

carotid and internal jugular

(Jarvis Chapter 14 Key Points)

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14
Q

The ______ _____ vein runs diagonally across this muscle.

A

external jugular

(Jarvis Chapter 14 Key Points)

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15
Q

The major neck muscles are the _______ and ______
the and are innervated by cranial nerve ___.

A

sternomastoid and trapezius, XI

(Jarvis Chapter 14 Key Points)

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16
Q

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.

A

anterior

(Jarvis Chapter 14 Key Points)

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17
Q

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.

A

posterior

(Jarvis Chapter 14 Key Points)

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18
Q

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.

A

thyroid

(Jarvis Chapter 14 Key Points)

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19
Q

The thyroid gland is an important endocrine gland that straddles the _____ in the _______

A

trachea, middle of the neck.

(Jarvis Chapter 14 Key Points)

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20
Q

The thyroid cartilage, with a small palpable notch, lies _________

A

above the thyroid isthmus

(Jarvis Chapter 14 Key Points)

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21
Q

lymph nodes labels correspond to ________

A

adjacent structures

(Jarvis Chapter 14 Key Points)

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22
Q

The ___________ are located in front of the ear.

A

preauricular nodes

(Jarvis Chapter 14 Key Points)

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23
Q

The __________ lie superficial to the mastoid process

A

posterior auricular nodes

(Jarvis Chapter 14 Key Points)

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24
Q

The _________ are felt at the base of the skull.

A

occipital nodes

(Jarvis Chapter 14 Key Points)

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25
Q

The _______ are midline structures behind the tip of the mandible.

A

submental nodes

(Jarvis Chapter 14 Key Points)

26
Q

The _______ are found halfway between the angle of the mandible and its tip.

A

submandibular nodes

(Jarvis Chapter 14 Key Points)

27
Q

The __________ exist under the angle of the mandible.

A

jugulodigastric (tonsillar) nodes

(Jarvis Chapter 14 Key Points)

28
Q

The _____________overlay the sternomastoid muscle.

A

superficial cervical nodes

(Jarvis Chapter 14 Key Points)

29
Q

The _______ are deep under the sternomastoid muscle.

A

deep cervical nodes

(Jarvis Chapter 14 Key Points)

30
Q

____________ appear in the posterior triangle along the edge of the trapezius muscle

A

posterior cervical nodes

(Jarvis Chapter 14 Key Points)

31
Q

The ___________ are located just above and behind the clavicle, at the sternomastoid muscle

A

supraclavicular nodes

(Jarvis Chapter 14 Key Points)

32
Q

At birth, the head is ______ than the chest circumference

A

larger

(Jarvis Chapter 14 Key Points)

33
Q

neonate’s ________ are separated by sutures and fontanels

A

skull bones

(Jarvis Chapter 14 Key Points)

34
Q

neonate’s skull bones are separated by _________ and _______

A

sutures and fontanels

(Jarvis Chapter 14 Key Points)

35
Q

Lymphoid tissue is well developed at birth and grows to adult size by age ____

A

6

(Jarvis Chapter 14 Key Points)

36
Q

At age _______, lymph tissue exceeds adult size and then slowly atrophies.

A

10 or 11

(Jarvis Chapter 14 Key Points)

37
Q

During pregnancy, the _______ enlarges as a result of hyperplasia of the tissue and increased vascularity.

A

thyroid gland

(Jarvis Chapter 14 Key Points)

38
Q

In aging adults, the ________ and ______ appear more prominent as the facial skin sags due to decreased elasticity, moisture, and subcutaneous fat.

A

facial bones and orbits

(Jarvis Chapter 14 Key Points)

39
Q

When assessing the head, face, and neck you should collect subjective data on

A

Headaches, head injury, dizziness, neck pain, limited range or motion, numbness or tingling, lumps or swelling, history of surgeries.

(Jarvis Chapter 14 Key Points)

40
Q

When assessing the head, face, and neck you should collect objective data on

A

Observe size and and shape and note any deformities, lumps, or tenderness. Palpate the temporal artery and temporomandibular joint.

(Jarvis Chapter 14 Key Points)

41
Q

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.

A

expression and symmetry of movement

(Jarvis Chapter 14 Key Points)

42
Q

Then inspect and palpate the neck. Check for __________ and active ____________.

A

symmetry of head position and range of motion

(Jarvis Chapter 14 Key Points)

43
Q

Test muscle strength and the status of cranial nerve ___ by performing the shrug test.

A

XI

(Jarvis Chapter 14 Key Points)

44
Q

If palpation reveals lymph node abnormalities,
explore the area________ to the affected node.

A

proximal

(Jarvis Chapter 14 Key Points)

45
Q

If the thyroid is enlarged, auscultate it for ______ and _____

A

bruits a soft pulsatile, whooshing sound.

(Jarvis Chapter 14 Key Points)

46
Q

When measuring an infant head size, palpate the fontanels, and note the ______

A

tonic neck reflex

(Jarvis Chapter 14 Key Points)

47
Q

In a pregnant woman, assess for______ (a blotchy,
hyperpigmented area over the cheeks and forehead) and thyroid gland enlargement.

A

chloasma

(Jarvis Chapter 14 Key Points)

48
Q

In an aging adult, observe for _______, ________ and _______.

A

prominent temporal arteries kyphosis of the spine, and senile tremors

(Jarvis Chapter 14 Key Points)

49
Q
A
50
Q

During the ______ ______, the nurse should question the patient about the history of present illness related to head and neck complaints.

A

patient interview

(Jarvis Sherpath: Ch14 Head and Neck)

51
Q

To thoroughly assess the head and neck, the nurse should inspect for _____, _____. and _____

A

symmetry, shape, and contour.

(Jarvis Sherpath: Ch14 Head and Neck)

52
Q

The nurse should also palpate the head and neck for _____, _____. and _____/.

A

texture, temperature of the overlying skin, tracheal position, and thyroid consistency.

(Jarvis Sherpath: Ch14 Head and Neck)

53
Q

When inspecting the infant head and neck, the nurse must remember that the neck:

A

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)

54
Q

During inspection and palpation of the head, the nurse expects to find ____, ____, ____, and ______

A

symmetry, even hair distribution, no masses, and no unexpected movement.

(Jarvis Sherpath: Ch14 Head and Neck)

55
Q

Normal findings for the neck inspection include _____, _____, and _____.

A

symmetry, a midline trachea, and nonpalpable lymph nodes

(Jarvis Sherpath: Ch14 Head and Neck)

56
Q

The nurse also palpates and auscultates the temporal and carotid arteries and expects to find ______ or ______

A

no thrills or bruits.

(Jarvis Sherpath: Ch14 Head and Neck)

57
Q

When assessing the head, the nurse understands that ____, ____, and _____ are abnormal findings.

A

gross asymmetry, patchy bald spots, and varied pigmentation

(Jarvis Sherpath: Ch14 Head and Neck)

58
Q

____, ____, and ____ are all abnormal findings for the neck assessment.

A

Tracheal deviation, enlarged thyroid gland, and palpable lymph nodes

(Jarvis Sherpath: Ch14 Head and Neck)

59
Q

When documenting history of present illness related to the head and neck, the nurse should include ____, ____, ____, and ____

A

pain, bleeding, fever, and recent illness or trauma.

(Jarvis Sherpath: Ch14 Head and Neck)

60
Q

The nurse should also document personal/social information related to the head and neck, including _____ and _____.

A

the patient’s use of tobacco and environmental hazards.

(Jarvis Sherpath: Ch14 Head and Neck)

61
Q

The nurse should document findings related to the head and neck, including ____, ____, ____, and ____.

A

fever, enlarged lymph nodes, and palpable masses.

(Jarvis Sherpath: Ch14 Head and Neck)

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