Week #10: Head, Neck, & Lymph Nodes Flashcards
A client diagnosed with peritonsillar abscess exhibits +4 tonsils and is not able to eat or drink. What is the nurse’s priority concern for this client?
a) Ensure a patent airway
b) Obtain a throat culture
c) Correct clients dehydration
d) Begin antibiotics immediately
a) Ensure a patent airway
Patient’s can aspirate even if they have an intact gag reflex.
a) True
b) False
a) True
A nurse is preparing an educational event for the parents of children with respiratory disorders. What would the nurse tell the parents about allergies?
a) Children will outgrow their allergies
b) If a parent has allergies, the child has a 25% chance of developing them as well
c) Allergy can affect any target organ in the body
d) There are few effective treatments for allergies
c) Allergy can affect any target organ in the body
A white coating of the tongue may be oral ______________ and is common in patients taking antibiotics.
Candidiasis Thrush
The nurse does a health history. The client states he has lost 30 pounds in the last couple months without really trying. The client also states he feels warm all the time and sometimes feels like he has heart palpitations. The nurse would anticipate orders to evaluate the client for:
a) Hypernatremia
b) Hyperbilirubinemia
c) Hyperproteinemia
d) Hyperthyroidism
d) Hyperthyroidism
The client has experienced a stroke and has dysphagia. The nurse knows this is what?
a) Lack of gag reflex
b) Difficulty talking
c) Painful swallowing
d) Difficulty swallowing
d) Difficulty swallowing
Kiesselbach plexus is the most common site of nosebleeds.
a) True
b) False
a) True
The nursing instructor is discussing the normal functioning of the nose and sinuses with the nursing class. What would be the best description of the major factors related to the normal functioning of these structures? Select all that apply.
a) Deep cervical and retropharyngeal nodes
b) Normal cilia function
c) Patency of the sinus ostia
d) Normal quality and quantity of the mucous
e) An abundant lymph supply
b) Normal cilia function
c) Patency of the sinus ostia
d) Normal quality and quantity of the mucous
What is the purpose of the tongue? Select all that apply.
a) Assists in speech production
b) Helps with the identification of sweet, sour, salty, and bitter tastes
c) Manipulates solids and liquids when eating and drinking
d) Aids in the production of saliva
e) Provides resonance to the voice
a) Assists in speech production
b) Helps with the identification of sweet, sour, salty, and bitter tastes
c) Manipulates solids and liquids when eating and drinking
Which type of vessels filter pathogens from the body and drain the fluid that has moved outside of the circulation back into the vessels?
a) Veins
b) Arteries
c) Aortic
d) Lymphatic
d) Lymphatic
Neck pain may be cardiac.
a) True
b) False
a) True
Common symptoms of the head & neck include pain and limited neck movement.
a) True
b) False
a) True
The thyroid is normally smooth, rubbery, and non-movable.
a) True
b) False
b) False
Thyroid problems can affect appetite, sleep, and other daily processes.
a) True
b) False
a) True
Structures of the head & neck also include the trachea, thyroid, and _______________.
Lymphatics
The neck ___________, sternocleidomastoid muscle, thyroid, and isthmus are inspected in the neck.
Muscles
Common _____________ diagnoses for the head & neck include activity intolerance, fatigue, chronic pain, and knowledge deficit.
Nursing
A ________ may be present with hyperthyroidism or thyrotoxicosis.
Bruit
If the thyroid is enlarged, either unilaterally or bilaterally, auscultate over each lobe for a ________ using the bell of the stethoscope.
Bruit
List the names of the lymph nodes of the neck & their locations:
- Preauricular (in front of the ear)
- Posterior auricular (behind the ear)
- Occipital (lower back head)
- Tonsillar (below occipital)
- Posterior cervical (low back of neck almost to shoulder)
- Submaxillary (lower jaw)
- Submental (chin)
- Anterior or deep cervical chain (mid-neck)
- Supraclavicular (collarbone)
Weight gain
a) Hypothyroidism
b) Hyperthyroidism
a) Hypo
Cold intolerance
a) Hypothyroidism
b) Hyperthyroidism
a) Hypo
Palpitations
a) Hypothyroidism
b) Hyperthyroidism
b) Hyper
Anorexia
a) Hypothyroidism
b) Hyperthyroidism
a) Hypo
Weight loss
a) Hypothyroidism
b) Hyperthyroidism
b) Hyper
Anxiety
a) Hypothyroidism
b) Hyperthyroidism
b) Hyper
Heat intolerance
a) Hypothyroidism
b) Hyperthyroidism
b) Hyper
Patients can aspirate even if they have an intact gag reflex.
a) True
b) False
a) True
The nose, sinuses, and throat are parts of the upper airway.
a) True
b) False
a) True
Kiesselbach plexus is the most common site of nose bleeds.
a) True
b) False
a) True
A white coating of the tongue may be oral ___________________ and is common in patients taking antibiotics.
Thrush/candidiasis
Common mouth and upper respiratory symptoms include facial pressure/pain/headache, snoring/sleep apnea, _____________ breathing, nasal congestion, epistaxis, halitosis, anosmia, cough, pharyngitis, dysphagia, dental pain, hoarseness, and oral lesions.
Obstructive
__________________ is inflammation of the tonsils; their removal does not increase risk for infection.
Tonsillitis
Medical term for nosebleed
Epistaxis
What are the 3 major factors related to normal function of the nose & sinuses?
- Normal cilia function
- Patency of the sinus ostia
- Normal quality of the mucous
State the tonsillar grading scale & percentage to midline each grade includes:
Stage I: 0-25%
Stage II: 25-50%
Stage III: 50-75%
Stage IV: 75-100%
an autoimmune disorder, is an inflammation of the thyroid gland; can cause goiter
- S&S of Hypo-
Hashimoto’s thyroiditis
thyroid nodules & adenomas, small, noncancerous growths; start in the cell layer that lines the inner surface of the thyroid gland that secrete thyroid hormone & cause hyperthyroidism
thyroid tumors
papillary _______________, follicular _________________, anaplastic ________________, and medullary _________________
thyroid cancer
