Podcast
Questions and Answers
When a physician mentions a patient's vertebra prominens, which area of the body should the nurse assess?
When a physician mentions a patient's vertebra prominens, which area of the body should the nurse assess?
- At the level of the C7 vertebra (correct)
- Just above the diaphragm
- At the level of the T11 vertebra
- Just lateral to the knee cap
A mother brings her 2-month-old daughter in for an examination and mentions a soft spot on the top of her head. What is the nurse's best response?
A mother brings her 2-month-old daughter in for an examination and mentions a soft spot on the top of her head. What is the nurse's best response?
- That soft spot is normal, and actually allows for growth of the brain during the first year of your baby's life (correct)
- Your baby may have craniosynostosis, a disease of the sutures of the brain
- Perhaps that could be a result of your dietary intake during pregnancy
- That soft spot may be an indication of cretinism or congenital hypothyroidism
What may asymmetric palpebral fissures indicate?
What may asymmetric palpebral fissures indicate?
- Damage to cranial nerve XI (CN XI)
- Damage to the optic nerve
- Damage to cranial nerve VII (CN VII) (correct)
- Damage to cranial nerve V (CN V)
What might inability to differentiate between sharp and dull stimulation on the face suggest?
What might inability to differentiate between sharp and dull stimulation on the face suggest?
Which glands are accessible for examination on the face?
Which glands are accessible for examination on the face?
What may neck and shoulder pain with inability to turn the head indicate?
What may neck and shoulder pain with inability to turn the head indicate?
What would elevated thyroxine (T4) levels prompt an examination of?
What would elevated thyroxine (T4) levels prompt an examination of?
What might a lump in the neck that is mobile and not hard not be?
What might a lump in the neck that is mobile and not hard not be?
What would enlarged submental lymph nodes prompt assessment of?
What would enlarged submental lymph nodes prompt assessment of?
Where are lymph nodes accessible for examination?
Where are lymph nodes accessible for examination?
At what stage should the head circumference be greater than the chest circumference?
At what stage should the head circumference be greater than the chest circumference?
When does head growth predominate?
When does head growth predominate?
What is the impact of the anterior fontanel closing at 2 months?
What is the impact of the anterior fontanel closing at 2 months?
Which type of headache is characterized by excruciating pain around the eye, temple, forehead, and cheek, lasting up to 2 hours, occurring once or twice per day?
Which type of headache is characterized by excruciating pain around the eye, temple, forehead, and cheek, lasting up to 2 hours, occurring once or twice per day?
What is a characteristic symptom of meningeal inflammation?
What is a characteristic symptom of meningeal inflammation?
Which physical feature is characteristic of hydrocephalus?
Which physical feature is characteristic of hydrocephalus?
Where is the temporomandibular joint located?
Where is the temporomandibular joint located?
What could swelling below the angle of the jaw indicate?
What could swelling below the angle of the jaw indicate?
Why is parotid gland examination crucial for a patient with acquired immunodeficiency syndrome (AIDS) suspecting mumps?
Why is parotid gland examination crucial for a patient with acquired immunodeficiency syndrome (AIDS) suspecting mumps?
What should be examined for lesions in a patient suspecting mumps?
What should be examined for lesions in a patient suspecting mumps?
Why should the nurse palpate the temporomandibular joint for crepitation?
Why should the nurse palpate the temporomandibular joint for crepitation?
What is a characteristic feature of cluster headaches?
What is a characteristic feature of cluster headaches?
What is a common association with migraines?
What is a common association with migraines?
What is a characteristic location for migraine headaches?
What is a characteristic location for migraine headaches?
What is a contributing factor to the increased noticeability of facial bones with age?
What is a contributing factor to the increased noticeability of facial bones with age?
What would the nurse most likely find on examination of a patient with elevated T4 and T3 hormone levels due to hyperthyroidism?
What would the nurse most likely find on examination of a patient with elevated T4 and T3 hormone levels due to hyperthyroidism?
How should the nurse examine the thyroid gland of a non-English speaking patient who seems apprehensive?
How should the nurse examine the thyroid gland of a non-English speaking patient who seems apprehensive?
How should the nurse auscultate an enlarged thyroid gland for the presence of a bruit?
How should the nurse auscultate an enlarged thyroid gland for the presence of a bruit?
What is the likely explanation for a soft, fluctuant, and well-defined lump appearing several hours after birth and gradually increasing in size?
What is the likely explanation for a soft, fluctuant, and well-defined lump appearing several hours after birth and gradually increasing in size?
What is the reflex observed in an infant when the head is turned to one side, resulting in extension of the same arm and leg, and flexion of the opposite arm and leg?
What is the reflex observed in an infant when the head is turned to one side, resulting in extension of the same arm and leg, and flexion of the opposite arm and leg?
What is the likely cause of a soft, fluctuant, and well-defined lump appearing several hours after birth and gradually increasing in size in an infant?
What is the likely cause of a soft, fluctuant, and well-defined lump appearing several hours after birth and gradually increasing in size in an infant?
What is the expected outcome of the tonic neck reflex in an infant?
What is the expected outcome of the tonic neck reflex in an infant?
What is the characteristic sound of a bruit heard in an enlarged thyroid gland?
What is the characteristic sound of a bruit heard in an enlarged thyroid gland?
What is the likely cause of a large, soft lump on the side of an infant's head, appearing approximately 8 hours after birth and gradually increasing in size?
What is the likely cause of a large, soft lump on the side of an infant's head, appearing approximately 8 hours after birth and gradually increasing in size?
What would be the nurse's likely finding on examination of a patient with hyperthyroidism and elevated T4 and T3 hormone levels?
What would be the nurse's likely finding on examination of a patient with hyperthyroidism and elevated T4 and T3 hormone levels?
In hyperthyroidism, elevated T4 and T3 hormone levels would most likely result in:
In hyperthyroidism, elevated T4 and T3 hormone levels would most likely result in:
When examining a patient's thyroid gland, the nurse should place the thumbs on either side of the trachea and tilt the patient's head:
When examining a patient's thyroid gland, the nurse should place the thumbs on either side of the trachea and tilt the patient's head:
When auscultating an enlarged thyroid gland for the presence of a bruit, the nurse should use the:
When auscultating an enlarged thyroid gland for the presence of a bruit, the nurse should use the:
A soft, fluctuant, and well-defined lump appearing several hours after birth and gradually increasing in size is most likely a result of:
A soft, fluctuant, and well-defined lump appearing several hours after birth and gradually increasing in size is most likely a result of:
The reflex where an infant straightens out the arm and leg on the same side and flexes the opposite arm and leg when the head is turned to one side is known as:
The reflex where an infant straightens out the arm and leg on the same side and flexes the opposite arm and leg when the head is turned to one side is known as:
An infant showing the tonic neck reflex when supine and the head is turned to one side exhibits:
An infant showing the tonic neck reflex when supine and the head is turned to one side exhibits:
A soft, pulsatile, whooshing, blowing sound heard best with the bell of the stethoscope is indicative of:
A soft, pulsatile, whooshing, blowing sound heard best with the bell of the stethoscope is indicative of:
A subperiosteal hemorrhage that appears several hours after birth and gradually increases in size is most likely:
A subperiosteal hemorrhage that appears several hours after birth and gradually increases in size is most likely:
When a newborn's head is turned to the right side, straightening out the arm and leg on the same side and flexing the opposite arm and leg is known as the:
When a newborn's head is turned to the right side, straightening out the arm and leg on the same side and flexing the opposite arm and leg is known as the:
When the head is turned to one side, the infant straightening out the arm and leg on the same side and flexing the opposite arm and leg is known as:
When the head is turned to one side, the infant straightening out the arm and leg on the same side and flexing the opposite arm and leg is known as:
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Study Notes
Facial bones become more noticeable with age due to decreased elasticity, subcutaneous fat, and moisture in the skin Cluster headaches produce excruciating pain around the eye, temple, forehead, and cheek, lasting up to 2 hours, occurring once or twice per day Migraine headaches tend to be supraorbital, retroorbital, or frontotemporal with a throbbing quality, and are relieved by lying down Meningeal inflammation is suspected with acute onset of neck stiffness, headache, and fever Hydrocephalus is characterized by an enlarged head, small face, dilated scalp veins, and setting sun eyes The temporomandibular joint is located just below the temporal artery and anterior to the tragus Swelling below the angle of the jaw could indicate inflammation of the parotid gland Parotid gland examination is crucial for a patient with acquired immunodeficiency syndrome (AIDS) suspecting mumps Thyroid gland, cervical lymph nodes, mouth, and skin should be examined for lesions in a patient suspecting mumps The nurse should palpate the temporomandibular joint for crepitation Cluster headaches are unilateral and always on the same side of the head Migraines are associated with a family history of migraine headaches
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