NURS 264 - Exam 4 Midterm Test Questions And All Complete Answers.
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Course
NURS 264
Institution
NURS 264
Salivary Glands Locations - Answer Parotid: in cheeks over the mandible, anterior to and below the ear.
Submandibular: beneath the mandible and the angle of the jaw
Sublingual: lie on the floor of the mouth
Salivary Glands Assessment - Answer Palpate in a line from outer corner of t...
NURS 264 - Exam 4 Midterm Test
Questions And All Complete Answers.
Salivary Glands Locations - Answer Parotid: in cheeks over the mandible, anterior to and below the ear.
Submandibular: beneath the mandible and the angle of the jaw
Sublingual: lie on the floor of the mouth
Salivary Glands Assessment - Answer Palpate in a line from outer corner of the eye to lobule of ear
Enlargement of parotid is swollen in mumps and AIDS
Thyroid Gland Location - Answer Straddles the middle of the trachea/ middle of the neck
Thyroid Gland Assessment - Answer Posterior approach: move behind person, sit up straight, bend
head slightly forward and to the right. Push trachea with left hand slightly to the right, palpate with right
hand. Curve right fingers around sternomastoid, have them take a sip of water and swallow
Anterior approach: (more awkward) facing person, try to identify isthmus 3 cm. below the thyroid
prominence as the person swallows, tip head forward to the right, displace thyroid with right thumb,
hook left thumb around sternomastoid, feel for enlargement as person swallows.
Goiter, multiple nodules, bruit - Answer Bruit- turbulent blood flow, indicating hyperplasia of the hyroid
Goiter- overall enlargement of the thyroid (difficulty swallowing, cough, hoarseness, difficulty breathing
exertion)
Multiple nodules- abnormal growth, often benign, serious with hyperthyroid symptoms
Lymph Node Drainage patterns - Answer Explore the area upstream (proximal) to the enlarged node.
All head and neck structures eventually drain into the deep cervical chain.
Signs/symptoms of infected lymph node - Answer Lymphadenopathy- enlarged lymph node >1cm from
infection, allergy, or neoplasm
**find source of the problem, if not deserves prompt attention
Acute infection- less than 14 days bilateral, enlarged, warm, tender, freely movable
Chronic inflammation- TB
delimitation- discreate or matted together
Cancerous- hard (rock like) >3cm, unilateral, nontender, matted, and fixed to adjacent structures
HIV- enlarged, firm, nontender, mobile, occipital common
Single enlarged- nontender, hard left supraclavicular node may indicate neoplasm in thorax or abdomen
(Virchow node)
Hodgkin lymphoma- painless, rubbery, discrete, cervical region
Be able to identify location of lymph nodes in head and neck (must spell correctly) - Answer
Preauricular- in front of ear
Posterior auricular (mastoid)- superficial to the mastoid process
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