Bates Review Questions: Assessing Head, Neck, and Thyroid Conditions, Exams of Nursing

Download Bates Review Questions: Assessing Head, Neck, and Thyroid Conditions and more Exams Nursing in PDF only on Docsity! Chapter 10 Bates Review Questions A Client presents at the clinic for a routine check-up. The nurse notes that she dressed in warm clothing even though the temperature is 73 deg F. The Patient has gain 10 lbs since her last visit 9 months ago. What might the nurse suspect? - Effects of age-related changes-( its not that hot out to not wear warm clothes and 10lbs in 9 months isnt a quick onset) Hypothhyroidism - Intolerance to cold Preference to warm clothing and many blankets Decreased sweating Hyperthyroidism - Palpitations Ivnvoluntary weight loss A client arrives in the emergency department by ambulance after falling down his front steps. The nurse notes two soft lumps , approx 3 cm in diamter on the side of the head. What would the nurse Identify? - Pilar Cysts Pilar Cysts - During Hair Examination Scaliness, lumps and Nevi or other lesions Redness and scaling may indicate seborrheic dermatitis or psoriasis Soft lumps = Pilar Cysts What are associated manifestation of a headache cause by a traumatic head injury ( click all that apply) - Seizures Gate Changes Attention Span Deficit Association Manifestations of Headache associated w/ TBI - Visions Changes Nausea or vomiting Attention span Deficit drainage from the ears, nose eyes or mouth Tremors, seizures Gait changes When Assessing a patient with graves disease, how would you expect the thyroid gland to be. - Soft They Thyroid feels Soft During________ and Hard During_______ - Graves Disease and Hasimoto malignancy thyroiditis During a physical examination of the patient you note an enlarged tender tonsillar lymph nod. What would you do? - Look for such a source such as an infection in the area that it drains Knolwdge of Lymphatic system - Whenever a malignant or inflammatory lesion is observed, look for involvement of the regional nodes that drain it. Whenever a node is enlarged or tender-look for a source of infection the area it drains in. The Nurse does a health history. The patient states he has lost 30lbs the last couple months without really trying. The patient also states he feels warm all the time and sometimes feels like he has heat palpitation. The nurse would anticipate order to evaluate patient for? - Hyperthyroidism What are the bordering Landmarks of the anterior triangle of the neck (click all that apply) - Sterno mastoid Mid line of the Neck Mandible A patient why hypothyroidism is admitted to the medical unit. The nurse would expect to assess which signs/symptoms? - Lethargy Constipation Lower systolic blood pressure Cool skin A 16 year old white female is brought to the clinic by her mother with a chief complain of a severe headache lasting more than 24hrs. The mother states" Just before the headache started my daughter was craving food. I couldn't feed her enough" Was is this called? - Prodrome Prodrome - Like a euphoria Carvinf for food Fatigue or diziness Change in vision or numbness or weakness in an arm of leg? What activity is known to aggravate a tension headache? - Driving What factors provoke or aggravate a muscle tension headache - Driving or typing A nurse would expect to assess which symptoms in a patient complaining of migraine headaches? (slecet all that apply) - Throbbing Photophobia recurrent What does the nurse assess the face for? - Asymmetry Edema