Reference no: EM133561365
Chapter 15: Assessing Head and Neck
1. What are the important anatomy and physiology features related to the head and neck?
2. Differentiate types and characteristics of headaches.
3. Provide examples of medications that may cause headaches.
4. What is traumatic brain injury (TBI)? What are the overall Healthy People 2020 Goals related to TBI?
5. What are cultural considerations of the head and neck?
6. How are lymph nodes assessed? Which factors should the nurse specifically assess?
7. Describe variations of the head and neck of clients with following head and neck variations:
Acromegaly Cerebrovascular accident(CVA)
Cushing syndrome Parkinson Disease
Hyperthyroidism/hypothyroidism
Bell palsy
Head Neck Nose Mouth Throat Activity
Case Study
A nurse is examining a 62-year-old Caucasian client with complaints of severe, diffuse headaches over the past few months. She states that at times they are so intense she has to stop whatever she is doing and lie down. During the interview, the client states that she has been experiencing a lot of anxiety and stress lately, which she thinks may be the cause of the headaches. The headaches last for hours, which has made it difficult on some days to go to work or attend classes. The client works 30 hours a week as an auditor at a local bank, which requires long periods of time reviewing complicated data. She is a graduate student attending a business program to further her career, and she is in the process of completing her thesis. The the client has noticed that the headaches correlate to extended time working on the computer. She informs the nurse that she does not take any medication, not even over-the-counter drugs for Pain relief. She does not believe in taking any type of pharmaceutical. She drinks herbal teas to relieve the headaches, but those have not seemed to help lately. The nurse notices that the the client is rubbing her forehead as she speaks.
Questions:
1. Based on the information provided by the client, how should the nurse proceed with the assessment?
2. What changes in the physical assessment of the head and neck would the nurse expect to find an older adult client?
Chapter 18, Assessing Mouth, Throat, Nose, and Sinuses
1. What are the important anatomy and physiology features related to the mouth, throat, nose, and sinuses?
2. Describe subjective and objective findings frequently seen when assessing the older client's mouth, throat, nose, and sinuses?
3. What are risk factors across cultures for oral cancer and ways to reduce a clients' risk?
4. Describe cultural variations in assessment findings of the mouth, throat, nose, and sinuses.
5. How are tonsils graded?
6. Review common abnormalities of the mouth and throat and nose.
Case Study
A 40-year-old female client visits the health care facility with complaints of having ulcers under her tongue for 3 weeks; she is concerned about her condition. The client is an attorney in a busy law firm where she works 50 to 60 hours a week. She states that many years ago when she was in college she used to get canker sores frequently when she felt stressed while studying for exams. She adds that she has been working exceptionally late for the last month on a major case. During the interview, the client appears anxious and fidgety. She tells the nurse that the long hours at the firm are exhausting her and that she is concerned because her father was Head Neck Nose Mouth Throat Activity recently diagnosed with oral cancer and that he had ulcers similar to hers before the diagnosis. He had to have surgery to remove a tumor in his throat.
Questions:
1. What subjective data should the nurse collect to elicit an accurate nursing history?
2. What objective areas of assessment should the nurse focus on to determine signs of oral cancer?