Weber Health Assessment in Nursing
Chapter 12: Head and Neck Assessment
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Question Tell whether the following is True or False. The skull, which is the framework of the head, has two subsections the cranium and cervical vertebrae.
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Answer False. The skull has two subsections the cranium and the face.
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Structure and Function The head Cranium Frontal; parietal Temporal; occipital Ethmoid; sphenoid
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Structure and Function The head Face Maxilla; zygomatic Inferior conchae; nasal Lacrimal; palatine; vomer Mandible
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The Skull
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Question Which of the following bone(s) belongs to the face? a. Parietal b. Temporal c. Palatine d. Mandible
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Answer c. Palatine Rationale: Palatine is a facial bone that gives shape to the face. Parietal, temporal, and sphenoid are bones of the cranium.
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Structure and Function The neck Muscles and cervical vertebrae Blood vessels Thyroid gland
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Structure and Function Lymph nodes of the head and neck Preauricular; postauricular Tonsillar; occipital Submandibular; submental
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Structures of the Neck
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Cervical Vertebrae
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Question Tell whether the following statement is True or False. The axis is the first of the seven cervical vertebrae.
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Answer False. The axis is the second of the seven cervical vertebrae.
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Health Assessment Collecting subjective data: The nursing health history Interview approach (COLDSPA) History of current health problem, past health, family Lifestyle and health practices
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Health Assessment Collecting objective data: The nursing health history Client preparation Equipment and supplies Gloves Small cup of water Stethoscope
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Kinds and Characteristics of Headaches
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Physical Assessment: Head Inspect the size, shape, configuration Involuntary movement Palpate the head
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Physical Assessment: Face Inspect the face Symmetry Features Movement Expression Skin condition
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Physical Assessment: Face Palpate Temporal artery Temporomandibular joint (TMJ)
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Physical Assessment: Neck Inspect movement of neck structures Cervical vertebrae Neck range of motion (ROM)
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Physical Assessment: Neck Palpate Trachea Thyroid gland Thyroid cartilage Cricoid cartilage Auscultate an enlarged thyroid gland
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Physical Assessment: Neck Palpate lymph nodes of head and neck Preauricular Postauricular Occipital Tonsillar Submandibular
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Physical Assessment: Neck Palpate lymph nodes of head and neck Submental Superficial cervical Posterior cervical Deep cervical Supraclavicular
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Validation and Documentation of Findings Subjective data Objective data
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Analysis of Data Wellness nursing diagnosis example Risk nursing diagnosis example Actual nursing diagnosis example Collaborative problem example
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End of Presentation
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