ASSESSMENT OF HEAD AND NECK Activity E PERFORMING PHYSICAL..
ASSESSMENT OF HEAD AND NECK Activity E PERFORMING PHYSICAL… ASSESSMENT OF HEAD AND NECK Activity E PERFORMING PHYSICAL ASSESSMENT OF THE HEAD AND NECK Use the following Nursing Interview Guide to interview and record your subjective findings for an assessment of the head and neck of a lab partner, peer, or client. Your instructor may ask you to turn this in to be evaluated. Physical Assessment Guide to Collect Objective Client Data s 1. Gather equipment (gloves, penlight or flashlight, small glass of water, stethoscope). 2. Explain procedure to client. Head and Face 1. Inspect head for size, shape, and configuration. 2. Palpate head for consistency while wearing gloves. 3. Inspect face for symmetry, features, movement, expression, and skin condition. 4. Palpate temporal artery for tenderness and elasticity. 5. Palpate temporomandibular joint for of motion, swelling, tenderness, or crepitation by placing index finger over the front of each and asking client to open mouth. Ask if client has history of frequent headaches. Neck 1. Inspect neck while it is in a slightly extended position (and using a light) for position, symmetry, and presence of lumps and masses. 2. Inspect movement of thyroid and cricoid cartilage and thyroid gland by having client swallow a small sip of water. 3. Inspect cervical vertebrae by having client flex neck. 4. Inspect neck range of motion by having client turn chin to right and left shoulder, touch each ear to the shoulder, touch chin to chest, and lift chin to ceiling. 5. Palpate trachea by placing your finger in the sternal notch, feeling to each side, and palpating the tracheal rings. 6. Palpate the thyroid gland. 7. Auscultate thyroid gland for bruits if the gland is enlarged (use bell of stethoscope). 8. Palpate lymph nodes for sizes/shape, delimitation, mobility, consistency, and tenderness (refer to display on characteristics of lymph nodes). 9. Preauricular nodes (front of ears) 10. Postauricular nodes (behind the ears) 11. Occipital nodes (posterior base of skull) 12. Tonsillar nodes (angle of the mandible, on the anterior edge of the sternocleidomastoid muscle) 13. Submandibular nodes (medial border of the mandible); do not confuse with the lobulated submandibular gland 14. Submental nodes (a few centimeters behind the tip of the mandible); use one hand 15. Superficial cervical nodes (superficial to the sternocleidomastoid muscle) 16. Posterior cervical nodes (posterior to the sternocleidomastoid and anterior to the trapezius in the posterior triangle) 17. Deep cervical chain nodes (deep within and around the sternocleidomastoid muscle) 18. Supraclavicular nodes (hook fingers over clavicles and feel deeply between the clavicles and the sternomastoid muscles) Analysis of Data 1. Formulate nursing diagnoses (wellness, risk, actual). 2. Formulate collaborative problems. 3. Make necessary referrals. Health Science Science Nursing
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