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NR 509 ADVANCED ASSESSMENT QUIZ #1 QUESTIONS WITH CORRECT ANSWERS
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NR 509 ADVANCED ASSESSMENT QUIZ #1 QUESTIONS WITH CORRECT ANSWERS
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NR 509 ADVANCED ASSESSMENT QUIZ#1 QUESTIONS WITH CORRECT
ANSWERS
Assessing cervical lymph nodes - answer-use pads of index and middle finger, palpate
in a gentle rotary motion, moving the skin over the underlying tissues in each area. Pt
should be relaxed w/ neck flexed slightly forward and if needed turned slightly toward
the side being examined.
-for submental nodes helpful to feel w/ one hand while bracing the top of the head w/
other hand
Submental lymph nodes - answer-palpate in the midline few cm behind the tip of
mandible
Submandibular nodes - answer-halfway between the angle and the tip of the mandible
-usually smaller & smoother than the lobulated submandibular gland against which they
lie
Preauricular node - answer-palpate in front of ear
Posterior auricular node - answer-palpate behind ear & superfacial to mastoid process
Tonsillar (jugulodigastric) lymph nodes - answer-palpate at angle of the mandible
Small harder tender "tonsillar node: high & deep b/w the mandible and the scm is likey
a.... - answer-elongated temporal styloid process
Occipital node - answer-palpate at the base of the skull posteriorly
Anterior superficial cervical node - answer-palpate nodes anterior and superfacial to the
scm muscle
Posterior cervical node - answer-palpate along the anterior edge of trapezius by flexing
patient's neck slightly forward toward the side being examined
Deep cervical chain node - answer-deep to sternomastoid muscle & often inaccessible
to examination . Hook thumb & fingers around either side of scm muscle to find them
Supraclavicular node - answer-palpate deep in angle formed by the clavicle & scm
muscle
What suggests possible metastasis from a thoracic or abd malignancy - answer-
enlargement of supraclavicular node, esp on left ( virchows node)
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