Module 4 Integrating

Integrating Instructions: Physical Examination I Assignment #1

Dear students,

In this assignment, you will engage in another case study, this time related to the assessment of the head, face, neck, and lymphatic system. This exercise will help you integrate your knowledge of physical examination techniques and critical thinking skills. Please follow these instructions carefully:

CASE STUDY

Chapter 14 Head, Face, Neck, Lymph

P.A. is a 72-year-old woman who presents to the family practice with her 40-year-old daughter. The daughter states that her mother has been confused lately and is complaining of a headache, shortness of breath, and a cough. The cough has been persistent for 6 days, and a fever developed 2 days ago. The patient states that she is bringing up yellow-green mucus and has a cough, which gets worse at night. Vital signs are T 100.5, P 88, R 16, and BP 110/55. Lungs are positive bilaterally for wheezing, positive egophony. A chest x-ray examination reveals consolidation indicative of bacterial pneumonia. Labs and culture results are pending for specific antigen. The nurse proceeds with the physical examination of the head, face, neck, and associated lymphatic system.

1. When performing a review of systems, the nurse obtains subjective data concerning the patients headache. What specific questions will assist the nurse in determining the cause of the headache?
2. The nurse proceeds to palpate the lymph nodes. Which lymph nodes are located in the neck?
3. When performing the physical examination, what objective data should the nurse inspect and palpate for the head and neck?
4. How might the physical examination vary given the patients age?

Formatting Requirements:

• Your submission should adhere to APA format guidelines.

Submission:

• Compile your responses into a well-organized document.
• Submit your assignment to your instructor following the provided submission instructions.