Author Question: The nurse assesses the client's temporomandibular joint after the client's states chronic pain in ... (Read 78 times)

erika · **on:** Jun 25, 2018

The nurse assesses the client's temporomandibular joint after the client's states chronic pain in this location. Which manifestations would the nurse anticipate as a result of this chronic pain?

Select all that apply.
1. The client has developed migraine headaches.
2. The client is unable to chew well and has lost weight since the pain began.
3. The client exhibits difficulty speaking clearly and enunciating words.
4. The client has developed hyperparathyroidism .
5. The client has developed torticollis.

Question 2

The nurse is performing an assessment of the client's head and neck. The client requests information about the assessment of her lymph nodes. Which response by the nurse is the most appropriate?

1. Sometimes, enlarged lymph nodes indicate an infection.
2. All of your lymph nodes should be easily palpable.
3. The lymph system makes antibiotics to treat infection.
4. When one lymph node is identified as being enlarged, this is always an abnormal finding.

asdfghjkl; · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 5
Clients who have pain at the temporomandibular joint will have difficulty moving this joint adequately. This can result in difficulty speaking, problems chewing food, and weight loss. The client with temporomandibular joint pain can also develop painful muscle spasms in the neck called torticollis. Clients with temporomandibular joint pain are more likely to develop cluster or tension headaches than migraine headaches. Pain at the site of temporomandibular joint is not associated with hyperparathyroidism .

Answer to Question 2

Correct Answer: 1
The head and neck are supplied by a large number of lymph nodes. The lymph nodes are part of the lymphatic system and provide the body with protection against infection. It is true that sometimes when the nurse is able to palpate enlarged lymph nodes this indicates that the client has developed an infection. Lymph nodes should not be palpable. The lymph system does not make antibiotics; it makes antibodies and lymphocytes to protect the client from infection. It is not necessarily abnormal to be able to palpate one enlarged lymph node.