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 patient’s 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?
Answer: