When examining the face, the nurse is aware that which two pairs of salivary glands are accessible for palpation?
Submandibular and occipital
Parotid and jugulodigastric
Occipital and submental
Parotid and submandibular
The Correct Answer is D
Choice A reason: The submandibular glands are palpable below the mandible, but occipital glands do not exist as salivary glands. The occipital region relates to lymph nodes or muscles, not salivary structures, making this an incorrect pair for palpation.
Choice B reason: The parotid glands are palpable near the ears, but jugulodigastric refers to lymph nodes, not salivary glands. This misidentification of anatomical structures makes this pair incorrect for assessing salivary gland palpation.
Choice C reason: Occipital and submental regions do not contain salivary glands. Submental lymph nodes exist, but neither these nor occipital structures are salivary glands, making this pair anatomically incorrect for the nurse’s palpation assessment.
Choice D reason: The parotid glands, located anterior to the ears, and submandibular glands, below the mandible, are the two pairs of salivary glands accessible for palpation. Their anatomical positions allow external assessment, making this the correct choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Dorsiflexion and toe fanning indicate a Babinski sign, a reflex test, not Romberg’s sign. Romberg’s sign involves balance issues with closed eyes, so this is incorrect for the neurological assessment.
Choice B reason: A positive Romberg’s sign is observed when a patient sways significantly or loses balance when standing with feet together and eyes closed, indicating impaired proprioception or cerebellar function. This is the correct observation for the test.
Choice C reason: Rhythmic eye twitching (nystagmus) is unrelated to Romberg’s test, which assesses balance. Swaying with closed eyes defines a positive Romberg’s, sign, so this is incorrect for the outcome.
Choice D reason: Inability to point fingers to a reference tests coordination, not the Romberg’s test, which focuses on balance with eyes closed. Significant swaying is the correct sign, so this is incorrect.
Correct Answer is C
Explanation
Choice A reason: Homan sign tests for deep vein thrombosis, not balance. Swaying with eyes closed indicates a positive Romberg sign, so this is incorrect for the documented finding.
Choice B reason: Lack of coordination is vague and not specific to the Romberg test, which assesses proprioception. Positive Romberg sign describes the sway, so this is incorrect for documentation.
Choice C reason: A positive Romberg sign is documented when a patient sways or loses balance with eyes closed, indicating proprioceptive or cerebellar issues. This is the correct term for the finding.
Choice D reason: Ataxia describes general movement, not the specific Romberg test outcome. Swaying in this context is a Romberg sign, so this is incorrect for the nurse’s documentation.
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