Exam 15: Ears, Nose, Mouth, and Throat

An older adult client says, "I can't seem to hear as well as I could when I was younger." Which diagnosis does the nurse anticipate for this client?

The nurse is assessing the oral cavity of a client and notes a blackish, furry-looking coating on the tongue. Which question to the client is most appropriate based on this initial data?

The nursing is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane. Which action by the nurse is appropriate in this situation?

A client tells the nurse they are experiencing pain and noticed some drainage from their left ear. Which objective finding indicates the client may have developed acute otitis media?

The nurse is assessing the client's nasal mucosa and notes the presence of a thin, watery discharge. The client complains of sneezing and nasal congestion. Based on this data, which does the nurse suspect?

The client comes to the medical office complaining of tinnitus and bilateral hearing loss. After reviewing the client's medical record, the nurse determines that recently prescribed medication could be the cause for the assessment data. Which medications in the medical record could be responsible for the client's assessment data? Select all that apply.

The emergency department triage nurse is assessing a child who has a history of a cough and nasal congestion for the last three days. When assessing patency of the nares, the nurse notes that the child is unable to breathe through the right nostril. Which interpretation of the assessment data by the nurse is the most appropriate?

The nurse educates the client about the major functions of the nose and sinuses. Which structure is specifically responsible for filtering, moistening, and warming air that enters the lower portion of the respiratory tract?

The nurse observes white patches on the tympanic membrane. Which question should the nurse ask the client that is most relevant to the finding?

The nurse is educating a group of adolescents about the risks of chewing tobacco. When describing the manifestation of oral cancer, which information will the nurse include?

The nurse is examining a client's ears and notes that right ear is occluded with wax. Which actions by the nurse are appropriate to facilitate removal of the cerumen from the client's ear? Select all that apply.

The nurse conducting the Rinne test notes that the client hears the bone conduction sound longer than the air conduction sound. Which should the nurse anticipate documenting?

A client arrives in the emergency department with complaints of intermittent nosebleeds over the past two days. Which are priority assessments for the nurse to implement when providing care to this client? Select all that apply.

A client with recent cerebrovascular accident (CVA)is no longer able to smell. Which cranial nerve assessment should the nurse anticipate to include in the documentation?

Which structure attaches the tongue to the floor of the mouth?

A client presents in the healthcare provider's office with complaints of headache and malaise. During the assessment, the nurse notes the client is experiencing severe pain when palpating behind the ears. Based on this data, which diagnosis does the nurse anticipate?

The client has been brought via ambulance to the emergency department (ED)following a motor vehicle accident. The nurse notes that the client's ear is draining clear fluid. Which is the priority nursing action?

The nurse is preparing to assess the ventral surface of the tongue. Which should the nurse anticipate to find?

The client has developed anosmia. The nurse educates the client about the possible causes of this condition. Which topics are appropriate for the nurse to include in the teaching session with the client? Select all that apply.

The nurse observes that the Wharton's ducts are painful, reddened, and swollen. Which additional assessment finding should the nurse anticipate?