Exam 15: Ears, Nose, Mouth, and Throat

The nurse is triaging a client and notes pallor and cyanosis of the oral cavity and lips. Which action by the nurse is the priority based on the assessment data?

A young mother brings an infant to the pediatric clinic. The infant has had a fever and is pulling at the left ear. Based on this data, which disorder does the nurse suspect?

The nurse educator is teaching a group of students about cultural differences to consider when conducting an ear, nose, and throat assessment. Which statement by a nursing student indicates appropriate understanding of the information presented?

The nurse is assessing several children in a pediatric clinic. Which child is experiencing a delay in the eruption of decidual teeth?

A client asks the nurse what part of the ears becomes blocked with pressure when they travel on an airplane. Which structure of the ear should the nurse be prepared to discuss?

The nurse is assessing the tympanic membrane of a client and notes the presence of a darkened area. Based on this assessment data, which does the nurse suspect?

The nurse is caring for a client who was admitted to the medical unit. The healthcare provider states that the client's Romberg test is positive. In order to meet this client's elimination needs, which interventions will the nurse implement?

The nurse is preparing to review the secondary sources of data for a client that has experienced a hearing loss. Which diagnostic testing should the nurse anticipate may have been performed? Select all that apply.

During the focused interview, the client admits to regularly abusing cocaine. Which clinical manifestations support the regular use of cocaine? Select all that apply.

The educator is reviewing the Rinne test with a new nurse. Which statement by the nurse indicates an understanding of the test?

The nurse notes there is no red glow when transilluminating the maxillary sinuses. Which initial question should the nurse ask the client?

The nurse is examining a toddler client. The toddler has a fever and the nurse notes the ear canal is red and swollen and the presence of purulent drainage. Based on this assessment data, which diagnosis does the nurse anticipate?

The nurse is performing a focused interview with a client who has been cleaning the ears with a cotton-tipped applicator. Which complications of this practice will the nurse include in the teaching session for this client? Select all that apply.