Exam 16: Nose, Mouth, and Throat

A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth.During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding as well as other areas that have a white,cheesy coating.The nurse recognizes that this abnormality is:

A mother brings her 4-month-old child to the clinic with concerns regarding a small pad in the middle of the upper lip that has been there since 1 month of age.The infant has no health problems.On physical examination,the nurse notices a 0.5-cm,fleshy,elevated area in the middle of the upper lip.There is no evidence of inflammation or drainage.What would the nurse tell this mother?

The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved.In doing the inspection of his mouth,the nurse should inspect for:

A woman who is in the second trimester of pregnancy mentions that she has had "more nosebleeds than ever" since she became pregnant.The nurse recognizes that this is due to:

The nurse is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale,gray,and swollen.What would be the most appropriate question to ask the patient?

A 32-year-old woman is at the clinic for "little white bumps in my mouth." During the assessment,the nurse notes that she has a 0.5 cm white,nontender papule under her tongue and one on the mucosa of her right cheek.What would the nurse tell the patient?

During a check-up,a 22-year-old woman tells the nurse that she uses an over-the-counter nasal spray because of her allergies.She also states that it does not work as well as it used to when she started using it.The best response by the nurse would be:

The nurse is teaching a health class to high-school-age boys.When discussing the topic of the use of smokeless tobacco (SLT),which of these statements are accurate? Select all that apply.

A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding.What would be an appropriate response by the nurse?

In assessing the tonsils of a 30 year old,the nurse notices that they are involuted,granular in appearance,and appear to have deep crypts.What is correct response to these findings?

During an assessment,a patient mentions that "I just can't smell like I used to.I can barely smell the roses in my garden.Why is that?" The nurse will assess for what possible causes of changes in the sense of smell? Select all that apply.

During an oral examination of a 4-year-old Native American child,the nurse notices that her uvula is partially split.Which of these statements is accurate? This is:

During an oral assessment of a 30-year-old African-American patient,the nurse notices bluish lips and a dark line along the gingival margin.What would the nurse do in response to this finding?

Which of these techniques best describes the test the nurse should use to assess the function of cranial nerve X?

A 92-year-old patient has had a stroke.The right side of his face is drooping.The nurse might also suspect which of these assessment findings?

The nurse is doing an oral assessment on a 40-year-old African-American patient and notices the presence of a 1-cm,nontender,grayish-white lesion on the left buccal mucosa.Which of these statements is true concerning this lesion?

The nurse is reviewing the development of the newborn infant.Regarding the sinuses,which statement is true in relation to a newborn infant?

During an assessment of a 26 year old at the clinic for "a spot on my lip I think is cancer," the nurse notices a group of clear vesicles with an erythematous base around them located at the lip-skin border.The patient mentions that she just returned from Hawaii.What would be the most appropriate response by the nurse?

A 10-year-old is at the clinic for "a sore throat lasting 6 days." The nurse is aware that which of these findings would be consistent with an acute infection?

The nurse is palpating the sinus areas.If the findings are normal,then the patient should report which sensation?