Exam 17: Nose, mouth, and Throat

The nurse notices that the mother of a 2-year-old boy brings him to the clinic quite frequently for various injuries and suspects there may be some child abuse involved.The nurse should inspect the young child for:

A patient has been diagnosed with "strep throat." Which complication may occur without treatment?

The projections in the nasal cavity that increase the surface area are called the:

A patient comes into the clinic complaining of facial pain,fever,and malaise.On examination,the nurse notes swollen turbinates and a purulent discharge from the nose.The patient also complains of a dull,throbbing pain in his cheeks and teeth on the right side and pain when the nurse palpates the areas.The nurse recognizes that this patient has:

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

During the assessment of a 26-year-old,she states,"I have a spot on my lip I think is cancer." The nurse notes the following: a cluster 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?

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

During history-taking,a patient tells the nurse that he has frequent nosebleeds and asks about the best way to prevent them.What would be the nurse's best response?

The nurse is assessing a patient with a history of intravenous drug abuse.While assessing his mouth,the nurse notices a dark red confluent macule on the hard palate.This could be an early sign of:

During examination of a 4-year-old Aboriginal child,the nurse notices that her uvula is partially split.Which of the following statements about this condition is accurate?

The nurse is teaching a health class to high school boys.One of the topics is the use of smokeless tobacco (SLT).Which of the following statements about SLT are accurate? (Select all that apply. )

During an assessment of an 80-year-old patient,the nurse would expect to find:

The primary purpose of the ciliated mucous membrane in the nose is to:

During a checkup,a 22-year-old woman tells the nurse that she uses an over-the-counter nasal spray for her allergies.She also reports that it does not work as well as it used to.The best response by the nurse would be:

A 72-year-old patient has a history of hypertension and chronic lung disease.An important question for the nurse to include in history-taking would be:

The nurse is doing an oral assessment on a 40-year-old patient of African descent and notes the presence of a 1-cm,nontender,greyish-white lesion on the left buccal mucosa.Which of the following about this lesion is true?

A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth.During assessment,the nurse finds the following: 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 hospitalized patient who has received numerous antibiotics is being assessed by the nurse,who notes that his tongue appears black and hairy.Which of the following would the nurse say to the patient?

A 32-year-old woman is at the clinic for a checkup,and she states,"I have 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.Which of the following would the nurse tell the patient?

When examining the nares of a 45-year-old patient who complains of rhinorrhea,itching of the nose and eyes,and sneezing,the nurse notes the following: pale,swollen turbinates and clear rhinorrhea.Which of the following is most likely the cause?