Exam 17: Nose, Mouth, and Throat

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.During inspection of his mouth, the nurse should look for:

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

The nurse is obtaining a health history on a 3-month-old infant.During the interview, the mother states, "I think she is getting her first tooth because she has started drooling a lot." The nurse's best response would be:

Immediately after delivery, the nurse is unable to suction the nares of a newborn.An attempt is made to pass a catheter through both nasal cavities with no success.What should the nurse do next?

A mother brings her 4-month-old infant to the clinic with concerns about a small pad in the middle of the upper lip that has been there since age 1 month.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.No evidence of inflammation or drainage is observed.What would the nurse tell this mother?

A mother is concerned because her 18-month-old toddler has 12 teeth.She is wondering if this is normal for a child of this age.The nurse's best response would be:

When assessing the tongue of an adult, the nurse knows that an abnormal finding would be:

The nurse is interviewing an adult male patient who states "feeling tired all the time" and "falling asleep when driving." The nurse suspects that he may have obstructive sleep apnea (OSA) and identifies the risk factors the patient has as: (Select all that apply.)

A patient comes into the clinic complaining of facial pain, fever, and malaise.On examination, the nurse notes swollen turbinates and 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 72-year-old patient has a history of hypertension and chronic lung disease.An important question for the nurse to include in the health history would be:

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

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

The nurse is teaching a health class to high school students.When discussing the topic of using smokeless tobacco (SLT), what information does the nurse include? (Select all that apply.)

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

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

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

The nurse is assessing a 72-year-old patient and recognizes the following as normal for patient's age:

When examining the nares of a 45-year-old patient who has complaints of rhinorrhea, itching of the nose and eyes, and sneezing, the nurse notices the following: pale turbinates, swelling of the turbinates, and clear rhinorrhea.Which of these conditions is most likely the cause?

During assessment, the nurse palpates the patient's sinus areas.The patient demonstrates that findings are normal when reporting:

While performing an assessment of the mouth, the nurse notices that the patient has a 1-cm ulceration that is crusted with an elevated border and located on the outer third of the lower lip.What other information would be most important for the nurse to obtain?