Exam 17: Nose, Mouth, and Throat

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During health history, the patient tells the nurse that he has frequent nosebleeds and asks the best way to get them to stop.What would be the nurse's best response?

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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 a result of:

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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 and other areas that have a white, cheesy coating.The nurse recognizes that this abnormality is:

(Multiple Choice)
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The tissue that connects the tongue to the floor of the mouth is the:

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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.The nurse will:

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The nurse is performing an oral assessment on a 40-year-old dark-skinned patient and notices the presence of a 1-cm, nontender, greyish-white lesion on the left buccal mucosa.The nurse will:

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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?

(Multiple Choice)
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During a checkup, 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 first started using it.The best response by the nurse would be:

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A patient has been diagnosed with strep throat.The nurse is aware that without treatment, which complication may occur?

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While obtaining the health history from the mother of a 1-year-old child, the nurse notices that the baby has had a bottle in his mouth the entire time.The mother states, "It makes a great pacifier." The best response by the nurse would be:

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The nurse is assessing an 80-year-old patient.Which of these findings would be expected for this patient?

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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?

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A 10-year-old is at the clinic for "a sore throat that has lasted 6 days." Which of these findings would be consistent with an acute infection?

(Multiple Choice)
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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?

(Multiple Choice)
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The nurse is using an otoscope to assess the nasal cavity.Which of these techniques is correct?

(Multiple Choice)
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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?

(Multiple Choice)
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The nurse is assessing a 3-year-old for "drainage from the nose." On assessment, a purulent drainage that has a very foul odour is noted from the left naris, and no drainage is observed from the right naris.The child is afebrile with no other symptoms.What should the nurse do next?

(Multiple Choice)
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During an assessment of a 20-year-old patient with a 3-day history of nausea and vomiting, the nurse notices dry mucosa and deep vertical fissures in the tongue.These findings are reflective of:

(Multiple Choice)
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The salivary gland that is the largest and located in the cheek in front of the ear is the _________ gland.

(Multiple Choice)
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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?" Which of the following should the nurse assess for as follow-up to the patient's concerns? (Select all that apply.)

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