Exam 16: Ears, Nose, Mouth, and Throat

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

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A,C

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?

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B

The nurse is educating a group of adolescents about the risks of chewing tobacco. When describing the manifestation of oral cancer, which information will the nurse include?

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D

An older adult client says, "I can't seem to hear as well as I could when I was younger." Which diagnosis does the nurse anticipate for this client?

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Which structure attaches the tongue to the floor of the mouth?

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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?

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The nurse is conducting a hearing assessment on an older adult client with impacted cerumen noted in the right ear canal. When performing the Weber test, which would the nurse expect to learn?

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The nurse is examining a client's ears and notes that right ear is occluded with wax. Which actions by the nurse are appropriate to facilitate removal of the cerumen from the client's ear?

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The nurse educates the client about the major functions of the nose and sinuses. Which structure is specifically responsible for filtering, moistening, and warming air that enters the lower portion of the respiratory tract?

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Which structure separates the vestibule from the mouth? Which structure separates the vestibule from the mouth?

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The nurse educator is conducting an in-service for a group of community health nurses. Which is an objective for Healthy People 2020 that the nurse will include in the in-service?

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The nurse is performing a focused interview with the client and asks the client if there has been any drainage from the ears. The client responds, "Yes." Which statement by the health care provider indicates that the client may have developed acute otitis media?

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The nurse is assessing the oral cavity of a client and notes a blackish, furry-looking coating on the tongue. Which question to the client is most appropriate based on this initial data?

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A client arrives in the emergency department with complaints of intermittent nosebleeds over the past two days. Which are priority assessments for the nurse to implement when providing care to this client?

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The client comes to the medical office complaining of tinnitus and bilateral hearing loss. After reviewing the client's medical record, the nurse determines that recently prescribed medication could be the cause for the assessment data. Which medications in the medical record could be responsible for the client's assessment data?

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The nurse is assessing several children in a pediatric clinic. Which child is experiencing a development delay?

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The client is experiencing the effects of a recent cerebrovascular accident (CVA). The client is unable to smell. Which cranial nerve was most likely affected by the CVA?

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The nurse is explaining discussing the Rinne test to a group of student nurses. Which statement by the nurse is most appropriate?

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The nurse is assessing the client's nasal mucosa and notes the presence of a thin, watery discharge. The client complains of sneezing and nasal congestion. Based on this data, which does the nurse suspect?

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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?

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