Exam 14: Ears, Nose, Mouth Throat

The nurse is examining a client's ears and notes that right ear is occluded with wax.The nurse would choose which of the following to remove the earwax?

A client presents in the healthcare provider's office with complaints of headache and malaise.The nurse assesses the client and finds that the client has severe pain when the sinuses are palpated.The nurse would suspect which of the following disorders?

The nurse is educating a group of teenagers in high school about the risks of chewing tobacco.The nurse would include information about which of the following signs of oral cancer?

The nurse is assessing the oral cavity of a client and notes a blackish,furry-looking coating on the tongue.Which of the following questions would be appropriate for the nurse to include when obtaining further assessment data?

The nurse is triaging a client and notes pallor and cyanosis of the oral cavity and lips.Based on this finding,the nurse would implement which of the following actions first?

A client arrives in the emergency room with complaints of intermittent nosebleeds for the past two days.Which of the following assessments would be a priority for the nurse is this situation?

The nurse is caring for a client who was admitted to the medical unit.The healthcare provider states that the client's Romberg test was positive.As the nurse plans to meet the client's elimination needs,the nurse would implement which of the following interventions?

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

During the focused interview,the client provides information to the nurse regarding her daughter's recent diagnosis with cancer.The client is exhibiting clinical manifestations associated with anxiety.During the physical assessment,which of the following findings might be expected?

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,the nurse would expect to learn which of the following?

The nursing is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane.The nurse should perform which of the following steps to better visualize this structure?

The nurse is performing the Weber test.The nurse documents that the sound lateralized to the client's right ear.The student nurse observing the assessment asks the nurse about the meaning of this documentation.Which of the following is the nurse's best response?

During the focused interview,the client admits to regularly abusing cocaine.Which of the following findings does the nurse expect to discover during the physical assessment of the client's nose?

The nurse is discharging an 11-month-old child who was brought to the emergency room for the treatment of an ear infection and fever.The nurse would include which of the following statements in the discharge teaching to the parents?

The client is experiencing the effects of a recent cerebrovascular accident.The client is unable to hear out of the left ear.Which of the following cranial nerves was most likely affected?

An elderly client says,"I can't seem to hear as well as I could when I was younger." The nurse suspects this client is experiencing which of the following disorders?

Which of the following structures attaches the tongue to the floor of the mouth?

A client is having difficulty maintaining equilibrium.The client is unable to ambulate without pushing a wheelchair or using a walker.Draw an arrow indicating which part of the ear is not functioning adequately.

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.The nurse would suspect which of the following in this situation?

The client has developed anosmia.The healthcare provider educates the client about the possible causes.The nurse recognizes that which of the following would be an unexpected explanation for this condition?