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Physical Assessment In Nursing Study Set 1

Nursing

Quiz 15 :

Ears, Nose, Mouth, and Throat

Quiz 15 :

Ears, Nose, Mouth, and Throat

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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? Select all that apply.
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Multiple Choice
Answer:

Answer:

A,C,D

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The client has developed anosmia. The nurse educates the client about the possible causes of this condition. Which topics are appropriate for the nurse to include in the teaching session with the client? Select all that apply.
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Multiple Choice
Answer:

Answer:

B,C,D

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The nursing is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane. Which action by the nurse is appropriate in this situation?
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Multiple Choice
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Answer:

A

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The nurse is preparing to assess the ventral surface of the tongue. Which should the nurse anticipate to find?
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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?
Multiple Choice
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The emergency department triage nurse is assessing a child who has a history of a cough and nasal congestion for the last three days. When assessing patency of the nares, the nurse notes that the child is unable to breathe through the right nostril. Which interpretation of the assessment data by the nurse is the most appropriate?
Multiple Choice
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A client asks the nurse what part of the ears becomes blocked with pressure when they travel on an airplane. Which structure of the ear should the nurse be prepared to discuss?
Multiple Choice
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During the focused interview, the client admits to regularly abusing cocaine. Which clinical manifestations support the regular use of cocaine? Select all that apply.
Multiple Choice
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Which structure attaches the tongue to the floor of the mouth?
Multiple Choice
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The nurse is assessing the tympanic membrane of a client and notes the presence of a darkened area. Based on this assessment data, which does the nurse suspect?
Multiple Choice
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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?
Multiple Choice
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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? Select all that apply.
Multiple Choice
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The nurse is caring for a client who was admitted to the medical unit. The healthcare provider states that the client's Romberg test is positive. In order to meet this client's elimination needs, which interventions will the nurse implement?
Multiple Choice
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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? Select all that apply.
Multiple Choice
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A young mother brings an infant to the pediatric clinic. The infant has had a fever and is pulling at the left ear. Based on this data, which disorder does the nurse suspect?
Multiple Choice
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The client has been brought via ambulance to the emergency department (ED)following a motor vehicle accident. The nurse notes that the client's ear is draining clear fluid. Which is the priority nursing action?
Multiple Choice
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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? Select all that apply.
Multiple Choice
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A client with recent cerebrovascular accident (CVA)is no longer able to smell. Which cranial nerve assessment should the nurse anticipate to include in the documentation?
Multiple Choice
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A client tells the nurse they are experiencing pain and noticed some drainage from their left ear. Which objective finding indicates the client may have developed acute otitis media?
Multiple Choice
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A client presents in the healthcare provider's office with complaints of headache and malaise. During the assessment, the nurse notes the client is experiencing severe pain when palpating behind the ears. Based on this data, which diagnosis does the nurse anticipate?
Multiple Choice
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