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A patient comes to the clinic for evaluation after a sinus infection. To evaluate the therapy,
the nurse uses transillumination to assess the sinuses and notes which finding indicating
recovery from a frontal sinus infection?
1. The soft palate illuminates brightly when the light source is placed against the lateral nose.
2. No illumination is noted when the light source is placed firmly against the lateral nose.
3. A bright glow illuminates the hard palate when the light source is placed against each
temporal bone.
4. A reddish light is noted above the eyebrows when the light is placed against each
supraorbital rim. Correct Ans-Correct Answer: 4
A nurse suspects the patient has an infection of the maxillary sinuses. How can this suspicion
be confirmed?
1. Using a flashlight to illuminate the floor of the mouth
2. Pressing gently with both thumbs into the eyebrow ridges
3. Applying firm pressure with the thumbs below the cheekbones
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4. Standing behind the patient and asking him or her to slowly rotate the head Correct
Ans-Correct Answer: 3
After assessment of the nose and paranasal sinuses, which finding requires further
investigation by the nurse?
1. Nasal septum off the midline
2. Nose in the midline of the face
3. Middle turbinates deep pink in color
4. Noiseless exchange of air from each naris Correct Ans-Correct Answer: 1
A patient is being seen in the clinic for suspected nasal obstruction from a foreign body. The
nurse recognizes which finding as most consistent with this diagnosis?
1. Unilateral foul-smelling drainage
2. Bilateral purulent green-yellow discharge
3. Bilateral bloody discharge
4. Unilateral watery discharge Correct Ans-Correct Answer: 1