NURS 344 Assessing Mouth, Throat, Nose and Sinus
Questions With Complete Solutions
A 58-year-old client who is HIV-positive has presented with
thick, white plaques on their oral mucosa. What diagnosis would
the nurse first suspect? Correct Answer Thrush
A child presents to the health care facility with new onset of a
foul-smelling, purulent drainage from the right nare. The parent
states that no other signs of an upper respiratory tract infection
are present. What is an appropriate action by the nurse? Correct
Answer Inspect the nostrils with an otoscope
A client comes to the clinic and reports nosebleeds. What area of
the nose is the bleeding most likely coming from? Correct
Answer Kiesselbach plexus
A client comes to the clinic reporting pain, tenderness, swelling,
and pressure around the eyes, cheeks, nose, and forehead for the
past 12 weeks. Based on these findings, which of the following
disorders is the client most likely experiencing? Correct
Answer chronic sinusitis
A client diagnosed with a peritonsillar abscess exhibits 4+
tonsils and is not able to eat or drink. What is the nurse's priority
concern for this client? Correct Answer Ensure a patent
airway
A client has lost a significant amount of weight due to painful
swallowing. The nurse assesses the client for potential
underlying causes. Which of the following may be contributing
, to the client's painful swallowing? Select all that apply. Correct
Answer tumors of the throat
neuromuscular disorders
gastroesophageal reflux disease (GERD)
A client is experiencing sinus tenderness associated with a head
cold. What techniques should the nurse use to assess this client's
symptom? (Select all that apply.) Correct Answer Press up on
the frontal sinuses from under the bony brows.
Press up on the maxillary sinuses.
A client is found to have a smooth, glossy tongue. What vitamin
deficiency might this indicate? Correct Answer Vitamin B12
deficiency
A client presents to the health care clinic reporting a sore throat.
In examining the client's mouth and throat, the nurse notices that
the tonsils on both sides of the oropharynx at the end of the soft
palate are swollen. Which tonsils are these? Correct Answer
Palatine
A client presents to the health care clinic with reports of a 3-day
history of fever, sore throat, and trouble swallowing. The nurse
notes that the client is febrile, with a temperature of 101.5°F,
tonsils are 2+ and red, and transillumination of the sinuses is
normal. Which nursing diagnosis should the nurse confirm
based on this data? Correct Answer Acute Pain
A client presents to the health care clinic with reports of
inability to concentrate at work and daily frontal headaches for
the past two weeks. What additional information should the
Questions With Complete Solutions
A 58-year-old client who is HIV-positive has presented with
thick, white plaques on their oral mucosa. What diagnosis would
the nurse first suspect? Correct Answer Thrush
A child presents to the health care facility with new onset of a
foul-smelling, purulent drainage from the right nare. The parent
states that no other signs of an upper respiratory tract infection
are present. What is an appropriate action by the nurse? Correct
Answer Inspect the nostrils with an otoscope
A client comes to the clinic and reports nosebleeds. What area of
the nose is the bleeding most likely coming from? Correct
Answer Kiesselbach plexus
A client comes to the clinic reporting pain, tenderness, swelling,
and pressure around the eyes, cheeks, nose, and forehead for the
past 12 weeks. Based on these findings, which of the following
disorders is the client most likely experiencing? Correct
Answer chronic sinusitis
A client diagnosed with a peritonsillar abscess exhibits 4+
tonsils and is not able to eat or drink. What is the nurse's priority
concern for this client? Correct Answer Ensure a patent
airway
A client has lost a significant amount of weight due to painful
swallowing. The nurse assesses the client for potential
underlying causes. Which of the following may be contributing
, to the client's painful swallowing? Select all that apply. Correct
Answer tumors of the throat
neuromuscular disorders
gastroesophageal reflux disease (GERD)
A client is experiencing sinus tenderness associated with a head
cold. What techniques should the nurse use to assess this client's
symptom? (Select all that apply.) Correct Answer Press up on
the frontal sinuses from under the bony brows.
Press up on the maxillary sinuses.
A client is found to have a smooth, glossy tongue. What vitamin
deficiency might this indicate? Correct Answer Vitamin B12
deficiency
A client presents to the health care clinic reporting a sore throat.
In examining the client's mouth and throat, the nurse notices that
the tonsils on both sides of the oropharynx at the end of the soft
palate are swollen. Which tonsils are these? Correct Answer
Palatine
A client presents to the health care clinic with reports of a 3-day
history of fever, sore throat, and trouble swallowing. The nurse
notes that the client is febrile, with a temperature of 101.5°F,
tonsils are 2+ and red, and transillumination of the sinuses is
normal. Which nursing diagnosis should the nurse confirm
based on this data? Correct Answer Acute Pain
A client presents to the health care clinic with reports of
inability to concentrate at work and daily frontal headaches for
the past two weeks. What additional information should the
