The nurse is performing an assessment. which of these findings would cause the greatest concern?

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32. When examining the mouth of an older patient, the nurse recognizes which finding is due to the aging process?a.Teeth appearing shorterb.Tongue that looks smoother in appearancec.Buccal mucosa that is beefy red in appearanced.Small, painless lump on the dorsum of the tongueANS: BIn the aging adult, the tongue looks smoother because of papillary atrophy. The teeth are slightly yellowed and appear longer because of the recession ofgingival margins.33. When examining the nares of a 45-year-old patient who has complaints of rhinorrhea, itching of the nose and eyes, and sneezing, the nurse notices thefollowing: pale turbinates, swelling of the turbinates, and clear rhinorrhea. Which of these conditions is most likely the cause?a.Nasal polypsb.Acute sinusitisc.Allergic rhinitisd.Acute rhinitisANS: CRhinorrhea, itching of the nose and eyes, and sneezing are present with allergic rhinitis. On physical examination, serous edema is noted, and the turbinatesusually appear pale with a smooth, glistening surface. (See Table 16-1 for descriptions of the other conditions.)34. When assessing the tongue of an adult, the nurse knows that an abnormal finding would be:a.Smooth glossy dorsal surface.b.Thin white coating over the tongue.c.Raised papillae on the dorsal surface.d.Visible venous patterns on the ventral surface.ANS: AThe dorsal surface of the tongue is normally roughened from papillae. A thin white coating may be present. The ventral surface may show veins. Smooth,glossy areas may indicate atrophic glossitis (see Table 16-5).

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The nurse is performing an assessment. which of these findings would cause the greatest concern?

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Intermediate Algebra Within Reach

Larson

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35. The nurse is performing an assessment. Which of these findings would cause the greatest concern?a.Painful vesicle inside the cheek for 2 daysb.Presence of moist, nontender Stensen’s ductsc.Stippled gingival margins that snugly adhere to the teethd.Ulceration on the side of the tongue with rolled edgesANS: DUlceration on the side or base of the tongue or under the tongue raises the suspicion of cancer and must be investigated. The risk of early metastasis ispresent because of rich lymphatic drainage. The vesicle may be an aphthous ulcer, which is painful but not dangerous. The other responses are normalfindings.36. A patient has been diagnosed with strep throat. The nurse is aware that without treatment, which complication may occur?a.Rubellab.Leukoplakiac.Rheumatic feverd.Scarlet feverANS: CUntreated strep throat may lead to rheumatic fever. When performing a health history, the patient should be asked whether his or her sore throat has beendocumented as streptococcal.

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Health care provider, acute pain

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The nurse is performing an assessment. which of these findings would cause the greatest concern?

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Intermediate Algebra Within Reach

Larson

Expert Verified

What is the primary purpose of nasal hair and mucous membranes?

The respiratory system is lined with a mucous membrane that secretes mucus. The mucus traps smaller particles like pollen or smoke. Hairlike structures called cilia line the mucous membrane and move the particles trapped in the mucus out of the nose.

Which sinuses can you assess through examination?

Only the frontal and maxillary sinuses are accessible for clinical exam. Physical assessment of the paranasal sinuses, along with the patient's signs and symptoms, can help you to identify certain conditions such as acute sinusitis involving the frontal or maxillary sinuses.

What are the projections in the nasal cavity that increase the surface area are called Group of answer choices?

Bony projections, called turbinates, protrude into each breathing passage; they help to increase the surface area of the inside of the nose. There are three turbinates on each side of the nose (the inferior, middle, and superior turbinates).

What is a dark spot on the client's hard palate indicative of?

An abnormally dark or a translucent color on the hard palate may be an indication of a palatal fistula or a cleft. Dark spots may indicate oral cancer. Abnormal height or width of the palatal arch: The shape of the palatal arch may bary considerably from client to client.