Which does the nurse document to indicate that the nose, sinuses, and mouth are within normal limits?
1. Uvula and soft palate move symmetrically.
2. Maxillary sinuses sensitive to firm pressure.
3. Nasal mucosa is pink; septum shifted to left.
4. Tongue is dry, midline, with smooth margins.
1
1. Normal assessment findings for the nose, sinuses, and mouth include symmetrical movements of the uvula and soft palate indicating intact cranial nerve IX, the glos-sopharyngeal nerve.
2. Sensitive sinuses indicate excessive sinus pressure usually caused by fluid or ex-udate accumulation.
3. Pink mucosa is normal, but the septum should be midline.
4. A smooth midline tongue is normal, but the tongue should also be moist.
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