A 45-year-old patient who visits the occupational health nurse says that recently his sleep partner has reported that he has been snoring. The patient states his snoring has gotten worse and he wakes very tired
During the time the nurse is taking his history, the nurse notes a foul-smelling breath. Which of the following assessments should be completed early in the physical?
A) The back of the throat
B) The neurological status
C) The blood pressure
D) The heart rate
Ans: A
Feedback: The back of the throat, as hypertrophy of the tonsils and adenoids could cause obstruction and obstructive sleep apnea, repeated attacks of purulent otitis media, and hearing loss due to serous otitis media that has occurred in association with enlarged tonsils and adenoids. The symptoms of tonsillitis include sore throat, fever, snoring, and difficulty swallowing. Assessment of the neurological status, blood pressure, and heart rate are all imperative in the assessment but not primary to the patient's clinical manifestations.
You might also like to view...
You are the nurse educating new parents on prevention and treatment of constipation with infants. What is the most effective and safest way to treat constipation in infants prior to bowel training?
A) Milk of magnesia B) Sorbitol C) Dulcolax suppositories D) Glycerin suppositories
As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down. Choice
1. Plays beside but not with other children Choice 2. Plays games with other children and is able to follow the rules of the game Choice 3. Plays alone with play directed by others Choice 4. Plays with others in loose groups
A patient who has attempted suicide by taking a handful of ibuprofen (Motrin) is admitted to the mental health unit
She had attempted suicide three times previously, each by overdose on over-the-counter medications, and in each case was found by family or peers in time to prevent her death, eventually being admitted to this mental health unit each time. Which of the following nursing responses would be most appropriate? a. Search her and her belongings for pills and other dangerous objects, then minimize the attention given to her by staff in order to reduce secondary gains. b. When medically stable, confront her with her pattern of maladaptive coping, noting that the low lethality of her attempts suggests she is seeking attention. c. Discuss with her family ways that they can reduce her attention-seeking suicide gestures by keeping all medications locked and not responding to histrionic behavior. d. Place her on one-to-one observation because her history of previous attempts suggests she is at high risk of suicide; once medically stable, begin intensive psychiatric treatment.
In assessing the eyes, which of the following is considered a "red flag" finding when associated with eye redness?
A. History of prior red-eye episodes B. Grossly visible corneal defect C. Exophthalmos D. Photophobia