A female patient is seen for "increased hoarseness" and a change in "voice quality.". There are no other symptoms. What is an appropriate assessment question for the nurse to ask this patient?
1. "What medications are you currently taking?"
2. "Have you recently experienced a cold?"
3. "Have you recently visited another country?"
4. "What is your occupation?"
4
Rationale 1: The list of medications is not likely to be relevant to this patient's specific complaints.
Rationale 2: The patient with a cold would exhibit additional signs and symptoms.
Rationale 3: The recent travel history is not likely to be relevant to this patient's specific complaints.
Rationale 4: Hoarseness and a breathy voice quality are manifestations of benign vocal cord tumors. In adults, vocal cord nodules are often referred to as "singer's nodules"; cheerleaders and public speakers may also develop them. Voice abuse also contributes to the development of vocal cord polyps, as do cigarette smoking and chronic irritation from industrial pollutants. Assessment questions usually start with the causes that would be easiest to eliminate.
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