A client is in the family medicine clinic reporting a dry, sore throat. The provider asks the nurse to assess for odynophagia. What assessment technique is most appropriate?

a. Ask the client what foods cause trouble swallowing.
b. Assess the client for pain when swallowing.
c. Determine if the client can swallow saliva. d.
Palpate the client's jaw while swallowing.


ANS: B
Odynophagia is painful swallowing. The nurse should assess the client for this either by asking or by having the client attempt to drink water. It is not related to specific foods and is not assessed by palpating the jaw. Being unable to swallow saliva is not odynophagia, but it would be a serious situation.

Nursing

You might also like to view...

A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital. The priority nursing diagnosis for this child would be:

1. Risk for injury related to hypertension. 2. Altered growth and development related to a chronic disease. 3. Risk for infection related to hypertension. 4. Fluid volume excess related to decreased plasma filtration.

Nursing

The interdependent phase of maternal adjustment to parenthood is characterized by all of the following except:

1. suffering from "baby blues" is associated with letting go. 2. establishing a lifestyle that in some respects excludes the baby. 3. resuming sexual intimacy. 4. resolving individual roles regarding childrearing, household duties, and careers.

Nursing

An assessment tool for pain in newborns employs the acronym CRIES to identify behavioral indicators of pain. In the acronym:

1. R stands for requiring more medication. 2. I stands for increased vital signs. 3. E stands for elimination. 4. S stands for sleepiness.

Nursing

The nurse records the client's intake and output for the past 8 hours and notes NGT irrigation with 50 ml normal saline solution every 4 hours and Lactulose syrup 30 ml through the NGT with 30 ml of normal saline solution

Which sum does the nurse obtain from the client's intake over 8 hours? 1. 30 ml 2. 160 ml 3. 110 ml 4. 210 ml

Nursing