disorders of the nose Flashcards

1
Q

Propose a characteristic of allergic rhinitis.

Nasal obstruction

Posterior lymphadenopathy

Severe epistaxis

Severe headache

A

Nasal obstruction

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2
Q

A nurse practitioner is assessing a pediatric patient for a nose disorder. Recommend an appropriate test for evaluating disorders of the nose.

Audiogram

Sensorineural angiogram

Otoscope

Rinne test

A

Otoscope

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3
Q

A nurse is providing discharge information to the parents after treating a 10-year-old for allergic rhinitis. Determine which is accurate.

Avoid the use of air purifiers because they spread allergy particles.

The first line of therapy is avoidance of allergens.

Nasal septal surgery is effective in treating allergic rhinitis.

The first line of therapy is first-generation antihistamines.

A

The first line of therapy is avoidance of allergens.

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4
Q

A nurse practitioner is educating a family on foreign bodies in the nasal cavity. Recommend which is appropriate when removing foreign bodies from the nasal cavity.

Most complications of foreign body removal include chronic sinusitis.

Refer the patient to an otolaryngologistafter 3-5 unsuccessful attempts at retrieval.

The patient will have to be followed for 2 weeks to rule out infection.

A pair of alligator forceps is used to remove foreign body.

A

A pair of alligator forceps is used to remove foreign body.

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5
Q

Identify a common symptom of septal deviation.

Migraine headache

Increased incidence of sudden infant death syndrome

Trouble breathing through the nose

Cervical lymphadenopathy

A

Trouble breathing through the nose

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6
Q

A nurse is educating a group of nursing students on patients presenting with a history of allergies. When completing an assessment of a patient presenting with a history of allergies, propose a finding that would be consistent with allergic rhinitis.

Rhinitis shiners

Bilateral hyphemas

Psoriasis of the skin

Cobblestoning in the posterior pharynx

A

Cobblestoning in the posterior pharynx

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7
Q

Establish a risk factor for allergic rhinitis.

History of multiple births

Family history of ear infections

Family history of atopy

Uncle with a history of allergies to peanuts

A

Family history of atopy

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8
Q

Determine which is accurate when evaluating a patient for a foreign body.

Posterior foreign bodies are the easiest to remove.

Many foreign bodies within the nasal cavity can be removed by the provider.

Topical antibiotics drops are commonly prescribed after foreign body removal.

Pediatric patients are typically cooperative during a foreign body removal.

A

Many foreign bodies within the nasal cavity can be removed by the provider.

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9
Q

Establish a risk factor for allergic rhinitis.

Family history of ear infections

History of multiple births

Maternal smoking history

Uncle with a history of allergies to peanuts

A

Maternal smoking history

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10
Q

A nurse practitioner is providing training on nasal assessment and septal deviations. Conclude which statement is accurate.

The septum is made of muscle and cartilage.

Deviated septum associated with trauma is considered a medical emergency.

Symptoms include facial pain, headaches, and noisy night breathing.

Breathing difficulties are uncommon in patients with septal deviations.

A

Symptoms include facial pain, headaches, and noisy night breathing.

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11
Q

A nurse practitioner is educating a group of students on patient assessment of the nose and its function. Determine which statement is accurate.

The nose filters air and keeps bronchioles from drying out.

Disorders of the nose impact hearing in most children.

The nose has three major growth spurts.

The dorsal projection of the nose reaches adult size by age 16.

A

The nose filters air and keeps bronchioles from drying out.

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12
Q

A nurse is educating a group of nursing students on patients presenting with a history of allergies. When completing an assessment of a patient presenting with a history of allergies, propose a finding that would be consistent with allergic rhinitis.

Rhinitis shiners

Allergic alopecia

Swollen nasal turbinates

Psoriasis of the skin

A

Swollen nasal turbinates

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13
Q

Propose a characteristic of allergic rhinitis.

Diarrhea

Severe headache

Posterior lymphadenopathy

Itchy eyes and nose

A

Itchy eyes and nose

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14
Q

Determine which is appropriate when educating a parent on the risk of nasal foreign bodies.

Seek help immediately, if battery insertion is suspected.

Foreign body to the nose significantly affects quality of life.

Physical restraint is not recommended in foreign body removals.

Supervision of child does not decrease risk of foreign body to the nose.

A

Seek help immediately, if battery insertion is suspected.

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15
Q

A nurse practitioner is completing a physical examination on a pediatric patient. Establish which is common for patients with a possible nasal foreign body or obstruction.

Congested cough

Enlarged posterior lymph nodes

Buccal tenderness

Foul nasal drainage

A

oul nasal drainage

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16
Q

A nurse practitioner is educating a group of students on nasal foreign bodies in pediatric patients. Propose an accurate statement.

Foreign bodies of the nasal cavity occur more commonly in adolescents.

The majority of foreign bodies require urgent removal.

Common objects include items such as pearls and beads.

Plain radiographs are routinely used to visualize foreign bodies.

A

Common objects include items such as pearls and beads.

17
Q

A pediatric patient is being evaluated for a foreign body in the nasal cavity. Predict which warrants an otolaryngologist referral.

Anterior foreign body that was removed

Foreign body removed after first attempt

Any foreign body that cannot be removed at initial attempt

Severe headache and fever

A

Any foreign body that cannot be removed at initial attempt