Ears, Nose, Mouth, and Throat Flashcards
A nurse is assessing cranial nerve VIII using a tuning fork. Which type of conduction indicates that the patient’s functioning is normal?
Air conduction is greater than bone conduction
A nurse is assessing a patient’s balance. What test would the nurse perform and what would indicate failure?
Romberg Test: failure to stand still results in a positive Romberg test
A patient is experiencing a high pitched ringing in their ears. How would the nurse document this?
Tinnitus
A patient is experiencing redness and inflammation on the outer part of their ear. How would the nurse document this finding?
Otitis Externa
A patient is exuding a lot of discharge from their nose. How would the nurse document these findings?
Rhinitis
A patient is experiencing a nosebleed while they are being examined. How would a nurse document a nosebleed?
Epistaxis
A nurse is assessing the nose, which sinus would they percuss first?
Percussion of the sinuses
Sinus maxillary
A nurse is assessing the sinuses using a penlight. What is this procedure called and what indicates normality?
Transillumination of the sinuses. Red glow
A patient is experiencing pain in their throat and the nurse notes that their tonsils are swollen and red. How would the nurse document their findings?
Tonsillitis is inflammation of the tounge. Graded 1-4 depending on severity.
A patient is experiencing trouble speaking and swallowing. How should the nurse document this and what precautions need to be placed to ensure safety?
Cranial nerve IX is responsible for swallowing/gag reflex, CN X is responsible for speech. Keep suction by the bed
A patient’s tounge can be described as black and hairy. What is the most common cause of this?
Overuse of antibiotics
A patient is experiencing pain in their gums. Upon further assessment, the patient’s gums are swollen. How should this be documented and what are some interventions?
Gingivitis, treated with vitamin C
