2. Suppose that a patient on whom you want to conduct the EENT exam has a strong aversion togetting his/her face and throat touched. What would be your strategies to conduct adequatephysical examination on this patient? The strategies may not mean that you are using all forcesnecessary to insert probes into your patient's orifices. Use your imagination to think what's bestfor the patient, and what else you can do to obtain what you need for diagnosis.

EENT exam is the assessment of the eyes, ears, nose, throat, and neck. This examination is based on…

Answered: 2. Suppose that a patient on whom you…

Essentials Health Info Management Principles/Practices

4th Edition

ISBN:9780357191651

Author:Bowie

Publisher:Bowie

Chapter1: Health Care Delivery Systems

Section: Chapter Questions

Problem 12CR

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A nurse formulates the following diagnosis for an olderfemale patient in a long-term care facility: Disturbed SensoryPerception: Chronic Sensory Deprivation related to theeffects of aging. The patient walked out the door unobservedand was lost for several hours. Which interventions would bemost effective for this patient? Select all that apply.a. Ignore when the patient is confused or go along to preventembarrassment.b. Reduce the number and type of stimuli in the patient’sroom.c. Orient the patient to time, place, and person frequently.d. Provide daily contact with children, community people,and pets.e. Decrease background or loud noises in the environment.f. Provide a radio and television in the patient’s room.
A nurse is caring for a male patient with a severe hearingdeficit who is able to read lips and use sign language. Which nursing intervention would be best to prevent sensory altera-tions for this patient? a. Turn the radio or television volume up very loud and closethe door to his room.b. Prevent embarrassment and emotional discomfort as muchas possible.c. Provide daily opportunity for him to participate in a socialhour with six to eight people.d. Encourage daily participation in exercise and physicalactivity.
A patient in an intensive care burn unit for 1 week is inpain much of the time and has his face and both armsheavily bandaged. His wife visits every evening for15 minutes at 6, 7, and 8 pm. A heart monitor beeps for apatient on one side, and another patient moans frequently.Assessment would suggest that that the patient probablyis experiencing:a. Sufficient sensory stimulationb. Deficient sensory stimulationc. Excessive sensory stimulationd. Both sensory deprivation and overload
A nurse is assessing a 78-year-old male patient for kinestheticand visceral disturbances. Which techniques would the nurseuse for this assessment? Select all that apply.a. The nurse asks the patient if he is bored, and if so, why.b. The nurse asks the patient if anything interferes with thefunctioning of his senses.c. The nurse asks the patient if he noticed any changes in theway he perceives his body.d. The nurse asks the patient if he has found it difficult tocommunicate verbally.e. The nurse notes if the patient withdraws from beingtouched.f. The nurse notes if the patient seems unsure of his bodyparts and/or position.
A nurse observes that a patient who has cataracts is sittingcloser to the television than usual. The nurse would interpret that the etiologic basis of this sensory problem is an altera-tion in: a. Environmental stimulib. Sensory receptionc. Nerve impulse conductiond. Impulse translation
Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he hasconsistently refused his pain medication. What would be apriority nursing diagnosis for this patient? a. Acute Pain related to fear of taking prescribed post-operative medications b. Impaired Physical Mobility related to surgical procedurec. Anxiety related to outcome of surgeryd. Risk for Infection related to surgical incision
13. To assess cranial nerves III, IV, and VI. The they should test the clients Visual fields Extraocular movements Extraocular sensation Visual acuity 14.When a nurse percusses a client thorax using the indirect technique the movement in the striking hand should originate from the nurses Elbow Wrist Upper arm Shoulder 15. 60. A 17-year-old female client comes to the outpatient client clinic reporting abdominal pain. The nurse prepares the client for an abdominal examination. Which of these measures would most likely help to relax the client’s abdomen A. Reassuring the client that the pain is not serious B. Allowing the client to partially undress C. Asking the client to place her arms above her head D. Placing a small pillow under the client’s head 16. 61. In examining a client’s abdomen, which of these techniques should the nurse generally perform last A. Palpation B. Auscultation C. Inspection D. Percussion Give all answer
The nurse is performing a neurologic assessment on a patient with an artificial eye. How would the nurse confirm identification of the natural eye? 10nly the natural eye would produce tears and lubrication. 2 The arcificial eye would have more natural movement. 3 The arsificial eye would respond siightly to a ligh stirrlis: # Netammodition wotld anly i present in the natinal eye.
An older female patient has a severe visual deficit related toglaucoma. Which nursing action would be appropriate whenproviding care for this patient?a. Assist the patient to ambulate by walking slightly behindthe person and grasping the patient’s arm.b. Concentrate on the sense of sight and limit diversions thatinvolve other senses. c. Stay outside of the patient’s field of vision when perform-ing personal hygiene for the patient. d. Indicate to the patient when the conversation has endedand when the nurse is leaving the room.
A 10-year-old female patient arrives in the emergency department after falling from a playground slide and injuring her head. She lost consciousness at the scene but is awake on arrival to the ED. She complains of nausea and left-sided headache but responds to verbal commands appropriately. The neurosurgeon is called in to examine the patient. During the examination, she loses consciousness again, becomes hypertensive and bradycardic. Her left pupil is now fixed and dilated. The surgeon calls the OR to set up for an emergency procedure. What procedure did the neurosurgeon schedule? What is the suspected diagnosis? Why did the neurosurgeon schedule an emergency procedure?
Patricia Savon is 34 years old. She has come to the clinic because of a general feeling of weakness and some difficulty walking. She also has had problems with her vision. When you bring Patricia to the examining room, she asks you to leave the door open because she is afraid of being shut inside. The physician does a physical examination on Patricia and orders some diagnostic tests. A possible diagnosis for Patricia is multiple sclerosis. 1. The fear that Patricia experiences is known as _______________. 2. Understanding Patricia’s fears, what type of nuclear imaging test will be ordered for her? 3. Patricia wants to know how nuclear imaging works; she is afraid of radiation. Explain to her how imaging devices work. 4. What additional instructions and information can you give Patricia regarding the test? 5. Are there other imaging tests that could be ordered for Patricia?
A 75-year-old woman is admitted to your unit for evaluation after being found in herapartment unconscious on the floor. She is now awake but moving slowly. Her vital signs arewithin normal limits. 1. In the hospital, it is unrealistic to expect to be able to spend an uninterrupted 30 to 60 minuteswith a single client performing an admission assessment. Which three system would have toppriority for her initial assessment? Discuss why. 2. While gathering relevant history data, what should you do if the client answers with simpleone-word answer or gestures? 3. Because the client may be in significant discomfort from her fall, it is not easy for her to moveabout for the examination. How might you organize your assessment to minimize here need tochange positions frequently? 4. If the client is unable to provide a detailed recent history, what other sources of these datacould you consider?

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