A nurse is assessing a patient with a complaint of cold and sinus pain. Which sinuses would the nurse palpate?

ethmoid

maxillary

mastoid

sphenoid

Answer and Explanation

The Correct Answer is B

A. Ethmoid: The ethmoid sinuses are located between the eyes and are not typically accessible for palpation during a physical examination. Instead, tenderness in this area is assessed through inspection and indirect methods rather than direct palpation.

B. Maxillary: The maxillary sinuses are located in the cheeks and are accessible for palpation. The nurse can assess for tenderness or swelling in this area, which can indicate sinusitis or infection. Palpating the maxillary sinuses is a standard part of the examination for patients with cold and sinus pain.

C. Mastoid: The mastoid process is located behind the ear and contains air cells, but it is not directly involved in sinus pain associated with cold symptoms. While mastoid tenderness may indicate a different type of infection (such as mastoiditis), it is not part of the sinus assessment.

D. Sphenoid: The sphenoid sinuses are located deep within the skull, behind the nasal cavity, and are not accessible for palpation during a physical examination. Any issues with the sphenoid sinuses would typically be assessed through imaging studies rather than physical palpation.

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Correct Answer is A

Explanation

A. Thyroid: The thyroid gland produces thyroxine (T4) and triiodothyronine (T3), which are essential hormones that regulate metabolism, growth, and development. An elevated T4 level typically indicates hyperthyroidism or other thyroid disorders, making it necessary to assess the function and health of the thyroid gland.

B. Parathyroid: The parathyroid glands regulate calcium levels in the blood through the secretion of parathyroid hormone (PTH). They do not produce T4 or directly influence thyroid hormone levels, so assessing the parathyroid glands would not be relevant in the context of elevated T4.

C. Adrenal: The adrenal glands produce hormones such as cortisol, aldosterone, and adrenaline. While adrenal function can impact overall hormonal balance in the body, they are not directly involved in the production of thyroxine (T4), making them unrelated to the assessment for elevated T4 levels.

D. Parotid: The parotid glands are major salivary glands that secrete saliva. They do not play a role in thyroid hormone production or regulation, so assessing the parotid glands would not be appropriate when investigating elevated T4 levels.

A. I B. II C. IV D. III

Correct Answer is B

Explanation

A. I: Cranial nerve I, the olfactory nerve, is responsible for the sense of smell and is not involved in visual acuity; it can be tested by asking the patient to identify familiar scents.

B. II: Cranial nerve II, the optic nerve, is responsible for transmitting visual information from the retina to the brain. It is directly involved in measuring visual acuity, as it enables the nurse to assess how well the patient can see and interpret visual stimuli; visual acuity is commonly tested using the Snellen chart.

C. IV: Cranial nerve IV, the trochlear nerve, controls the superior oblique muscle, which is responsible for downward and lateral eye movement. It can be assessed by having the patient follow an object in a downward diagonal direction.

D. III: Cranial nerve III, the oculomotor nerve, controls most of the eye's movements, including constriction of the pupil and maintaining an open eyelid. It is assessed by evaluating the patient's ability to follow objects in all directions and checking for pupil response to light and accommodation.

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A nurse is assessing a patient with a complaint of cold and sinus pain. Which sinuses would the nurse palpate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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