A nurse is assessing a patient with a complaint of cold and sinus pain. Which sinuses would the nurse palpate?
ethmoid
maxillary
mastoid
sphenoid
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. To facilitate the movement of air through the nares: While the ciliated mucous membrane does help in the overall functioning of the nasal passages, its primary role is not to facilitate air movement but to filter and trap particles.
B. To filter coarse particles from inhaled air: The primary purpose of the ciliated mucous membrane in the nose is to trap and filter out coarse particles, such as dust, pollen, and microbes, from inhaled air. The cilia beat in a coordinated manner to move mucus and trapped particles towards the throat, where they can be swallowed or expelled, helping to keep the airways clear and protect the respiratory system.
C. To filter out odors: While the nasal cavity does play a role in detecting odors through the olfactory receptors located in the upper part of the nasal cavity, the ciliated mucous membrane itself is not primarily responsible for filtering odors.
D. To warm the inhaled air: The nasal passages do help warm inhaled air as it passes through, but this is more a function of the rich blood supply and the large surface area of the nasal cavity rather than the role of the ciliated mucous membrane specifically. The primary action of the ciliated mucous membrane is focused on filtering particles from the air.
Correct Answer is B
Explanation
A. MMSE: The Mini-Mental State Examination (MMSE) is primarily used to assess cognitive function and screen for dementia. While it can provide some information about a patient's cognitive status, it is not specifically designed to evaluate mood disorders or depressive symptoms.
B. PHQ9: The Patient Health Questionnaire-9 (PHQ-9) is a widely used screening tool specifically designed to assess the severity of depression. It consists of nine questions related to the patient's mood, interest in activities, sleep patterns, and other symptoms of depression, making it an appropriate choice for further evaluation in this case.
C. GAD7: The Generalized Anxiety Disorder 7-item scale (GAD-7) is used to assess the severity of generalized anxiety disorder. While anxiety and depression can be related, the GAD-7 is not the best tool for evaluating the depressed mood reported by the patient.
D. Delirium Screening Tool: This tool is used to assess for delirium, which is an acute confusion state typically seen in hospitalized patients or those with significant medical issues. It is not applicable in evaluating depressive symptoms in a young adult.
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