When performing a physical assessment of a client's maxillary the nurse should.
Press above and below the cheek bones.
Apply pressure anteriorly to the tragus.
Ask if the client has a history of headaches.
Ask if the client has a history of sinus infections.
The Correct Answer is A
A. To assess the maxillary sinuses, the nurse should apply gentle pressure to the area above and below the cheekbones, as this is where the maxillary sinuses are located.
B. The tragus is part of the ear and not relevant to the assessment of the maxillary sinuses. Pressure in this area would not be helpful for evaluating sinus health.
C. While a history of headaches may be relevant to sinus issues, it is not a direct physical assessment of the maxillary sinuses.
D. Ask if the client has a history of sinus infections. While a history of sinus infections is useful, it does not replace the physical assessment of the maxillary sinuses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound. - This indicates a possible consolidation in the lungs, which is abnormal.
B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. - This suggests abnormal voice transmission and could indicate lung consolidation or other issues.
C. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. - This is normal, indicating clear and symmetrical transmission of voice sounds.
D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." - This is also normal, as it indicates normal transmission of sound and no lung consolidation.
E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. - This is normal for whispered voice sounds and is not a sign of abnormal lung findings.
Correct Answer is C
Explanation
A. While alcohol consumption and stress are risk factors, they are not as directly correlated to heart disease as smoking, hypertension, obesity, diabetes, and high cholesterol.
B. Although personality type is being explored as a risk factor, it is not as directly linked to heart disease risk as the factors listed in option C.
C. Smoking, hypertension, obesity, diabetes, and high cholesterol. These are well-established major risk factors for heart disease, directly impacting cardiovascular health.
D. Family history, hypertension, stress, and age. Family history, stress, and age can be risk factors, but the factors listed in option C are more direct and actionable in terms of management.
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