A nurse is caring for a client complaining of throbbing pain in the face, teeth, and cheeks. Upon palpation, the nurse notes swollen turbinates and a purulent discharge the nose. The nurse should recognize that the client's symptoms best correlate with which problem?

Frontal sinusitis

Maxillary sinusitis

Nasal fracture

Nasal polyps

Answer and Explanation

The Correct Answer is B

A) Frontal sinusitis:
This is incorrect. Frontal sinusitis typically causes pain and tenderness in the forehead area, above the eyes, and along the brow ridge. While frontal sinusitis can lead to headaches and facial pain, it generally does not cause pain in the teeth, cheeks, or nasal discharge as specifically as maxillary sinusitis. Pain in the cheeks and upper teeth, along with purulent nasal discharge, is more characteristic of maxillary sinus involvement.

B) Maxillary sinusitis:
This is the correct answer. Maxillary sinusitis is the inflammation or infection of the maxillary sinuses, which are located behind the cheeks. Common symptoms include throbbing pain in the cheeks, teeth, and upper jaw, swollen turbinates (the structures inside the nose that help with airflow and filtering), and purulent nasal discharge. These symptoms match the description provided, making maxillary sinusitis the most likely diagnosis.

C) Nasal fracture:
This is incorrect. A nasal fracture typically presents with pain, swelling, bruising, and sometimes deformity of the nose, often accompanied by epistaxis (nosebleeds). While a nasal fracture can cause pain, it would not typically cause the throbbing pain in the face, teeth, and cheeks, nor would it be associated with swollen turbinates and purulent nasal discharge as seen in sinusitis.

D) Nasal polyps:
This is incorrect. Nasal polyps are non-cancerous growths that form in the nasal passages or sinuses due to chronic inflammation. They often cause nasal obstruction, reduced sense of smell, or frequent sinus infections. However, they do not typically cause the throbbing facial pain, particularly in the teeth and cheeks, that is characteristic of maxillary sinusitis. They also do not cause the purulent discharge seen in sinus infections.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

A) Kyphosis: While kyphosis is an important physical finding that could impact a client's respiratory and musculoskeletal health, it is typically assessed during the general physical examination and postural assessment rather than as part of the anterior chest assessment. Therefore, kyphosis is not directly part of the anterior chest examination, though it could be a factor influencing respiratory mechanics.

B) Gastrointestinal sounds: Gastrointestinal sounds are assessed during the abdominal examination, not the chest examination. The anterior chest exam focuses on respiratory and cardiac assessments, which do not involve auscultating bowel sounds. Hence, gastrointestinal sounds are not part of the chest examination.

C) Heart sounds: Auscultation of heart sounds is a crucial part of assessing the anterior chest, as it helps the nurse evaluate cardiac function. The nurse listens to heart sounds at specific areas on the chest (e.g., aortic, pulmonic, tricuspid, and mitral areas) to identify any abnormalities such as murmurs, arrhythmias, or other issues.

D) Breath sounds: Breath sounds are an essential component of the chest assessment. By auscultating the lungs, the nurse can identify normal or abnormal breath sounds, such as wheezes, crackles, or decreased breath sounds, which may indicate respiratory issues like pneumonia, asthma, or emphysema.

E) Symmetric expansion: Symmetric expansion refers to the even movement of both sides of the chest during inhalation and exhalation. Assessing symmetric chest expansion helps the nurse identify any respiratory abnormalities, such as atelectasis, pneumonia, or other lung pathologies that may cause uneven chest expansion, signaling a potential underlying issue.

A. Both lungs are equal in size with varying numbers ‹ lobes B. The diaphragm rises in the chest during inspiration C. The left lung has two lobes to make room for the heart D. The right lung has two lobes to make room for the liver

Correct Answer is C

Explanation

A) Both lungs are equal in size with varying numbers of lobes:
This is incorrect. The right lung is slightly larger than the left lung, as the left lung is somewhat smaller to accommodate the heart. The right lung has three lobes, while the left lung has only two lobes.

B) The diaphragm rises in the chest during inspiration:
This is incorrect. During inspiration (inhalation), the diaphragm contracts and moves downward to allow the lungs to expand and fill with air. It rises during exhalation as it relaxes and pushes air out of the lungs.

C) The left lung has two lobes to make room for the heart:
This is correct. The left lung has two lobes (upper and lower) compared to the three lobes of the right lung. The left lung is slightly smaller due to the space the heart occupies on the left side of the chest, allowing for asymmetry between the two lungs.

D) The right lung has two lobes to make room for the liver:
This is incorrect. The right lung has three lobes, not two. The liver is located lower in the abdomen and does not influence the number of lobes in the right lung. The asymmetry of the lungs is due to the position of the heart on the left side of the chest.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client complaining of throbbing pain in the face, teeth, and cheeks. Upon palpation, the nurse notes swollen turbinates and a purulent discharge the nose. The nurse should recognize that the client's symptoms best correlate with which problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the anterior chest of a client. The nurse recognizes that which of the following should be included in the assessment? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is performing a lung assessment on a client. The nurse should understand which information about lung structures?

Correct Answer is C

Explanation

A nurse is performing an assessment of an adult client and observes unequal chest expansion. The nurse should recognize that unequal chest expansion I occur for which reason?

A nurse is caring for a client complaining of throbbing pain in the face, teeth, and cheeks. Upon palpation, the nurse notes swollen turbinates and a purulent discharge the nose. The nurse should recognize that the client's symptoms best correlate with which problem?

A nurse is assessing the carotid arteries of a client diagnosed with cardiovascular disease. What action should be performed next by the nurse when assessing the carotid arteries in this client?

A nurse is auscultating the lungs of a sleeping client and hears short, popping, crackling breath sounds that stop after a few breaths. How should the nurse document these breath sounds in the client's medical record?

A nurse is palpating a client's anterior chest wall and notices a course, crackling sensation over the skin surface. Which of the following should the nurse suspect from these findings?

A nurse is listening to the heart sounds of a client. What information about S2 sounds should the nurse recognize as accurate?

A nurse is assessing the tonsils of a client and notes that the tonsils are involuted, granular in appearance, and have deep crypts. The nurse should recognize that which of the following is the correct response to these findings?

A nurse is auscultating breath sounds of a client with pneumonia. The nurse should recognize that lung consolidation produces which adventitious sound?