Ch 17 Health Assessment

Front 1

The roof of the oral cavity of the mouth is formed by the anterior hard plate and the _____________

Back 1

Soft palate

Front 2

An extension of the soft palate of the mouth which hangs in the posterior midline of the oropharynx is the _____________

Back 2

Uvula

Front 3

The tongue is attached to the hyoid bone and th styloid process of the temporal bone and is connected to the floor of the mouth by the ___________

Back 3

Frenulum

Front 4

The sub-mandibular glands open under the tongue through openings called ______________

Back 4

Wharton's ducts

Front 5

The rich blood supply of the nose serves to _________________

Back 5

Warm the inspired air

Front 6

The nurse is preparing to examine the sinuses of an adult client. After examining the frontal sinuses, the nurse should proceed to examine the ________________

Back 6

Maxillary sinuses

Front 7

An adult client visits the clinic complaining of recurrent ulcer. The nurse should document the presence of ______________

Back 7

aphthous stomatitis

Front 8

A nurse assesses the mouth of and adult male client and observes a rough crusty eroded area the nurse should__________

Back 8

refer the client for further evaluation

Front 9

An adult client visits the clinic and tells the nurse that she has been experiencing frequent nosebleeds for the past month. the nurse should?

Back 9

Refer the client for further evaluation

Front 10

The nurse is assessing the mouth of an older adult and observes that the client appears to have poorly fitting dentures. The nurse should instruct the client that she may be at greater risk for?

Back 10

aspiration

Front 11

An adolescent client tells the nurse that her mother says she grinds her teeth when she sleeps. The nurse should explain to the client that grinding the teeth may be a sign of?

Back 11

stress and anxiety

Front 12

The nurse is planning a presentation to a group of high school students about the risk factors for oral cancer. Which of the following should be included in the nurses plan?

Back 12

Diets low in fruits and vegetables are a possible risk factor for oral cancer.

Front 13

Before examining the mouth of an adult client the nurse should first?

Back 13

Don clean gloves for the procedure.

Front 14

A client visits the clinic and tells the nurse that she has painful cracking in the corners of her lips. The nurse should assess the clients diet for a deficiency of ?

Back 14

Riboflivin

Front 15

The nurse is assessing a client who has been taking antibiotics for an infection for 10 days. The nurse observes whitish curd like patches in the clients mouth. The nurse should explain to the client that these spots are most likely?

Back 15

Candida albicans infection

Front 16

The nurse is assessing and adult clients oral cavity for possible oral cancer. The nurse should explain to the client that the most common site for oral cancer is the?

Back 16

area underneath the tongue

Front 17

The nurse is planning to inspect an adult clients mouth using a tongue depressor the nurse should plan to

Back 17

depress the tongue blade slightly off center

Front 18

An adult client visits the clinic complaining of the sore throat. After assessing the throat, the nurse documents the clients tonsils as 4+. The nurse should explain to the client that 4+ tonsils are present when the nurse observes tonsils that are?

Back 18

touching each other

Front 19

The nurse is preparing to inspect the nose of an adult client with an otoscope. The nurse plans to?

Back 19

position the handle of the otoscope to one side

Front 20

This set of salivary glands is located below and in front of the ears and they empty though which of the ducts?

Back 20

Parotid glands, and they empty through the Stevensons ducts.

Front 21

The _____________ glands are located in the lower jaw and open under the tongue on either side of the frenulum through ducts known as ____________.

Back 21

Submandibular glands and they empty through the whartons ducts

Front 22

The ______________ located behind the mouth and nose serves as a muscular passage for food and air

Back 22

Pharynx

Front 23

The upper part of the throat is known as the _______________

Back 23

Nasopharynx

Front 24

Just below the nasopharynx is the __________

Back 24

Oropharynx

Front 25

Below the oropharynx is the __________

Back 25

Laryngopharynx

Front 26

The __________ are located on both sides of the oropharynx at the end of the soft palate between the anterior and posterior pillars

Back 26

Palatine tonsils

Front 27

The ___________ lie at the base of the tongue

Back 27

Lingual tonsils

Front 28

____________ or adenoids are found high in the nasopharynx.

Back 28

Pharyngeal tonsils

Front 29

What is the function of the tonsils?

Back 29

Lymphoid tissue that help protect against infection.

Front 30

The front of the nasal septum contains a rich supply of blood vessels and is known as ____________?

Back 30

Kiesselbach's area

Front 31

The superior middle and inferior __________ are bony lobes sometimes called conchae.

Back 31

Turbinates

Front 32

What is the function of the turbinates?

Back 32

Increase surface area that is exposed to incoming air.

Front 33

_____________ mucosal cells capture an propel debris toward the throat.

Back 33

Ciliated

Front 34

A meatus underlies each turbinate and receives drainage form the______ sinuses and the __________ duct.

Back 34

Paranasal; nasolacrimal

Front 35

Receptors from this cranial nerve are located in the upper part of the nasal cavity and septum.

Back 35

Cranial nerve I Olfactory

Front 36

What are the four pairs of nasal sinuses and their locations.

Back 36

Frontal: just about the eyes
Maxillary: In the upper jaw
Ethmoidal: Deep in the skull just across from the eyes
Sphenoid: Deep in the skull just below the eyes.

Front 37

What is an aphthous?

Back 37

Cranker sore

Front 38

What are the warning signs of mouth cancer?

Back 38

Mouth or tongue sores that do not heal, red or white patches that persist, a lump or thickening, rough crusty or eroded area that are all warning signs.

Front 39

Red swollen gums are a sign of?

Back 39

gingivitis

Front 40

Destruction of the gums with tooth loss is _____________

Back 40

periodontisist

Front 41

_______________ may be seen in esophageal disorders anxiety poor fitting dentures or neurological disorder.

Back 41

Dysphagia

Front 42

Hoarseness is associated with upper respiratory infections allergies hypothyroidism overuse of the voice, smoking, or inhaling. If it last longer them two weeks what should the nurse do?

Back 42

Refer the client for further evaluation.

Front 43

What is the percentage of oral cancers.

Back 43

75%

Front 44

Grinding the teeth or ________ may be a sign of stress or slight malocclusion.

Back 44

Bruxism

Front 45

Thick white patches of cells aka mouth sores.

Back 45

Leukoplakia

Front 46

______________ is a precancerous condition

Back 46

Leukoplakia

Front 47

More than 90% of oral cavity can oropharyngeal cancers are _________________ cell cancers.

Back 47

Squamous

Front 48

____________ is one of the most common illnesses in the US affecting between 30 and 40 million people each year

Back 48

Chronic sinusitis

Front 49

___________ around the lips is a sign of anemia and shock.

Back 49

Circumoral Pallor

Front 50

__________ lips may result from cold or hypoxia

Back 50

Cyanotic

Front 51

Reddish lips are seen in patients with this disorders

Back 51

Ketoacidosis, carbon monoxide posoning, and COPD with polycythemia

Front 52

___________ commonly occurs in local or systematic allergic reactions.

Back 52

swelling

Front 53

Paients who smoke drink large quantities of coffee or tea have an excessive intake of fluoride may have ___________ colored teach

Back 53

Yellow or brownish

Front 54

______________ may appear as brown dots or cover more extensive areas of chewing surfaces.

Back 54

Tooth decay or caries

Front 55

A ______________ area will turn darker with time when a cavity is present

Back 55

White chalky area

Front 56

___________ of the teeth is seen when the upper or lower incisors protrude.

Back 56

Malocclusion

Front 57

_________ spots on teeth may result from antibiotic therapy.

Back 57

White

Front 58

Red swollen gums that bleed easily are seen in gingivitis and ______________

Back 58

Scurvy.

Front 59

This is known as enlarged or swollen gums

Back 59

Hyperplasia

Front 60

A bluish black or grey white line along the gum line is an indicator of what?

Back 60

Lead poisoning

Front 61

Deep longitudinal fissures indicate?

Back 61

Dehydration

Front 62

A black tongue indicates this.

Back 62

Bismuth toxicity

Front 63

A smooth reddish shiny tongue without papillae means?

Back 63

Deficiencies in niacin or B12, certain anemia's, and antieoplastic therapy.

Front 64

An enlarged tongue suggests?

Back 64

Hypothyroidism, acromegaly, or downs syndrome

Front 65

An atrophied tongued suggests damage to cranial nerve?

Back 65

CN 12 Hypoglossal

Front 66

Is it normal for an older client to have varicose veins on the ventral surface of the tongue?

Back 66

Yes

Front 67

What is the most common site of oral cancer?

Back 67

Underside of the tongue

Front 68

True or false
Canker sores may be seen on the sides of the tongue in patients receiving certain kinds of chemotherapy.

Back 68

True

Front 69

Is the Wharton s ducts visible under the tongue?

Back 69

Yes

Front 70

What is the piece of skin that attaches the tongue to the bottom of the mouth?

Back 70

Frenulum

Front 71

Decreased tongue strength may occur when damage or a defect has occurred in this cranial nerve.

Back 71

CN 12 Hypoglassal

Front 72

Loss of taste occurs with a deficiency in this ____________

Back 72

Zinc

Front 73

When a client has lost his sense of taste it may indicate a defect in this cranial nerve.

Back 73

CN 7 Facial

Front 74

A nurse notices a yellow tint to the hard palate. What is this an indicator of?

Back 74

Jaundice because bilirubin adheres to elastic tissue collagen.

Front 75

A fruity or acetone breath is associated with _______________

Back 75

Diabetic ketoacidosis

Front 76

__________ odor is often associated with kidney disease

Back 76

Ammonia

Front 77

___________ breath odors occur when a bowel obstruction is present.

Back 77

Fecal

Front 78

Sulfur odor or ___________ occurres in end stage liver disease.

Back 78

Fetor hepaticus

Front 79

A ______________ looks like it is split in 2 or partially severed.

Back 79

Bifid uvula

Front 80

A bifid uvula is common in____________

Back 80

Native americans

Front 81

Asymmetric movement or loss of movement may occur after a CVA (stroke) When palate fails to raise and uvula deviates from the mid-line this indicates that damage has occurred to the _____________ cranial nerve.

Back 81

CN X Vagus

Front 82

Tonsillistis grading guide

Back 82

1+ Tonsils are visible
2+ Tonsils are midway between tonsillar pillars and uvula.
3+ Tonsils are touching uvula
4+ Tonsils are touching each other

Front 83

Press up with thumbs on sinuses

Back 83

Method used to palpate maxillary sinuses

Front 84

This is a grade 3+ of the tonsils

Back 84

tonsils are touching the uvula

Front 85

Most common site of tongue cancer

Back 85

Side of the tongue

Front 86

Cracking at the corner of the lips seen in riboflavin deficiency

Back 86

Cheilosis

Front 87

Method used to test for fluid in the sinuses

Back 87

Trasillumination

Front 88

Sinus filled with air

Back 88

Significance of a red glow with transillumination

Front 89

Press up on brow on each side of the nose

Back 89

Method used to palpate frontal sinuses

Front 90

Openings found on the buccal mucosa across from second upper molars.

Back 90

Stensens ducts

Front 91

Bony protuberance in the midline of the hard palate

Back 91

Torus palatinus

Front 92

Sinus filled with fluid or pus

Back 92

Absence of a red glow with transillumination

Front 93

Common site of nasal bleeding

Back 93

Kiesselbach area

Front 94

A variation that looks split or partially severed and my be associated with a sub-mucous cleft palate

Back 94

bifid uvula

Front 95

Normal variation that occurs in the crease between the upper and lower lip

Back 95

Lip pits

Front 96

Openings found on either side of the frenulum of the floor of the mouth

Back 96

Wharton ducts