The nurse is assessing the client's nasal mucosa and notes the ...

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The nurse is assessing the client's nasal mucosa and notes the presence of a thin, watery discharge. The client complains of sneezing and nasal congestion. Based on this data, which does the nurse suspect?
 
  1. Rhinitis.
  2. Perforated septum.
  3. Previous epistaxis.
  4. Nasal polyps.

Question 2

The nurse is examining a toddler client. The toddler has a fever and the nurse notes the ear canal is red and swollen, and the presence of purulent drainage. Based on this assessment data, which diagnosis does the nurse anticipate?
 
  1. Otitis media.
  2. Otitis externa.
  3. Hemotympanum.
  4. Tophi.

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Answer to Question 1

Correct Answer: 1
These clinical manifestations are associated with rhinitis. Rhinitis is inflammation of the nasal mucosa due to a viral infection or allergy. A perforated septum is a hole in the septum caused by chronic infection, trauma, or sniffing cocaine. It can be detected by shining a penlight through the naris on the other side. With a history of epistaxis, the nurse would note that there is old dried blood on the nasal mucosa. Nasal polyps are pale, round, firm, non-painful overgrowth of nasal mucosa.

Answer to Question 2

Correct Answer: 2

Otitis externa is an infection of the external auditory canal manifested by red, swollen ear canal, fever, and purulent drainage. The auditory canal of infants is shorter and has an upward curve that persists until about the age of 3. In addition, their auditory tube is more horizontal than the adult, which leads to easier migration of organisms from the throat to the middle ear. Infants and children with otitis media often display the behavior of pulling at their ears. Hemotympanum is a bluish tinge of the tympanic membrane indicating the presence of blood in the middle ear. It is usually associated with head trauma. Tophi are small white nodules on the helix or antihelix. These nodules contain uric acid crystals and are a sign of

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