A female patient is seen for increased hoarseness and a change in ...

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A female patient is seen for increased hoarseness and a change in voice quality. What is an appropriate assessment question for the nurse to ask this patient?
 
  1. What medications are you currently taking?
  2. Have you recently had a cold?
  3. Have you recently visited another country?
  4. What is your occupation?

Question 2

A patient with multiple facial and nasal injuries needs a nasogastric tube placed. Which method should the nurse use to place this tube?
 
  1. through the mouth
  2. through the unobstructed nare
  3. through the obstructed nare
  4. after the edema in the nares subsides

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Answer to Question 1

Correct Answer: 4
Hoarseness and a breathy voice quality are manifestations of benign vocal cord tumors. The patient with a cold would exhibit additional signs and symptoms. The list of medications and recent travel history would have a rare relevance to this patient's specific complaints.

Answer to Question 2

Correct Answer: 2
The nasogastric tube is inserted through the unobstructed nare to avoid mucosal trauma. A tube could not be placed through an obstructed nare. The nasal edema may persist for a long period, so waiting would not be appropriate. A tube placed through the mouth would be an orogastric tube.

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