The nurse suspects that a patient has tonsillitis. What did the ...

[Mimi]

The nurse suspects that a patient has tonsillitis. What did the nurse assess to make this clinical decision?
 
  Select all that apply.
  1. hoarse voice
  2. thirst
  3. nucal rigidity
  4. pain around the ears
  5. low-grade fever

Question 2

A patient comes to the community clinic seeking help for a nosebleed. Which actions should the nurse take to help this patient?
 
  Select all that apply.
 
  1. pinch the nose towards the septum
  2. apply ice to the nose and forehead
  3. place the patient in a seated position
  4. insert rolled gauze pads into each nare
  5. assist the patient to lean back when seated

[Benayers]

Answer to Question 1

Correct Answer: 1, 4, 5
Manifestations of tonsillitis include otalgia, hoarse voice, fever, and tender, swollen anterior cervical lymph nodes. Thirst and nuchal rigidity (pain when bending the neck) are not manifestations of tonsillitis.

Answer to Question 2

Correct Answer: 1, 2, 3
Anterior bleeding can usually be managed with simple first-aid measures, such as applying pressure or pinching the nose toward the septum for 5 to 10 minutes, applying ice packs to the nose and forehead to cause vasoconstriction, and placing the patient is in a sitting position to decrease blood flow to the head and reduce venous pressure. Leaning forward rather than back reduces drainage of blood backward into the nasopharynx and decreases swallowing of blood. If applying pressure does not control the bleeding, nasal packing may be necessary.