Discussion board 4

Respond to the questions posed in the weekly discussion board. This is an opportunity to share your knowledge with your peers, think of different considerations, bounce ideas off of each other… and continue to develop your clinical judgment skills!

1. A nurse is performing an examination of the oral cavity and throat for a client who complains of a sore throat. The nurse depresses the tongue with the tongue depressor to visualize the pharynx, but the client gags, making the examination difficult. How should the nurse conduct the examination?
2. A nurse is examining the internal nose of a client through an otoscope. The client refuses to undergo the otoscopic examination because the otoscope hurts the clients nose. How should the nurse deal with the situation to foster client compliance with the examination?
3. A nurse examines the sinuses of an elderly client. The nurse palpates the frontal and maxillary sinuses. The nurse finds the presence of crepitus and documents the finding as presence of exudate in the sinus. Is the documented finding correct? How should the nurse ensure an accurate assessment of the sinus?