Ch 14 part 2

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27 Questions

What should the nurse do next for the 3 year old with unilateral purulent drainage from the left naris?

Perform an otoscopic examination of the left nares

What should the nurse do in response to the 26 year old patient with clear vesicles with an erythematous base located at the lip-skin border after returning from Hawaii?

Discuss the benefits of having a biopsy performed on any unusual lesion

Which of the following is a symptom of maxillary sinusitis?

Pain in the cheeks and teeth on the same side

What is the reason for increased nosebleeds during pregnancy?

Increased vascularity in the upper respiratory tract as a result of pregnancy

What is the equivalent of one pinch of smokeless tobacco (SLT) in the mouth for 30 minutes?

Three cigarettes

Which of the following statements about oral cancer and smokeless tobacco (SLT) is accurate?

Pain is rarely an early sign of oral cancer

What is a possible cause of changes in the sense of smell?

Cigarette smoking

At what age are all 20 deciduous teeth expected to erupt?

By age 4

At what age is a child expected to have a normal number of teeth?

By age 4

What is the expected number of deciduous teeth by age 2?

16

What causes the tongue to appear smoother in the aging process?

Papillary atrophy

Which condition can cause rhinorrhea, itching, and clear nasal discharge?

Allergic rhinitis

What is considered an abnormal finding on the tongue in adults?

Smooth, glossy dorsal surface

Which condition raises suspicion of cancer when ulceration is present on the tongue?

On the side of the tongue

What may untreated strep throat lead to?

Rheumatic fever

What can misuse of over-the-counter nasal medications cause?

Rebound swelling

In which population is bifid uvula common?

Some Native-American groups

What are signs of maxillary sinusitis?

Facial pain, swollen turbinates, and purulent discharge

What symptoms can maxillary sinusitis cause?

Fever, chills, and malaise

Which of the following is a characteristic of oral Kaposis sarcoma?

Dark red or violet, confluent macule, early sign of AIDS, usually occurs on the hard palate

What is the typical presentation of candidiasis?

White, cheesy, curdlike patch on the buccal mucosa and tongue, occurs after the use of antibiotics or corticosteroids

What is the characteristic appearance of cold sores?

Groups of clear vesicles with a surrounding erythematous base, evolving into pustules or crusts and healing in 4 to 10 days

What is the typical presentation of black, hairy tongue?

Fungal infection caused by the overgrowth of mycelial threads of fungus infection on the tongue, occurring after the use of antibiotics

What is the characteristic appearance of carcinoma lesions on the lips?

Carcinoma lesions on the lips become crusted and ulcerated with an elevated border, most occurring between the outer and middle thirds of the lip

What causes swollen and bleeding gums in pregnancy and puberty?

Changing hormonal balance

What is a sucking tubercle in an infant caused by?

Friction of breastfeeding or bottle-feeding

What is the appropriate action regarding evaluation of a sucking tubercle in an infant?

Evaluation by another health care provider is not warranted

Study Notes

Dental Health Assessment and Conditions Summary

  • By age 4, all 20 deciduous teeth are expected to erupt
  • At 18 months, a child is expected to have a normal number of teeth
  • By age 2, 16 deciduous teeth are expected
  • In the aging process, the tongue appears smoother due to papillary atrophy
  • Allergic rhinitis can cause rhinorrhea, itching, and clear nasal discharge
  • An abnormal finding on the tongue in adults would be a smooth, glossy dorsal surface
  • Ulceration on the side of the tongue or under the tongue raises suspicion of cancer
  • Untreated strep throat may lead to rheumatic fever
  • Misuse of over-the-counter nasal medications can cause rebound swelling
  • Bifid uvula, a split uvula, is common in some Native-American groups
  • Signs of maxillary sinusitis include facial pain, swollen turbinates, and purulent discharge
  • Maxillary sinusitis can cause fever, chills, and malaise

Oral Lesions and Abnormalities Summary

  • Cold sores are groups of clear vesicles with a surrounding erythematous base, evolving into pustules or crusts and healing in 4 to 10 days.
  • Carcinoma lesions on the lips become crusted and ulcerated with an elevated border, most occurring between the outer and middle thirds of the lip.
  • Swollen and bleeding gums in pregnancy and puberty may be caused by changing hormonal balance.
  • Candidiasis presents as a white, cheesy, curdlike patch on the buccal mucosa and tongue and occurs after the use of antibiotics or corticosteroids.
  • Black, hairy tongue is a fungal infection caused by the overgrowth of mycelial threads of fungus infection on the tongue, occurring after the use of antibiotics.
  • Oral Kaposis sarcoma, a dark red or violet, confluent macule, may be an early sign of AIDS and usually occurs on the hard palate.
  • A sucking tubercle, a small pad in the middle of the upper lip, is a normal finding in infants caused by the friction of breastfeeding or bottle-feeding.
  • Evaluation by another health care provider is not warranted for a sucking tubercle in an infant.
  • The number of teeth in an 18-month-old toddler should be compared with the mother's experience at that age.
  • The nurse should ask the mother how many teeth she had at the toddler's age to determine the normalcy of the toddler's 12 teeth.
  • The nurse should provide reassurance and compare the toddler's tooth count with the mother's experience at that age.
  • The nurse should not worry about the toddler's 12 teeth at 18 months and should compare it with the mother's experience at that age.

Test your knowledge on dental health assessment, oral conditions, and abnormalities with this quiz. Topics covered include teeth eruption milestones, oral lesions, causes of swollen gums, and characteristics of different oral abnormalities.

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