Question

Part 1

B.W. is a 44-year-old man who presents to the family practice with complaints of sore throat, hoarseness, and a dry cough that worsens at night. He states that the cough started 6 days ago, and the sore throat and hoarseness began 3 days ago and appear to be getting worse The patient has a history of prediabetes, which is controlled through diet and exercise. Vital signs are T 99.5, P 58, R 16, and BP 110/55.

1. What subjective information should the nurse obtain?

2. The nurse is assessing the structures of the oral cavity. What are the physical features?

The nurse notes that the patient’s teeth are stained yellow and asks the patient about tobacco use. The patient states that he chews one bag of tobacco every other day.

3. What health promotion concepts should the nurse include in the teaching plan?

4.What is the most likely cause of this patient’s cough, sore throat, and hoarseness?

Answer 1

1.The subjective information that a nurse would ask:

• If it hurts while swallowing?
• Does it hurt when you talk?
• Does it hurt when you cough?
• does your head , nose and ears pain too?
• Do you feel tired often?
• Do you have the urge to drink something to keep it cool?

2.When she examines the mouth she can see an inflammation of the larynx.

4.Tobacco juices, as well as tobacco smoke, are irritating to tissues. When "dipping" or "chewing" tobacco, people often experience sore throats because material from the weed dissolves in the saliva and washes over the tongue, the lining of the mouth and the throat. In addition, tobacco appears to reduce tissue resistance to disease, leading to infection by bacteria and viruses.

So because of tobacco , he was more prone to infections like laryngitis which caused all the symptoms