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Suggested Answers to Assignments, Chapter 12, Ears, Nose, Mouth, and Throat
Written Assignment
1. Students’ answers should include the following:
a. The structures of the ear, nose, mouth, and throat and the
purpose of each:
 Ear
o External ear
o Ear canal
o Middle ear
o Inner ear
o Eardrum
 Nose
o Nasal cavity
o Naris
o Vestibule
o Nasal septum
o Nasolacrimal duct
o Inferior meatus
o Paranasal sinus
o Middle meatus
 Mouth
o Lips
o Interdental papillae
o Gingiva
o Alveolar mucosa
o Tongue
o Anterior and posterior pillars
o Soft palate
o Uvula
 Throat
o Pharynx
b.
The topics included in the education information:
 Hearing problems
o Hearing loss
o Earache
o Discharge
o Tinnitus
o Vertigo
 Assessment mnemonic “OLD CART”
o Hearing assessments
 Auditory acuity
Learning
Objective(s)
1, 5



 Air and bone conduction
 Weber test
 Rinne test
o Congenital hearing loss
o Ear surgery
o Trauma or injury to ear(s)
o Exposure to hazardous noise levels
o Otitis media
o Allergies
Nose problems
o Rhinorrhea
o Nasal septum
o Epistaxis
Mouth problems
o Sore throat
o Hoarseness
o Lesions
o Sore tongue
o Bleeding gums
o Toothache
o Dysphagia
Throat
o Pharyngitis
o Hoarseness
o Cough
Group Assignment
1. Students’ answers should include the following:
a. An accurate health history of the ears, nose, mouth, and throat
includes questions concerning:
 Past and recent injuries or surgeries
 Acute or chronic pain/tenderness
 Lumps
 Drainage
 Difficulty swallowing
b. The physical examination techniques to evaluate the ears, nose,
mouth, and throat are:
 Observation
 Palpation
c. The correct use of the otoscope:
 Position the patient’s head to straighten the ear canal
Learning
Objective(s)
2, 3, 4


Pencil grip and hammer grip
Insert the speculum
Clinical Assignment
1. Students’ answers should include the following:
Learning
Objective
6
a. Appropriately performing an accurate health history and
physical assessment of the ear, nose, mouth, and throat as
described in the text
b. Appropriately documenting the assessment findings as
described in the text
Web Assignments
1. Students could obtain access to appropriate sites by using the search
phase “nursing assessment of the ears, nose, mouth, and throat.”
2. Visit your thePoint online resources, at http://thepoint.lww.com, and
review the materials available on assessing the ears, nose, mouth, and
throat.
Learning
Objective(s)
2, 3, 4