ANSWER
Discussion Question 1 for Week 5: Subjective Data
The following subjective information should be gathered by the nurse:
Beginning, Length, and Advancement:
How have the symptoms changed over time, and when did they first appear?
Is the cough productive or dry? What is the amount, color, and consistency of the sputum, if it is productive?
Related Symptoms:
Inquire about any ear pain, postnasal drip, nasal congestion, fever, chills, exhaustion, or trouble swallowing.
Factors that aggravate and alleviate:
What actions (such as chatting or lying down) exacerbate the symptoms? What gives them relief?
Lifestyle or environmental factors:
any recent encounter with sick people, allergies, or irritants.
alcohol use, tobacco use, or work-related risks.
Medical History: Any recent diseases or occurrences of such symptoms in the past.
history of GERD or allergies, as these conditions may exacerbate the symptoms.
Question 2: Oral Cavity Physical Characteristics
The nurse should look at the following when assessing the oral cavity:
Examine the lips for any lesions, color, or dampness.
Take note of the gums’ health (bleeding or swelling), alignment, and condition (yellow stains, for example).
Tongue: Check for lesions, color, texture, and wetness.
The oropharynx
Tonsils: Look for exudates, redness, or swelling.
Uvula: Check for swelling and alignment.
Check for cobblestoning, postnasal drip, or redness on the pharyngeal wall.
Palate: Look for anomalies in the hard and soft palate.
Voice: Take note of any changes in voice quality or hoarseness.
Question 3: Concepts of Health Promotion
The following ideas of health promotion should be covered by the nurse:
Hazards of Tobacco Use: Describe how tobacco use is linked to lung, throat, and oral cancers.
Talk about the elevated risk of tooth decay and periodontal disease.
Emphasize how tobacco use can worsen the symptoms of long-term illnesses like GERD.
Quitting Tobacco:
Describe support groups, pharmaceutical tools like as nicotine replacement therapy (NRT), and quitting programs.
Stress the advantages of quitting, like better dental health and a lower chance of developing chronic illnesses.
Dental hygiene:
Promote appropriate oral hygiene habits and routine dental examinations.
To lessen exposure to dangerous substances, it is advised to rinse the mouth after chewing tobacco.
Preventive Care: Talk about how crucial routine screenings are for managing prediabetes and preventing cancer.
Stress the importance of eating a balanced diet to boost immunity in general.
Question 4: Most Probable Reason
Laryngitis, which is frequently linked to viral upper respiratory infections, is most likely the cause of the patient’s cough, painful throat, and hoarseness. This diagnosis is supported by the following factors:
An acute viral infection is suggested by the symptoms’ recent (6-day) start.
Hoarseness and a dry cough are symptoms of laryngeal inflammation.
Use of tobacco may increase inflammation and irritate the throat.
Other things to think about are:
Postnasal drip: Can irritate the throat and is frequently associated with upper respiratory infections.
GERD: The larynx and throat may become irritated if symptoms intensify at night.
Citations
F. F. Ferri (2023). Ferri’s medical advisor 2023: Five volumes in one. Elsevier.
J. L. Kaczmarek and associates (2019). Methods for quitting smoking in clinical settings. American Medical Association Journal, 321(21), 2130–2140. Jama.2019.7149 https://doi.org/10/jama
QUESTION
Week 5 Discussion
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.
Question 1
What subjective information should the nurse obtain?
Question 2
The nurse is assessing the structures of the oral cavity. What are the physical features?
Question 3
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. What health promotion concepts should the nurse include in the teaching plan?
Question 4
What is the most likely cause of this patient’s cough, sore throat, and hoarseness?
**Please be sure to include 2 references in APA format within the last 5 years and respond to at least 2 participating classmates, with a substantial descriptive answer.**