Question

Which of these patients in the respiratory disease clinic should the nurse assess first?

a. A 23-year-old, complaining of a sore throat, who has a "hot potato" voice
b. A 34-year-old who has a "scratchy throat" and a positive rapid strep antigen test
c. A 55-year-old who is receiving radiation for throat cancer and has severe fatigue
d. A 72-year-old with a history of a total laryngectomy whose stoma is red and inflamed

Answer 1

The nurse should prioritize the 23-year-old with a "hot potato" voice, indicative of a possible peritonsillar abscess, over the other patients due to the potential for rapid deterioration and airway obstruction.

Step-by-step explanation:

In a respiratory disease clinic, the nurse should assess patients based on the acuity of their symptoms and the potential for rapid deterioration. Among the options provided, the patient that should be assessed first is a 23-year-old, complaining of a sore throat, who has a "hot potato" voice. This presentation could indicate a peritonsillar abscess, which can be a life-threatening condition if not addressed promptly. The "hot potato" voice, or muffled voice, suggests that there may be swelling that could impede the airway.

The 72-year-old with a red and inflamed stoma following a total laryngectomy would also be a priority due to the risk of infection and the potential for airway compromise. The other two patients, although requiring evaluation, do not present with symptoms suggesting immediate airway threat.