The nurse is obtaining a health history from a client with laryngitis. Which causative factor, stated by the client, is least likely?
a) "I was chewing ice chips all day long."
b) "I used my voice in excess over the weekend."
c) "I smoke a pack of cigarettes a day."
d) "I have environmental allergies."
Answer: a) "I was chewing ice chips all day long."
Explanation:
Chewing ice chips, a form of pica if in excess, is not likely to cause laryngitis. Allergies, smoking, and excessive use of the voice causing straining are frequent causes. pg. 551
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