Acute Sinusitis and Nursing Care
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Questions and Answers

What is a primary characteristic of acute sinusitis?

  • Chest pain
  • Localized itching (correct)
  • Fever over 102°F
  • Persistent headaches
  • Which of the following is a common complication of acute sinusitis?

  • Tympanic membrane rupture
  • Development of pneumonia
  • No adequate drainage at the nasal passage (correct)
  • Formation of a sinus polyp
  • Which bacteria is commonly associated with acute sinusitis?

  • S. pneumoniae (correct)
  • S. aureus
  • E. coli
  • H. influenzae (correct)
  • What diagnostic method is commonly used to assess acute sinusitis?

    <p>CT scan</p> Signup and view all the answers

    Which of the following is a possible cause of acute sinusitis?

    <p>Frequent respiratory infections</p> Signup and view all the answers

    What is the recommended action to reduce swelling and decrease bleeding post-surgery?

    <p>Applying an ice collar</p> Signup and view all the answers

    Which of the following inhalation therapies can be used for relief during an upper airway infection?

    <p>Dipropionate (Vanceril) inhalation</p> Signup and view all the answers

    What is encouraged for communication in patients advised to rest their voice?

    <p>Communicating through writing</p> Signup and view all the answers

    How much fluid intake is recommended for patients to maintain hydration?

    <p>2 to 3 liters per day</p> Signup and view all the answers

    What type of management involves both medical therapies and surgical approaches?

    <p>Medical Management</p> Signup and view all the answers

    What is a common intervention for promoting communication in patients with upper airway infections?

    <p>Using alternative forms of communication</p> Signup and view all the answers

    Which of the following areas is NOT mentioned as a location for malignant growth?

    <p>Lingual area</p> Signup and view all the answers

    Which dietary recommendation is appropriate for increasing caloric intake during recovery?

    <p>Consuming easily ingested foods</p> Signup and view all the answers

    What is the primary purpose of an oscillating Positive Expiratory Pressure (PEP) device?

    <p>To loosen mucus and facilitate clearance</p> Signup and view all the answers

    How does postural drainage function in respiratory therapy?

    <p>By promoting drainage through body positioning</p> Signup and view all the answers

    In which condition is an oscillating PEP device particularly useful?

    <p>Patients with pulmonary tuberculosis (PTB)</p> Signup and view all the answers

    What additional treatment may be administered alongside postural drainage?

    <p>Nebulized bronchodilators</p> Signup and view all the answers

    What effect does the use of an oscillating PEP device have on mucus secretions?

    <p>It reduces the viscosity of mucus</p> Signup and view all the answers

    What position should a patient be placed in to facilitate drainage and prevent aspiration once they are awake?

    <p>Semi-Fowler's position</p> Signup and view all the answers

    Which symptom is NOT typically associated with laryngitis?

    <p>Tachycardia</p> Signup and view all the answers

    What should be monitored to assess patient safety after a laryngeal procedure?

    <p>Hemorrhage</p> Signup and view all the answers

    What is odynophagia characterized by?

    <p>Burning pain during swallowing</p> Signup and view all the answers

    Which factor is commonly linked to the occurrence of laryngitis?

    <p>Voice abuse</p> Signup and view all the answers

    What symptom is characterized by the production of sputum in patients with lung irritants?

    <p>Cough</p> Signup and view all the answers

    Which term describes the condition where there is a depression in the lower portion of the sternum?

    <p>Funnel Chest</p> Signup and view all the answers

    What does clubbing of fingers indicate in chronic lung conditions?

    <p>Sign of lung disease</p> Signup and view all the answers

    Which type of breathing is characteristic of Cheyne-Stokes respiration?

    <p>Intermittent apnea followed by deep breathing</p> Signup and view all the answers

    What does hemoptysis refer to?

    <p>Expectoration of blood</p> Signup and view all the answers

    Which chest deformity is characterized by an increase in the anteroposterior diameter?

    <p>Pigeon Chest</p> Signup and view all the answers

    What is a potential consequence of funnel chest on the cardiovascular system?

    <p>Compression of heart and great vessels</p> Signup and view all the answers

    In which condition is kyphoscoliosis characterized by an elevation of the scapula?

    <p>Kyphoscoliosis</p> Signup and view all the answers

    Study Notes

    Acute Sinusitis

    • Infection affecting the paranasal sinuses, causing symptoms like localized itching, sneezing, and nasal discharge.
    • Common causes include frequent respiratory infections and nasal congestion.
    • Bacterial pathogens include Streptococcus pneumoniae and Haemophilus influenzae.
    • Diagnosis can be supported by imaging techniques such as sinus X-ray and CT scan.

    Management and Treatment

    • Emphasis on ample rest for about two weeks.
    • Postoperative care may involve the use of an ice collar to reduce swelling and bleeding.
    • Promote voice rest and encourage communication through writing while refraining from speaking.

    Nursing Process for Upper Airway Infection

    Assessment

    • Gather patient history and perform physical examinations to understand symptoms.
    • Monitor for causes of retained carbon dioxide, cough characteristics, and overall respiratory rhythm.

    Encouraging Fluid Intake

    • Suggest 2-3 liters of fluid daily and easily digestible foods to improve caloric intake.
    • Important to manage dry or productive coughs.

    Respiratory Conditions

    • Clubbing of Fingers: Indicative of chronic hypoxic conditions and lung malignancies.
    • Laryngeal Inflammation (Laryngitis): Often results from overuse, pollution exposure, or upper respiratory infections; prevalent in winter.

    Respiratory Rhythm Patterns

    • Cheyne-Stokes Respiration: Characterized by alternating periods of deep and shallow breathing, along with temporary apnea.
    • Oscillating Positive Expiratory Pressure (PEP): Device to aid in mucus clearance through vibration and positive pressure.

    Sputum Production

    • Evaluates lung response to irritants; can be associated with nasal discharge and may signal underlying lung issues.
    • Hemoptysis: Coughing up blood can indicate serious conditions, requiring examination of sputum color.

    Postural Drainage Techniques

    • Positioning for effective drainage of lung secretions using gravity.
    • Recommended positions include lateral or prone for enhanced drainage and prevention of aspiration.

    Complications and Signs to Monitor

    • Monitor for hemorrhage during recovery from surgeries targeting respiratory issues.
    • Watch for symptoms like tachycardia, bright red vomitus, or frequent swallowing, indicative of potential complications.

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    Description

    This quiz covers acute sinusitis, its causes, symptoms, and management strategies. It discusses the nursing process for assessing upper airway infections and emphasizes the importance of fluid intake and postoperative care. Test your knowledge on this common respiratory condition and the nursing interventions involved.

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