chapter 30

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The nurse is caring for a patient with a nose bleed. What action should the nurse take?

Lay the patient flat on their back

Apply a warm compress while holding pressure

Pinch the nares for 5 minutes

Have the patient sit is a chair and lean forward slightly (correct)

After positioning a patient with epistaxis, Which action will the nurse take next?

Monitor for the level of pain

Place warm packs on the nose

Pinch the nares at the soft part of the nose (correct)

Irrigate the nasal passages with sterile saline

A patient is discharged from the emergency department after having packing removed for treatment for epistaxis. What should be included in the discharge instructions?

Avoid picking the nose for 48 hours (correct)

Return to normal activity

Avoid moisture of a hot shower or humidifier

Avoid blowing the nose for 7 days

A patient returns to the observation area after outpatient septoplasty for a deviated septum. Which observation is most concerning?

The patient swallows frequently Signup and view all the answers

The nurse is caring for a patient with purulent nasal drainage, fever, and pain over the checks and upper teeth. What actions should the nurse take to provide comfort?

Apply a warm and moist pack Signup and view all the answers

A patient is being evaluated by the health-care provider(HCP) for sleep apnea. Which recommendation by the HCP should the nurse question?

Using a sedative before sleeping Signup and view all the answers

The nurse instructs a patient with a nose bleeding to sit up and lean slightly forward. For which reason does the nurse teach the patient to maintain this posture?

To avoid unseen blood for being swallowed or aspirated Signup and view all the answers

The nurse is providing care for an adult patient with a diagnosis of viral rhinitis. The HCP orders acetaminophen and a decongestant. Comfort measure include rest and an increase in vitamin C and oral fluids. Which patient health information will cause the nurse to question one of the treatments?

History of hypertension Signup and view all the answers

A patient comes to the HCP's office reporting a serious sore throat that "A rapid streptococcal antigen test is positive for strep throat". What treatment should the nurse anticipate?

Antibiotic Signup and view all the answers

The nurse is speaking with a patient with a hoarse, raspy voice. What question should the nurse ask first?

Do you have a fever or cough Signup and view all the answers

The nurse is providing care for a patient immediately after a tonsillectomy. What action should the nurse make?

Maintain the patient in a semi-Fowler position Signup and view all the answers

The nurse is providing care for an older adult patient who is hospitalized for complications from West Nile virus. Which finding shows improvement?

The patient is alert and oriented Signup and view all the answers

The nurse is providing care for a patient diagnosed with and being treated for influenza. The patient has a fever, chills, sore throat, and a cough. Breath sounds include crackles and wheezes. What is most concerning for the nurse

The breath sounds indicate development of pneumonia Signup and view all the answers

The nurse is preparing to reinforce teaching to a patient scheduled for a total laryngectomy due to cancer. What discussion is important to initiate?

The initial feeling associated with the inability to speak Signup and view all the answers

The nurse is providing care for a patient who is 4 days postoperative for a laryngectomy and notes that the patient has lost 10 pounds since surgery despite tube feeding. What action should the nurse take?

Request a dietitian consultation Signup and view all the answers

The nurse is caring for a patient who is malnourished due to throat cancer. How can the nurse determine if the nutrition is adequate postoperatively?

The patient is tolerating intermittent tube feedings Signup and view all the answers

The family of a patient awaiting a laryngectomy for cancer asks how the patient will communicate. Which explanation will the nurse provide to the family?

Patients can be taught to swallow air and talk as air is let out of the esophagus Signup and view all the answers

The nurse is caring for a patient after a laryngectomy. The patient is having pain and is prescribed a narcotic. What considerations should the nurse make?

The medication can lead to shallow breathing and ineffective deep breathing and coughing to clear the air way Signup and view all the answers

During the postoperative period, the nurse reinforces teaching to a patient recovering from a laryngectomy about how to live with a tracheostomy. Which information will the nurse review?

Be sure to protect your tracheostomy from pollutants such as powders, hair, and chemicals Signup and view all the answers

A patient is discharged from the emergency department after treatment for epistaxis. The physician orders that all home medications be continued. Which medication will the nurse question?

Ibuprofen Signup and view all the answers

The nurse is colleting data from a patient with a sinus infection. The patient has purulent nasal drainage, fever and pain over the cheeks and upper teeth. Which sinuses foes the nurse identify as being involved in the patients' condition

Maxillary Signup and view all the answers

The patient comes to the HCP's office reporting a serious sore throat that "has last for 2 weeks" A rapid streptococcal antigen test is positive for strep throat. Which is the most important diagnostic test the nurse expects the HCP to order?

Laboratory tests for renal function Signup and view all the answers

The nurse is previewing teaching information for a patient who is diagnosed with noncancerous, chronic laryngitis. Which topic is least useful in addressing modifiable causes of the patient's condition

Sensitivity to multiple allergens Signup and view all the answers

The nurse is providing care for a patient diagnosed with influenza. The patient has a fever, chills. sore throat, and a cough. Breath sounds include crackles and wheezes. For which reason will the nurse contact the physician?