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?

    <p>The patient swallows frequently</p> 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?

    <p>Apply a warm and moist pack</p> 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?

    <p>Using a sedative before sleeping</p> 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?

    <p>To avoid unseen blood for being swallowed or aspirated</p> 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?

    <p>History of hypertension</p> 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?

    <p>Antibiotic</p> 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?

    <p>Do you have a fever or cough</p> Signup and view all the answers

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

    <p>Maintain the patient in a semi-Fowler position</p> 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?

    <p>The patient is alert and oriented</p> 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

    <p>The breath sounds indicate development of pneumonia</p> 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?

    <p>The initial feeling associated with the inability to speak</p> 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?

    <p>Request a dietitian consultation</p> 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?

    <p>The patient is tolerating intermittent tube feedings</p> 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?

    <p>Patients can be taught to swallow air and talk as air is let out of the esophagus</p> 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?

    <p>The medication can lead to shallow breathing and ineffective deep breathing and coughing to clear the air way</p> 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?

    <p>Be sure to protect your tracheostomy from pollutants such as powders, hair, and chemicals</p> 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?

    <p>Ibuprofen</p> 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

    <p>Maxillary</p> 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?

    <p>Laboratory tests for renal function</p> 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

    <p>Sensitivity to multiple allergens</p> 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?

    <p>The breath sounds indicate development of pneumonia</p> Signup and view all the answers

    A patient sees an HCP for symptoms of viral rhinitis. Which treatment does the nurse expect to be prescribed for this patient?

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

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