chapter 30
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Questions and Answers

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 (A)</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 (D)</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 (A)</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 (D)</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 (B)</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 (C)</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 (D)</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 (A)</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 (A)</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 (C)</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 (C)</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 (B)</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 (D)</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 (C)</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 (D)</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 (D)</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 (A)</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 (D)</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 (C)</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 (D)</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 (C)</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 (A), Fluids (B), Decongestants (C)</p> Signup and view all the answers

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