Podcast
Questions and Answers
Which of the following is a priority education component for a patient scheduled for a total laryngectomy?
Which of the following is a priority education component for a patient scheduled for a total laryngectomy?
What type of education is essential to help prevent upper respiratory infections?
What type of education is essential to help prevent upper respiratory infections?
What is an appropriate nursing intervention to reduce inflammation and bleeding in a patient with an upper respiratory infection?
What is an appropriate nursing intervention to reduce inflammation and bleeding in a patient with an upper respiratory infection?
What is a clinical manifestation of an upper respiratory infection?
What is a clinical manifestation of an upper respiratory infection?
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Which of the following interventions is crucial for airway management in a patient with an upper respiratory infection?
Which of the following interventions is crucial for airway management in a patient with an upper respiratory infection?
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Which of the following is a potential complication of a laryngectomy?
Which of the following is a potential complication of a laryngectomy?
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What is an appropriate intervention to help reduce anxiety in a patient scheduled for a laryngectomy?
What is an appropriate intervention to help reduce anxiety in a patient scheduled for a laryngectomy?
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Which of the following is a priority consideration for effective communication strategy post-laryngectomy?
Which of the following is a priority consideration for effective communication strategy post-laryngectomy?
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What is a factor that can impact communication post-laryngectomy?
What is a factor that can impact communication post-laryngectomy?
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Which of the following is a nursing intervention to assist with maintaining a patient's self-esteem after a laryngectomy?
Which of the following is a nursing intervention to assist with maintaining a patient's self-esteem after a laryngectomy?
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What is the most common reason people seek health care related to upper respiratory tract disorders?
What is the most common reason people seek health care related to upper respiratory tract disorders?
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Which of the following describes how the common cold is typically treated?
Which of the following describes how the common cold is typically treated?
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What is essential for avoiding complications from upper respiratory infections?
What is essential for avoiding complications from upper respiratory infections?
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Which of the following is characterized as a potential complication of upper respiratory infections?
Which of the following is characterized as a potential complication of upper respiratory infections?
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For which group of individuals should special considerations in management of upper respiratory infections be made?
For which group of individuals should special considerations in management of upper respiratory infections be made?
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What is the most common site for epistaxis?
What is the most common site for epistaxis?
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Which of the following methods can be used to manage epistaxis?
Which of the following methods can be used to manage epistaxis?
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What is a potential serious complication of epistaxis?
What is a potential serious complication of epistaxis?
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Which action should a patient take if epistaxis does not stop after 15 minutes?
Which action should a patient take if epistaxis does not stop after 15 minutes?
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Which of the following is a recommended patient teaching for epistaxis management?
Which of the following is a recommended patient teaching for epistaxis management?
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What should be monitored in a patient with epistaxis?
What should be monitored in a patient with epistaxis?
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Which of the following is NOT a risk factor for epistaxis?
Which of the following is NOT a risk factor for epistaxis?
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Which complication is associated with upper respiratory infections (URIs)?
Which complication is associated with upper respiratory infections (URIs)?
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Which of the following is a true statement regarding the treatment of tuberculosis?
Which of the following is a true statement regarding the treatment of tuberculosis?
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What is the primary purpose of a TB skin test?
What is the primary purpose of a TB skin test?
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Which of the following is a nursing intervention that is NOT directly related to the management of tuberculosis?
Which of the following is a nursing intervention that is NOT directly related to the management of tuberculosis?
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What is the term used to describe the calcified fibrous mass that forms after a patient recovers from tuberculosis?
What is the term used to describe the calcified fibrous mass that forms after a patient recovers from tuberculosis?
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Which of the following is MOST likely to be a significant symptom of tuberculosis?
Which of the following is MOST likely to be a significant symptom of tuberculosis?
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Which of the following is a diagnostic test used to diagnose BOTH lung abscess and pleural effusion?
Which of the following is a diagnostic test used to diagnose BOTH lung abscess and pleural effusion?
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A patient with sarcoidosis may experience which of the following symptoms?
A patient with sarcoidosis may experience which of the following symptoms?
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Which of these is a potential complication of a lung abscess?
Which of these is a potential complication of a lung abscess?
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Which of the following is a key characteristic of pleuritic pain?
Which of the following is a key characteristic of pleuritic pain?
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Which of these management approaches is NOT indicated for lung abscess?
Which of these management approaches is NOT indicated for lung abscess?
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A patient with acute respiratory failure may present with which early sign?
A patient with acute respiratory failure may present with which early sign?
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Which of the following is a nursing intervention for a patient with a tracheostomy?
Which of the following is a nursing intervention for a patient with a tracheostomy?
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Which of the following conditions typically involves a thick, purulent fluid in the pleural space?
Which of the following conditions typically involves a thick, purulent fluid in the pleural space?
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Which of the following is a common assessment finding for a patient with pleural effusion?
Which of the following is a common assessment finding for a patient with pleural effusion?
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A patient with sarcoidosis is likely to receive which of the following medical management?
A patient with sarcoidosis is likely to receive which of the following medical management?
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Which of the following procedures is used to obtain a definitive diagnosis of sarcoidosis?
Which of the following procedures is used to obtain a definitive diagnosis of sarcoidosis?
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Which of the following is NOT a common clinical manifestation of acute respiratory failure?
Which of the following is NOT a common clinical manifestation of acute respiratory failure?
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What is the primary goal in the medical management of acute respiratory failure?
What is the primary goal in the medical management of acute respiratory failure?
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Which of the following is a potential complication of prolonged endotracheal intubation?
Which of the following is a potential complication of prolonged endotracheal intubation?
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What is a potential complication of a patient with chest trauma due to blunt force?
What is a potential complication of a patient with chest trauma due to blunt force?
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What is the primary function of a chest drainage system?
What is the primary function of a chest drainage system?
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Which of the following is NOT a preventable measure for occupational lung disease?
Which of the following is NOT a preventable measure for occupational lung disease?
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Which of the following is a method of positive-pressure ventilation that can be administered via a facemask?
Which of the following is a method of positive-pressure ventilation that can be administered via a facemask?
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What is a distinguishing characteristic of acute respiratory distress syndrome (ARDS)?
What is a distinguishing characteristic of acute respiratory distress syndrome (ARDS)?
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What is the recommended frequency for tracheal suctioning?
What is the recommended frequency for tracheal suctioning?
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What is the primary cause of lung cancer in over 85% of cases?
What is the primary cause of lung cancer in over 85% of cases?
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Which of the following is NOT a complication associated with mechanical ventilation?
Which of the following is NOT a complication associated with mechanical ventilation?
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Which of the following is NOT a common symptom managed in patients with lung cancer?
Which of the following is NOT a common symptom managed in patients with lung cancer?
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Which of the following is a nursing intervention for promoting effective airway clearance in a patient receiving mechanical ventilation?
Which of the following is a nursing intervention for promoting effective airway clearance in a patient receiving mechanical ventilation?
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What is the primary goal of postoperative management following a thoracotomy?
What is the primary goal of postoperative management following a thoracotomy?
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Which of the following is a goal of nursing care for a patient receiving mechanical ventilation?
Which of the following is a goal of nursing care for a patient receiving mechanical ventilation?
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Which of the following is a common cause of pneumonia among adults?
Which of the following is a common cause of pneumonia among adults?
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Which of the following is a key nursing intervention to help alleviate breathing problems in a patient with lung cancer?
Which of the following is a key nursing intervention to help alleviate breathing problems in a patient with lung cancer?
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Hospital-acquired pneumonia develops within how many hours after hospitalization?
Hospital-acquired pneumonia develops within how many hours after hospitalization?
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What is a key consideration in preventing alarm fatigue in an ICU setting?
What is a key consideration in preventing alarm fatigue in an ICU setting?
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What is the purpose of BiPAP (bilevel positive airway pressure)?
What is the purpose of BiPAP (bilevel positive airway pressure)?
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Which of the following is NOT a risk factor for pneumonia?
Which of the following is NOT a risk factor for pneumonia?
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Which of the following is a nursing intervention for enhancing gas exchange in a patient receiving mechanical ventilation?
Which of the following is a nursing intervention for enhancing gas exchange in a patient receiving mechanical ventilation?
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What is the role of a nurse in managing a patient with occupational lung disease?
What is the role of a nurse in managing a patient with occupational lung disease?
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Which of the following is a potential complication of mechanical ventilation?
Which of the following is a potential complication of mechanical ventilation?
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Which of the following is a clinical manifestation of streptococcal pneumonia?
Which of the following is a clinical manifestation of streptococcal pneumonia?
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What is the primary focus of nursing interventions for a patient receiving mechanical ventilation?
What is the primary focus of nursing interventions for a patient receiving mechanical ventilation?
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What is a key diagnostic tool used to assess pneumonia?
What is a key diagnostic tool used to assess pneumonia?
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Which of the following nursing interventions promotes optimal communication for a patient receiving mechanical ventilation?
Which of the following nursing interventions promotes optimal communication for a patient receiving mechanical ventilation?
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Which type of vaccination is recommended for adults 65 years of age or older to reduce the incidence of pneumonia?
Which type of vaccination is recommended for adults 65 years of age or older to reduce the incidence of pneumonia?
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What is a supportive treatment for pneumonia, besides antibiotics?
What is a supportive treatment for pneumonia, besides antibiotics?
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Which of the following is a common symptom of COVID-19 pneumonia?
Which of the following is a common symptom of COVID-19 pneumonia?
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When assessing a patient with bacterial pneumonia, what is a key vital sign to monitor?
When assessing a patient with bacterial pneumonia, what is a key vital sign to monitor?
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What is a potential complication of bacterial pneumonia?
What is a potential complication of bacterial pneumonia?
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Which of the following is a nursing intervention for a patient with bacterial pneumonia?
Which of the following is a nursing intervention for a patient with bacterial pneumonia?
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What is the primary cause of aspiration pneumonia?
What is the primary cause of aspiration pneumonia?
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Which of the following is a risk factor for aspiration?
Which of the following is a risk factor for aspiration?
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What is a key preventative measure for aspiration?
What is a key preventative measure for aspiration?
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What is another name for tuberculosis?
What is another name for tuberculosis?
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How is tuberculosis typically spread?
How is tuberculosis typically spread?
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What is a characteristic of acute atelectasis?
What is a characteristic of acute atelectasis?
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Which of the following is NOT a typical clinical manifestation of acute tracheobronchitis?
Which of the following is NOT a typical clinical manifestation of acute tracheobronchitis?
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What is the primary distinction between community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP)?
What is the primary distinction between community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP)?
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Which of the following is a nursing intervention for atelectasis prevention?
Which of the following is a nursing intervention for atelectasis prevention?
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Which of the following is a common medical management strategy for acute tracheobronchitis?
Which of the following is a common medical management strategy for acute tracheobronchitis?
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Which of these interventions is specifically designed to improve ventilation in patients with atelectasis?
Which of these interventions is specifically designed to improve ventilation in patients with atelectasis?
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Which clinical manifestation would most strongly suggest a diagnosis of atelectasis?
Which clinical manifestation would most strongly suggest a diagnosis of atelectasis?
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Which of the following is a key aspect of nursing management for acute tracheobronchitis?
Which of the following is a key aspect of nursing management for acute tracheobronchitis?
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What is the primary reason for using an incentive spirometer in the management of atelectasis?
What is the primary reason for using an incentive spirometer in the management of atelectasis?
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Which of the following is a potential complication of pneumonia?
Which of the following is a potential complication of pneumonia?
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Which of the following actions is a priority nursing intervention to promote gas exchange and oxygenation in a patient with COPD?
Which of the following actions is a priority nursing intervention to promote gas exchange and oxygenation in a patient with COPD?
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Identify the correct statement regarding the administration of oxygen at greater than 21% concentration.
Identify the correct statement regarding the administration of oxygen at greater than 21% concentration.
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Which of the following is a potential complication of administering too high a concentration of oxygen for a prolonged period?
Which of the following is a potential complication of administering too high a concentration of oxygen for a prolonged period?
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Which of the following nursing interventions is MOST directly related to reducing the risk of oxygen toxicity in a patient receiving oxygen therapy?
Which of the following nursing interventions is MOST directly related to reducing the risk of oxygen toxicity in a patient receiving oxygen therapy?
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Which of the following interventions is a priority nursing action when providing education to a patient with COPD?
Which of the following interventions is a priority nursing action when providing education to a patient with COPD?
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A patient with COPD is receiving oxygen therapy. Which of the following assessment findings should be reported immediately to the provider?
A patient with COPD is receiving oxygen therapy. Which of the following assessment findings should be reported immediately to the provider?
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Identify the key clinical manifestation of oxygen toxicity.
Identify the key clinical manifestation of oxygen toxicity.
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Which of the following aspects is NOT a primary focus of patient education for individuals with COPD?
Which of the following aspects is NOT a primary focus of patient education for individuals with COPD?
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What is a key characteristic of the Venturi mask compared to a non-rebreathing mask?
What is a key characteristic of the Venturi mask compared to a non-rebreathing mask?
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What does an increase in PaCO2 levels indicate in a patient experiencing status asthmaticus?
What does an increase in PaCO2 levels indicate in a patient experiencing status asthmaticus?
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Which statement regarding home oxygen therapy is true?
Which statement regarding home oxygen therapy is true?
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Which of the following statements is false regarding the Venturi mask?
Which of the following statements is false regarding the Venturi mask?
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What is essential for a patient in status asthmaticus to ensure safety and effectiveness in therapy?
What is essential for a patient in status asthmaticus to ensure safety and effectiveness in therapy?
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What is the primary characteristic of chronic obstructive pulmonary disease (COPD)?
What is the primary characteristic of chronic obstructive pulmonary disease (COPD)?
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Which of the following best describes the condition of chronic bronchitis?
Which of the following best describes the condition of chronic bronchitis?
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What consequence does chronic inflammation have in patients with COPD?
What consequence does chronic inflammation have in patients with COPD?
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What is a common respiratory complication associated with chronic bronchitis?
What is a common respiratory complication associated with chronic bronchitis?
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What effect does scar tissue in pulmonary vasculature have in chronic pulmonary disease?
What effect does scar tissue in pulmonary vasculature have in chronic pulmonary disease?
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Which of these findings would NOT typically be observed in a patient with chronic bronchitis?
Which of these findings would NOT typically be observed in a patient with chronic bronchitis?
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What role do alveolar macrophages play in the respiratory system, particularly in chronic bronchitis?
What role do alveolar macrophages play in the respiratory system, particularly in chronic bronchitis?
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Which of the following is a key prevention strategy for managing COPD?
Which of the following is a key prevention strategy for managing COPD?
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Which of the following symptoms is NOT a primary symptom of COPD?
Which of the following symptoms is NOT a primary symptom of COPD?
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What is a common complication associated with COPD?
What is a common complication associated with COPD?
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What is the primary purpose of pulmonary function tests in diagnosing COPD?
What is the primary purpose of pulmonary function tests in diagnosing COPD?
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Which of the following treatments is most beneficial for managing asthma symptoms?
Which of the following treatments is most beneficial for managing asthma symptoms?
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Which of these conditions is caused by a genetic mutation affecting chloride transport?
Which of these conditions is caused by a genetic mutation affecting chloride transport?
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Which of the following symptoms would likely indicate an exacerbation in a patient with asthma?
Which of the following symptoms would likely indicate an exacerbation in a patient with asthma?
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What type of management involves airway clearance and antibiotics in Cystic Fibrosis?
What type of management involves airway clearance and antibiotics in Cystic Fibrosis?
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Which of the following is a typical medication used in the treatment of chronic bronchiectasis?
Which of the following is a typical medication used in the treatment of chronic bronchiectasis?
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Which medication type is NOT typically used for asthma treatment?
Which medication type is NOT typically used for asthma treatment?
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What is the primary goal of smoking cessation programs in the management of COPD?
What is the primary goal of smoking cessation programs in the management of COPD?
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Which of the following is a common clinical manifestation of bronchiectasis?
Which of the following is a common clinical manifestation of bronchiectasis?
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What is considered a characteristic feature of a patient with emphysema?
What is considered a characteristic feature of a patient with emphysema?
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What role do corticosteroids play in managing asthma?
What role do corticosteroids play in managing asthma?
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Flashcards
Upper Respiratory Infections (URIs)
Upper Respiratory Infections (URIs)
Common illnesses that affect the upper respiratory tract, such as the common cold.
Common Cold
Common Cold
Acute inflammation of the nasal cavity, typically self-limiting.
Symptoms of a Cold
Symptoms of a Cold
Includes nasal congestion, rhinorrhea, sore throat, and malaise.
Treatment Settings for URIs
Treatment Settings for URIs
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Prevention and Health Promotion
Prevention and Health Promotion
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Secondhand Smoke
Secondhand Smoke
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Chronic Pharyngitis Avoidances
Chronic Pharyngitis Avoidances
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URI Symptoms
URI Symptoms
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Airway Management Goals
Airway Management Goals
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Nursing Interventions for URI
Nursing Interventions for URI
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Evaluation of URI
Evaluation of URI
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Patient Education for URI
Patient Education for URI
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Laryngectomy Assessments
Laryngectomy Assessments
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Potential Complications of Laryngectomy
Potential Complications of Laryngectomy
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Communication Support Post-Laryngectomy
Communication Support Post-Laryngectomy
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Epistaxis
Epistaxis
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Common site for Epistaxis
Common site for Epistaxis
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Medical management of Epistaxis
Medical management of Epistaxis
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Nursing management for Epistaxis
Nursing management for Epistaxis
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URIs
URIs
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Complications of URIs
Complications of URIs
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Pharyngitis
Pharyngitis
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Patient Education for Pharyngitis
Patient Education for Pharyngitis
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Granulomas
Granulomas
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Ghon tubercle
Ghon tubercle
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TB Skin Test (Mantoux Method)
TB Skin Test (Mantoux Method)
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Initial Treatment Phase of TB
Initial Treatment Phase of TB
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Reactivation of TB
Reactivation of TB
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Atelectasis
Atelectasis
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Acute Atelectasis
Acute Atelectasis
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Symptoms of Atelectasis
Symptoms of Atelectasis
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Assessment for Atelectasis
Assessment for Atelectasis
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Management of Atelectasis
Management of Atelectasis
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Acute Tracheobronchitis
Acute Tracheobronchitis
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Symptoms of Acute Tracheobronchitis
Symptoms of Acute Tracheobronchitis
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Pneumonia
Pneumonia
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Classification of Pneumonia
Classification of Pneumonia
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Management of Acute Tracheobronchitis
Management of Acute Tracheobronchitis
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Types of Pneumonia
Types of Pneumonia
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Hospital-acquired Pneumonia
Hospital-acquired Pneumonia
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Ventilator-associated Pneumonia
Ventilator-associated Pneumonia
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Risk Factors for Pneumonia
Risk Factors for Pneumonia
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Clinical Manifestations of Pneumonia
Clinical Manifestations of Pneumonia
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Assessment for Pneumonia
Assessment for Pneumonia
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Pneumonia Prevention
Pneumonia Prevention
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Medical Management of Pneumonia
Medical Management of Pneumonia
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COVID-19 Pneumonia Symptoms
COVID-19 Pneumonia Symptoms
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Aspiration Pneumonia
Aspiration Pneumonia
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Aspiration Prevention Strategies
Aspiration Prevention Strategies
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Complications of Pneumonia
Complications of Pneumonia
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Expected Outcomes in Pneumonia Treatment
Expected Outcomes in Pneumonia Treatment
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Pneumonia in Immunocompromised Host
Pneumonia in Immunocompromised Host
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Suctioning Frequency
Suctioning Frequency
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Mechanical Ventilation
Mechanical Ventilation
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Noninvasive Positive-Pressure Ventilation
Noninvasive Positive-Pressure Ventilation
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Continuous Positive Airway Pressure (CPAP)
Continuous Positive Airway Pressure (CPAP)
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Bilevel Positive Airway Pressure (BiPAP)
Bilevel Positive Airway Pressure (BiPAP)
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Assessment for Mechanical Ventilation
Assessment for Mechanical Ventilation
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Complications of Mechanical Ventilation
Complications of Mechanical Ventilation
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Nursing Interventions for Ventilation
Nursing Interventions for Ventilation
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Airway Clearance Techniques
Airway Clearance Techniques
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Infection Control Measures
Infection Control Measures
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Alarm Fatigue
Alarm Fatigue
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Acute Respiratory Distress Syndrome (ARDS)
Acute Respiratory Distress Syndrome (ARDS)
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Occupational Lung Disease
Occupational Lung Disease
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Lung Cancer
Lung Cancer
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Nursing Care for Lung Cancer
Nursing Care for Lung Cancer
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Thoracotomy Management
Thoracotomy Management
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Chest Trauma Types
Chest Trauma Types
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Chest Tube Drainage System
Chest Tube Drainage System
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Pneumothorax
Pneumothorax
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V/Q Mismatch
V/Q Mismatch
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Lung Abscess
Lung Abscess
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Symptoms of Lung Abscess
Symptoms of Lung Abscess
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Assessment for Lung Abscess
Assessment for Lung Abscess
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Sarcoidosis
Sarcoidosis
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Symptoms of Sarcoidosis
Symptoms of Sarcoidosis
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Diagnosis of Sarcoidosis
Diagnosis of Sarcoidosis
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Pleurisy
Pleurisy
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Pleural Effusion
Pleural Effusion
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Empyema
Empyema
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Acute Respiratory Failure
Acute Respiratory Failure
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Management of ARF
Management of ARF
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Endotracheal Intubation
Endotracheal Intubation
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Tracheotomy
Tracheotomy
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Nursing Management of Tracheostomy
Nursing Management of Tracheostomy
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Medical Management of Lung Abscess
Medical Management of Lung Abscess
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Venturi Mask
Venturi Mask
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Status Asthmaticus
Status Asthmaticus
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PaCO2 Levels in Asthma
PaCO2 Levels in Asthma
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Home Oxygen Safety
Home Oxygen Safety
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Peak Flow Monitoring
Peak Flow Monitoring
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Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease (COPD)
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Chronic Bronchitis
Chronic Bronchitis
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Inflammatory Response in COPD
Inflammatory Response in COPD
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Scar Tissue Effects
Scar Tissue Effects
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Alveolar Macrophages Function
Alveolar Macrophages Function
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Pulmonary Hypertension
Pulmonary Hypertension
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Respiratory Infection Susceptibility
Respiratory Infection Susceptibility
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Pathophysiology of COPD
Pathophysiology of COPD
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Primary Symptoms of COPD
Primary Symptoms of COPD
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Barrel Chest
Barrel Chest
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Complications of COPD
Complications of COPD
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Pulmonary Function Tests
Pulmonary Function Tests
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Medical Management of COPD
Medical Management of COPD
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Bronchodilators
Bronchodilators
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Bronchiectasis
Bronchiectasis
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Symptoms of Bronchiectasis
Symptoms of Bronchiectasis
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Asthma
Asthma
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Asthma Exacerbations
Asthma Exacerbations
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Medical Management of Asthma
Medical Management of Asthma
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Cystic Fibrosis (CF)
Cystic Fibrosis (CF)
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Acute Management of Cystic Fibrosis
Acute Management of Cystic Fibrosis
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Patient Teaching for Asthma
Patient Teaching for Asthma
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Rinsing Mouth After MDI
Rinsing Mouth After MDI
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Risk Factors for COPD
Risk Factors for COPD
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Oxygen Therapy Purpose
Oxygen Therapy Purpose
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Hypoxia vs. Hypoxemia
Hypoxia vs. Hypoxemia
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Oxygen Toxicity Symptoms
Oxygen Toxicity Symptoms
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Oxygen Administration Devices
Oxygen Administration Devices
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Education for COPD Patients
Education for COPD Patients
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Preventing Pneumothorax
Preventing Pneumothorax
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Study Notes
Management of Patients with Upper Respiratory Tract Disorders
- Upper respiratory infections (URIs) are the most common cause of illness and absence from school and work.
- URIs can range from minor to life-threatening, acute, chronic, or severe.
- Treatment can occur in various community settings, including doctor offices, urgent care clinics, long-term care facilities, or self-care at home.
- Early detection and appropriate interventions prevent complications.
- Patient education focuses on prevention and health promotion.
- Special considerations for older adults should be referred to Chart 18-1.
Epistaxis
- Epistaxis is a hemorrhage from the nose.
- The anterior septum is the most common site of bleeding.
- Epistaxis can be a serious problem, potentially causing airway compromise or significant blood loss.
- Risk factors for epistaxis are listed in Chart 18-5.
Medical Management of Epistaxis
- Identify the cause and location of the bleeding.
- Pinch the soft portion of the patient's nose for 5-10 minutes while the patient sits upright.
- Use phenylephrine spray for vasoconstriction.
- Cauterize bleeding with silver nitrate or electrocautery.
- Insert gauze packing or a balloon-inflated catheter into the nasal cavity for 3-4 days.
- Administer antibiotic therapy.
Nursing Management of Epistaxis
- Monitor airway, breathing, and circulation.
- Monitor vital signs and possibly cardiac monitoring and pulse oximetry.
- Reduce patient anxiety.
- Educate patients to avoid nasal trauma, nose picking, forceful blowing, spicy foods, tobacco, and exercise to avoid re-injury.
- Educate patients on using adequate humidification to prevent dryness.
- If bleeding doesn't stop in 15 minutes, seek medical attention immediately.
Upper Respiratory Infections (URIs)
- Rhinitis and rhinosinusitis can be acute, chronic, bacterial, or viral (refer to Charts 18-2 and 18-3).
- Pharyngitis can be acute or chronic.
- Tonsillitis and adenoiditis are also categorized as URIs.
- Peritonsillar abscess and laryngitis can also be caused by URIs.
Potential Complications of Upper Respiratory Infections (URIs)
- Airway obstruction is a potential complication.
- Hemorrhage is also possible.
- Sepsis can occur.
- Meningitis or brain abscess can develop.
- Nuchal rigidity may be a symptom.
- Cellulitis can be a potential complication.
- Medicamentosa, Acute otitis media, Trismus, Dysphagia, Aphonia, and Cellulitis are potential complications.
Assessment of Patient with URI
- Obtain a health history.
- Note symptoms including headache, cough, hoarseness, fever, stuffiness, and generalized discomfort and fatigue.
- Assess for allergies.
- Inspect the nose, neck, throat, and palpate lymph nodes.
Planning and Goals for Patient with URI
- Manage the airway to reduce the risk of aspiration.
- Manage pain.
- Implement effective communication strategies.
- Ensure adequate hydration.
- Educate patients on the prevention of URIs and the avoidance of complications.
Nursing Interventions for Patient with URI
- Elevate the head of the bed.
- Use ice collars to reduce inflammation and bleeding.
- Apply hot packs to reduce congestion.
- Prescribe analgesics for pain relief.
- Apply topical anesthetics.
- Monitor for severe complications.
- Encourage gargling for sore throats.
- Encourage alternative communication methods.
- Encourage the use of liquids/steam inhalations to ease expectoration.
- Encourage rest
Evaluation of Patient with URI
- Evaluate airway patency.
- Assess for pain relief.
- Evaluate the patient's ability to communicate their needs.
- Assess for evidence of adequate hydration.
- Ensure that symptoms are no longer present.
- Check for the absence of complications.
Patient Education for URI
- Teach patients on preventing upper airway infections with frequent handwashing.
- Educate patients on when to contact their healthcare provider.
- Emphasize completion of antibiotic regimens.
- Advise patients at risk to obtain annual influenza vaccines.
Assessment of Patient Undergoing Laryngectomy
- Obtain a complete health history, including a physical, psychosocial, and spiritual assessment.
- Assess nutrition, BMI, albumin, glucose, and electrolytes.
- Evaluate literacy, hearing, and vision as these can affect communication after surgery.
- Assess coping skills and available support systems for the patient and family.
Collaborative Problems and Potential Complications for Laryngectomy Patient
- Respiratory distress can occur.
- Hemorrhage may result from surgery.
- Possible wound breakdown issues.
- Infections can develop.
- Aspiration is a concern.
- Tracheostomal stenosis requires careful monitoring.
Nursing Interventions for Laryngectomy Patient
- Provide pre-operative patient teaching.
- Reduce anxiety before surgery.
- Maintain a patent airway, managing secretions, and providing necessary support.
- Support alternative forms of communication.
- Promote adequate nutrition and hydration.
- Promote a positive self-esteem and body image.
- Monitor for potential complications.
- Provide self-care management and instruction for homecare (refer to Chart 18-7).
Priority Education for Total Laryngectomy Patient
- Clarify any patient misconceptions related to the procedure.
- Discuss the effect of surgery on speech after recovery.
- Explain methods for post-operative communication.
- These three points are all critical components in the education of a patient undergoing a total laryngectomy.
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Description
This quiz explores the management of upper respiratory tract disorders, focusing on upper respiratory infections and epistaxis. It includes treatment settings, patient education, and special considerations for older adults. Test your knowledge on identification, prevention, and management of these common health issues.