: Chapter 26 iggy med surg 1

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Which of the following is the most important action for a nurse to take when supervising care assigned to LPNs/LVNs or assistive personnel for patients at risk of airway obstruction?

Provide detailed written instructions for the LPNs/LVNs and assistive personnel

Ensure the patient's airway is assessed regularly (correct)

Delegate all tasks to the LPNs/LVNs and assistive personnel

Allow the LPNs/LVNs and assistive personnel to work independently without supervision

What is the primary purpose of instructing patients using CPAP to avoid sharing their mask device or tubing?

To promote infection control and prevent the spread of pathogens (correct)

To prevent the patient from losing or damaging the equipment

To ensure the patient uses the CPAP consistently each night

To encourage the patient to take responsibility for their own equipment

Which QSEN competency is most applicable to the nurse's role in applying knowledge of anatomy to prevent aspiration in a patient with a tracheostomy?

Informatics

Quality Improvement

Teamwork and Collaboration

Safety (correct)

What is the primary reason for encouraging adults who smoke to quit smoking or using tobacco in any way?

To improve their overall health and reduce the risk of chronic diseases Signup and view all the answers

What is the primary purpose of teaching patients who have had radiation therapy to the oral cavity to have regular dental examinations?

To monitor for any changes in oral health and address them promptly Signup and view all the answers

What is the main goal of teaching the patient and family about home management of a laryngectomy stoma or tracheostomy?

To provide the patient and family with the knowledge and skills to care for the stoma or tracheostomy at home Signup and view all the answers

What is the recommended minimum duration for patients prescribed CPAP therapy for OSA to use the equipment?

2 weeks Signup and view all the answers

For patients with permanent tracheostomies or laryngectomies, what self-care approach is recommended?

Engage in self-care and examine the wound Signup and view all the answers

What is an essential communication consideration for patients experiencing voice loss?

Allowing adequate time for communication Signup and view all the answers

After surgery for head and neck cancer, how can family members be taught to communicate with a patient who cannot speak?

Teaching non-verbal gestures Signup and view all the answers

Why should comatose, cognitively impaired, or noncommunicative patients be assessed every shift for oral care needs?

To prevent mucoid impaction Signup and view all the answers

What is a crucial reminder for patients using CPAP therapy to ensure its effectiveness?

Maintain a tight mask fit Signup and view all the answers

What is a critical responsibility for a nurse when supervising care assigned to assistive personnel for patients at risk of airway obstruction?

Applying knowledge of anatomy to prevent aspiration Signup and view all the answers

What important role does a nurse play in relation to patients who have undergone radiation therapy to the oral cavity?

Encouraging dental examinations every 6 months Signup and view all the answers

What is a key reason for instructing patients using CPAP therapy to avoid sharing their mask device or tubing?

To prevent the spread of infection Signup and view all the answers

Why is it essential for nurses to assess airway patency in patients who have experienced facial or nasal trauma?

To detect potential airway obstructions Signup and view all the answers

What is a significant consideration for encouraging adults who smoke to quit smoking or using tobacco?

Preventing head and neck cancer development Signup and view all the answers

For what reason should nurses remind patients using CPAP therapy to use it daily whenever they sleep in a bed?

To maintain therapeutic effectiveness Signup and view all the answers

What is a crucial consideration for assessing patients with a tracheostomy or laryngectomy?

Allowing time for effective communication with the patient Signup and view all the answers

Why is it recommended to encourage patients with CPAP therapy to use the equipment for at least 2 weeks?

To allow time for adjusting to a new sleep routine Signup and view all the answers

What is the primary focus of assessing comatose or noncommunicative patients every shift?

Preventing mucoid impaction through oral care Signup and view all the answers

Why is it essential for patients who have had mandibular immobilization to keep wire cutters with them?

To allow quick access to emergency self-care in case of airway obstruction Signup and view all the answers

What is the significance of checking the airway and packing hourly for a patient with posterior nasal packing after surgery?

To prevent complications such as airway obstruction or infection Signup and view all the answers

Why should patients using CPAP be reminded that mask tightness is crucial for effectiveness?

To maintain optimal positive airway pressure during sleep Signup and view all the answers