: Chapter 26 iggy med surg 1
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Questions and Answers

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?

<p>To improve their overall health and reduce the risk of chronic diseases (C)</p> 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?

<p>To monitor for any changes in oral health and address them promptly (A)</p> 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?

<p>To provide the patient and family with the knowledge and skills to care for the stoma or tracheostomy at home (C)</p> Signup and view all the answers

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

<p>2 weeks (D)</p> Signup and view all the answers

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

<p>Engage in self-care and examine the wound (D)</p> Signup and view all the answers

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

<p>Allowing adequate time for communication (C)</p> 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?

<p>Teaching non-verbal gestures (C)</p> Signup and view all the answers

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

<p>To prevent mucoid impaction (B)</p> Signup and view all the answers

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

<p>Maintain a tight mask fit (D)</p> 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?

<p>Applying knowledge of anatomy to prevent aspiration (B)</p> 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?

<p>Encouraging dental examinations every 6 months (C)</p> 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?

<p>To prevent the spread of infection (A)</p> 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?

<p>To detect potential airway obstructions (A)</p> Signup and view all the answers

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

<p>Preventing head and neck cancer development (C)</p> 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?

<p>To maintain therapeutic effectiveness (C)</p> Signup and view all the answers

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

<p>Allowing time for effective communication with the patient (B)</p> 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?

<p>To allow time for adjusting to a new sleep routine (D)</p> Signup and view all the answers

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

<p>Preventing mucoid impaction through oral care (A)</p> Signup and view all the answers

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

<p>To allow quick access to emergency self-care in case of airway obstruction (A)</p> 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?

<p>To prevent complications such as airway obstruction or infection (D)</p> Signup and view all the answers

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

<p>To maintain optimal positive airway pressure during sleep (A)</p> Signup and view all the answers

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