ch 27 iggy med surg 1

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What is the most important nursing intervention to prevent aspiration in a client with open vocal cord paralysis?

Advise the client to keep their head still and straight during swallowing

Instruct the client to breathe slowly during swallowing

Teach the client to tuck in their chin during swallowing (correct)

Tilt the client's head back during swallowing

Which client is at the greatest risk for developing obstructive sleep apnea?

A 42-year-old man with gastroesophageal reflux disease

A 73-year-old man with type 2 diabetes mellitus

A 55-year-old woman who is 50 pounds overweight (correct)

A 26-year-old pregnant woman

A client is prescribed voice rest therapy for vocal cord polyps. Which statement by the client indicates the need for further teaching?

I can use a dry-erase board to communicate during my voice rest.

I should avoid clearing my throat during my voice rest.

I should avoid whispering during my voice rest. (correct)

I can drink warm liquids to soothe my vocal cords during my voice rest.

A client with vocal cord paralysis is at risk for which complication?

Aspiration Signup and view all the answers

A client with vocal cord polyps is prescribed voice rest therapy. Which of the following would be the most appropriate nursing intervention?

Provide the client with a dry-erase board to communicate during the voice rest Signup and view all the answers

A client with vocal cord paralysis is at risk for which of the following complications?

Pneumonia Signup and view all the answers

A client with vocal cord polyps is prescribed voice rest therapy. Which of the following statements by the client indicates a need for further teaching?

I should avoid whispering during the voice rest period. Signup and view all the answers

A client with vocal cord paralysis is at risk for which of the following complications?

Aspiration Signup and view all the answers

What is the purpose of modafinil as described in the text?

Promote daytime wakefulness Signup and view all the answers

For a client with posterior nasal bleeding and packing inserted, what should the nurse prioritize?

Ensure the string is taped to the client's cheek Signup and view all the answers

After a laryngectomy, why might a nurse recommend using a room humidifier?

To prevent throat infections Signup and view all the answers

What type of sleep disorder is associated with modafinil usage?

Narcolepsy Signup and view all the answers

Why should the client's head be kept elevated after posterior nasal bleeding packing insertion?

To aid in breathing Signup and view all the answers

What is the primary concern regarding packing inserted for posterior nasal bleeding?

Securing the airway Signup and view all the answers

What is the main purpose of teaching a client about nasal bleeding causes?

To prevent future episodes of bleeding Signup and view all the answers

Why should the nurse ensure the string attached to the client's cheek is secure?

To prevent airway obstruction Signup and view all the answers

What should a nurse note if a client is swallowing frequently after developing epistaxis?

Postnasal bleeding Signup and view all the answers

Why is it too soon to change the packing for a client with epistaxis?

Surgeon's responsibility Signup and view all the answers

Which medical history condition does NOT contribute to the development of epistaxis?

Diabetes mellitus Signup and view all the answers

What assessment finding in a client with facial trauma requires immediate intervention?

Stridor Signup and view all the answers

Which is a frequent cause of nosebleeds in clients?

Intranasal procedures Signup and view all the answers

Why should a nasal steroid not be administered to a client with epistaxis?

Risk of infection Signup and view all the answers

What is a potential contributor to epistaxis in clients?

Leukemia Signup and view all the answers

What should a nurse consider if a client presents with frequent nosebleeds?

Intranasal tumor Signup and view all the answers

A client reports persistent daytime sleepiness despite getting adequate sleep. What should the nurse suspect first?

Sleep apnea Signup and view all the answers

A client with open vocal cord paralysis is at risk for aspiration. Which swallowing technique should the nurse recommend?

Tuck the chin down while swallowing Signup and view all the answers

A client with suspected sleep apnea reports snoring loudly and waking up frequently gasping for air. What is the most appropriate initial nursing action?

Refer the client for a polysomnogram (sleep study) Signup and view all the answers

A client with vocal cord paralysis reports difficulty speaking loudly. What should the nurse recommend to improve communication?

Use a voice amplifier or electrolarynx Signup and view all the answers

A client with obstructive sleep apnea is prescribed continuous positive airway pressure (CPAP) therapy. What is the primary mechanism of action for CPAP?

It prevents upper airway collapse during sleep Signup and view all the answers

A client with vocal cord paralysis reports difficulty swallowing thin liquids. What dietary modification should the nurse recommend?

Thickened liquids Signup and view all the answers

A client with obstructive sleep apnea is prescribed positional therapy. What is the rationale for this treatment?

It prevents upper airway obstruction Signup and view all the answers

A client with vocal cord paralysis is prescribed a speaking valve. What is the primary purpose of this device?

It allows the client to speak more easily Signup and view all the answers

What is the primary reason the nurse should encourage the client to verbalize their thoughts and feelings about limiting social activities?

To select appropriate interventions to address the client's concerns about their chronic condition and social activities. Signup and view all the answers

Which of the following is the BEST strategy for the nurse to help the client with COPD decrease their feelings of social isolation?

Ask the client to share their thoughts and feelings about limiting social activities due to their COPD symptoms. Signup and view all the answers

Which of the following is a key reason clients with moderate to severe COPD may become socially isolated?

They are embarrassed by frequent coughing and mucus production. Signup and view all the answers

Which of the following nursing interventions would be LEAST effective in helping a client with COPD who is socially isolated?

Recommending the client's healthcare provider prescribe an antianxiety medication. Signup and view all the answers

Which of the following is the MOST important reason the nurse should encourage the client with COPD to verbalize their thoughts and feelings about limiting social activities?

To select appropriate interventions to address the client's concerns about their chronic condition and social activities. Signup and view all the answers

Which of the following nursing interventions would be the LEAST effective in helping a client with COPD who is socially isolated?

Recommending the client's healthcare provider prescribe an antidepressant medication. Signup and view all the answers

Which of the following is the MOST important step the nurse should take to help a client with COPD who is socially isolated?

Ask the client to share their thoughts and feelings about limiting social activities due to their COPD symptoms. Signup and view all the answers

Which of the following nursing interventions would be the MOST effective in helping a client with COPD who is socially isolated?

Asking the client to share their thoughts and feelings about limiting social activities due to their COPD symptoms. Signup and view all the answers

ch 27 iggy med surg 1

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Questions and Answers

What is the most important nursing intervention to prevent aspiration in a client with open vocal cord paralysis?

Which client is at the greatest risk for developing obstructive sleep apnea?

A client is prescribed voice rest therapy for vocal cord polyps. Which statement by the client indicates the need for further teaching?

A client with vocal cord paralysis is at risk for which complication?

A client with vocal cord polyps is prescribed voice rest therapy. Which of the following would be the most appropriate nursing intervention?

A client with vocal cord paralysis is at risk for which of the following complications?

A client with vocal cord polyps is prescribed voice rest therapy. Which of the following statements by the client indicates a need for further teaching?

A client with vocal cord paralysis is at risk for which of the following complications?

What is the purpose of modafinil as described in the text?

For a client with posterior nasal bleeding and packing inserted, what should the nurse prioritize?

After a laryngectomy, why might a nurse recommend using a room humidifier?

What type of sleep disorder is associated with modafinil usage?

Why should the client's head be kept elevated after posterior nasal bleeding packing insertion?

What is the primary concern regarding packing inserted for posterior nasal bleeding?

What is the main purpose of teaching a client about nasal bleeding causes?

Why should the nurse ensure the string attached to the client's cheek is secure?

What should a nurse note if a client is swallowing frequently after developing epistaxis?

Why is it too soon to change the packing for a client with epistaxis?

Which medical history condition does NOT contribute to the development of epistaxis?

What assessment finding in a client with facial trauma requires immediate intervention?

Which is a frequent cause of nosebleeds in clients?

Why should a nasal steroid not be administered to a client with epistaxis?

What is a potential contributor to epistaxis in clients?

What should a nurse consider if a client presents with frequent nosebleeds?

A client reports persistent daytime sleepiness despite getting adequate sleep. What should the nurse suspect first?

A client with open vocal cord paralysis is at risk for aspiration. Which swallowing technique should the nurse recommend?

A client with suspected sleep apnea reports snoring loudly and waking up frequently gasping for air. What is the most appropriate initial nursing action?

A client with vocal cord paralysis reports difficulty speaking loudly. What should the nurse recommend to improve communication?

A client with obstructive sleep apnea is prescribed continuous positive airway pressure (CPAP) therapy. What is the primary mechanism of action for CPAP?

A client with vocal cord paralysis reports difficulty swallowing thin liquids. What dietary modification should the nurse recommend?

A client with obstructive sleep apnea is prescribed positional therapy. What is the rationale for this treatment?

A client with vocal cord paralysis is prescribed a speaking valve. What is the primary purpose of this device?

What is the primary reason the nurse should encourage the client to verbalize their thoughts and feelings about limiting social activities?

Which of the following is the BEST strategy for the nurse to help the client with COPD decrease their feelings of social isolation?

Which of the following is a key reason clients with moderate to severe COPD may become socially isolated?

Which of the following nursing interventions would be LEAST effective in helping a client with COPD who is socially isolated?

Which of the following is the MOST important reason the nurse should encourage the client with COPD to verbalize their thoughts and feelings about limiting social activities?

Which of the following nursing interventions would be the LEAST effective in helping a client with COPD who is socially isolated?

Which of the following is the MOST important step the nurse should take to help a client with COPD who is socially isolated?

Which of the following nursing interventions would be the MOST effective in helping a client with COPD who is socially isolated?

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