40 Questions
What is the most important nursing intervention to prevent aspiration in a client with open vocal cord paralysis?
Teach the client to tuck in their chin during swallowing
Which client is at the greatest risk for developing obstructive sleep apnea?
A 55-year-old woman who is 50 pounds overweight
A client is prescribed voice rest therapy for vocal cord polyps. Which statement by the client indicates the need for further teaching?
I should avoid whispering during my voice rest.
A client with vocal cord paralysis is at risk for which complication?
Aspiration
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
A client with vocal cord paralysis is at risk for which of the following complications?
Pneumonia
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.
A client with vocal cord paralysis is at risk for which of the following complications?
Aspiration
What is the purpose of modafinil as described in the text?
Promote daytime wakefulness
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
After a laryngectomy, why might a nurse recommend using a room humidifier?
To prevent throat infections
What type of sleep disorder is associated with modafinil usage?
Narcolepsy
Why should the client's head be kept elevated after posterior nasal bleeding packing insertion?
To aid in breathing
What is the primary concern regarding packing inserted for posterior nasal bleeding?
Securing the airway
What is the main purpose of teaching a client about nasal bleeding causes?
To prevent future episodes of bleeding
Why should the nurse ensure the string attached to the client's cheek is secure?
To prevent airway obstruction
What should a nurse note if a client is swallowing frequently after developing epistaxis?
Postnasal bleeding
Why is it too soon to change the packing for a client with epistaxis?
Surgeon's responsibility
Which medical history condition does NOT contribute to the development of epistaxis?
Diabetes mellitus
What assessment finding in a client with facial trauma requires immediate intervention?
Stridor
Which is a frequent cause of nosebleeds in clients?
Intranasal procedures
Why should a nasal steroid not be administered to a client with epistaxis?
Risk of infection
What is a potential contributor to epistaxis in clients?
Leukemia
What should a nurse consider if a client presents with frequent nosebleeds?
Intranasal tumor
A client reports persistent daytime sleepiness despite getting adequate sleep. What should the nurse suspect first?
Sleep apnea
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
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)
A client with vocal cord paralysis reports difficulty speaking loudly. What should the nurse recommend to improve communication?
Use a voice amplifier or electrolarynx
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
A client with vocal cord paralysis reports difficulty swallowing thin liquids. What dietary modification should the nurse recommend?
Thickened liquids
A client with obstructive sleep apnea is prescribed positional therapy. What is the rationale for this treatment?
It prevents upper airway obstruction
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
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.
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.
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.
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.
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.
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.
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.
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.
Test your knowledge on the nursing process implementation with a scenario where a nurse assesses a client reporting fatigue after sleep. Choose the appropriate action to take first in response to the client's complaint.
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