Chapter 22: Management of Patients with Upper Respiratory Tract Disorders (1)
A client exhibits a sudden and complete loss of voice and is coughing. The nurse states pg. 565
"Do not smoke and avoid being around others who are smoking."
A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when he says: pg. 567
"I should become involved in a weight loss program."
A client is scheduled for endotracheal intubation prior to surgery. What can the nurse tell this client about an endotracheal tube? pg. 521
"The ET tube will maintain your airway while you're under anesthesia."
Which of the following are clinical manifestations associated with obstructive sleep apnea (OSA)? Select all that apply. pg. 568
- Insomnia - Arrhythmias - Loud snoring - Excessive daytime sleepiness - Impotence
The herpes simplex virus type 1 (HSV-1), which produces a cold sore (fever blister), has an incubation period of pg. 556
2 to 12 days.
A client comes into the Emergency Department with epistaxis. What intervention should you perform when caring for a client with epistaxis? pg. 569
Apply direct continuous pressure.
A patient playing softball was hit in the nose by the ball and has been determined to have an uncomplicated fractured nose with epistaxis. The nurse should prepare to assist the physician with what tasks? pg. 569
Applying nasal packing
After a tonsillectomy, a client is being prepared for discharge. The nurse should instruct the client to report which sign or symptom immediately? pg. 563
Bleeding
Which assessment finding puts a client at increased risk for epistaxis? pg. 569
Cocaine use
The nurse is caring for a client who had a recent laryngectomy. Which of the following is reflected in the nursing plan of care? pg. 574
Develop an alternate method of communication.
The nurse is caring for a client status post adenoidectomy. The nurse finds the client in severe respiratory distress when entering the room. What does the nurse suspect? pg. 562
Edema of the upper airway
Malignancy of the larynx can be a devastating diagnosis. What does a client with a diagnosis of laryngeal cancer require? pg. 576
Emotional support
A nurse takes the initial history of a patient who is being examined for cancer of the larynx. Select the sign that is considered an early clinical indicator. pg. 572
Hoarseness of more than 2 week's duration
A nurse is providing instructions for the client with chronic rhinosinusitis. The nurse accurately tells the client: pg. 560
Sleep with the head of bed elevated.
When the nurse gives a client and family instructions after laryngeal surgery, which does the nurse indicate should be avoided? pg. 579
Swimming
The client you are caring for has just been told they have advanced laryngeal cancer. What is the treatment of choice? pg. 574
Total laryngectomy
The nurse is caring for a patient who had a total laryngectomy and has drains in place. When does the nurse understand that the drains will most likely be removed? pg. 577
When the patient has less than 30 mL for 2 consecutive days
Which nursing diagnosis is most likely for a client who has just undergone a total laryngectomy? pg. 574
impaired verbal communication
A client is being seen by the physician because of an unrelenting headache, facial tenderness, low-grade fever, and dark yellow nasal discharge. The client reports seeming to develop sinus infections "all the time." Which factor may predispose the client to sinusitis? pg. 556
interference with sinus drainage