Chapter 22 POINT
The nurse is discussing immediate postoperative communication strategies with a patient scheduled for a total laryngectomy. Which of the following information will the nurse include?
"You can use writing or a communication board to communicate."
A college student presents to the health clinical with signs and symptoms of viral rhinitis (common cold). The patient states, "I've felt terrible all week; what can i do to feel better?" Which of the following is the best response the nurse can give?
"You should rest, increase your fluids, and take Ibuprofen."
The nurse is caring for a client with allergic rhinitis. The patient asks the nurse about measures to help decrease allergic symptoms. The best response by the nurse is which of the following?
"You should try to reduce exposure to irritants and allergens."
The herpes simplex virus type 1 (HSV-1), which produces a cold sore (fever blister), has an incubation period of which of the following?
2 to 12 days
The antibiotic of choice utilized in the treatment to acute bacterial rhinosinusitis (ABRS) includes which of the following?
Amoxicillin (Augmentin)
The nurse is caring for a patient admitted to the ED with an uncomplicated nasal fracture. Nasal packing has been completed. Which of the following interventions should the nurse include in the patient's care?
Apply an ice pack
The nurse is providing discharge instructions to a patient following nasal surgery who has nasal packing. Which of the following discharge instructions would be most appropriate for the patient?
Avoid sports activities for 6 weeks
A patient has undergone a laryngectomy. The nurse notes evidence of wound breakdown. The nurse understands that the patient is at a high risk for developing which of the following?
Carotid hemorrhage
The nurse knows that there are three types of chronic pharyngitis. Which of the following is characterized by numerous swollen lymph follicles on the pharyngeal wall?
Chronic granular
The nurse assesses a patient who is bleeding profusely from the nose. The nurse documents this finding as which of the following conditions?
Epistaxis
The nurse is caring for a male patient diagnosed with rhinosinusitis. The physician has ordered the patient to receive four sprays of budesonide (Rhinocort) in each nostril every morning. The nurse informs the patient that a common side effect of this medication includes which of the following?
Epistaxis
A 76-year-old man presents to the ED complaining of "laryngitis." The triage nurse should ask if the patient has a past medical history that includes which of the following?
Gastroesophageal reflux disease (GERD)
A patient is being assessed for acute laryngitis. The nurse recognizes that clinical manifestations of acute laryngitis include which of the following?
Hoarseness
Which of the following is the priority nursing diagnosis for the patient undergoing a laryngectomy?
Ineffective airway clearance
The nurse is caring for a patient who underwent a laryngectomy. Which of the following interventions will the nurse initially complete in an effort to meet the patient's nutritional needs?
Initiate enteral feedings
The nurse is assessing a patient for obstructive sleep apnea (OSA). Which of the following are signs and symptoms of OSA?
Insomnia, loud snoring, polycythemia
The nurse is caring for a patient receiving radiation therapy for laryngeal cancer. A late complication of radiation therapy includes which of the following?
Laryngeal necrosis
Stiffness of the neck or inability to bend the neck is referred to as which of the following?
Nuchal rigidity
The nurse is caring for a female patient following a tonsillectomy and adenoidectomy. Two hours following the procedure the patient begins to vomit large amounts of dark blood in frequent intervals and is tachycardic and febrile. After notifying the surgeon, the nurse will do which of the following?
Obtain a light, mirror, gauze, and curved hemostats
The nurse is caring for a patient admitted with a diagnosis of bacterial pharyngitis. The nurse anticipates the patient will be ordered which of the following medications?
Penicillin
A patient presents to the ED with a suspected allergic reaction. The patient is experiencing laryngeal edema causing obstruction and is demonstrating retractions in the neck during inspirations. Which of the following is the nurse's priority intervention?
Prepare to adminster subcutaneous epinephrine and corticosteroids
A patient who has an altered level of consciousness is receiving tube feedings. Patients receiving tube feedings should be placed in which of the following positions?
Semi-Fowler's or higher
Which of the following diagnostic tests is used to confirm the diagnosis of maxillary frontal sinusitis?
Sinus aspirates
The nurse is caring for a patient in the ICU with a nasotracheal tube. Because of the tube placement, the nurse understands that the patient is at risk for developing which of the following?
Sinus infection
The nurse is providing discharge instructions for a patient following laryngeal surgery. The nurse instructs the patient to avoid which of the following?
Swimming