Med Surg Chapter 22 Quiz

Excision of the vocal cord lesions in the middle third of the vocal cord

Cordectomy

Patient comes to the clinic and is diagnosed with tonsillitis and adenoiditis. What bacterial pathogen does the nurse know is commonly associated with tonsillitis and adenoiditis?

Group A, Beta- hemolytic streptococcus

Rhinosinusitis is classified by duration of symptoms as _____,________,and_______.

Acute Subacute Chronic

The nurse is assessing a patient who smokes 2 packs of cigarettes per day and has a strong family history of cancer. What early sign of cancer of the larynx does the nurse look for in this patient?

Affected voice sounds

A patient has been diagnosed with acute rhino sinusitis caused by bacterial organisms. What antibiotic of choice for treatment of this disorder does the nurse anticipate educating the patient about?

Amoxicillin- Clavulanate (Augumentin)

A patient has herpes simplex infection that developed after having the common cold. What medication does the nurse anticipate will be administered for this infection?

An antiviral agent such as acyclovir

________ remain the most common treatment for rhinitis and are administered for sneezing, pruritus, and rhinorrhea.

Antihistamines

The nurse is educating the patient diagnosed with acute pharyngitis on methods to alleviate discomfort. What intervention should the nurse include in the information?

Apply an ice collar Stay on bed rest during febrile stage of illness Try a liquid or soft diet during the acute stage of the disease

A patient playing softball was hit in the nose by the ball and has been determined to have an uncomplicated fracture nose with epistaxis. the nurse should prepare to assist the physician with what task?

Applying nasal packaging

The most serious complication of a tonsillectomy is _______.

Hemorrhage

List 5 potential complications of an upper airway infection.

Sepsis Peritonsillar Abscess Otitis media Sinusitis Meningitis

If untreated, chronic rhino sinusitis can lead to severe complications. List 4

Severe Orbital cellulitis Subperiosteal abscess Cavernous sinus thrombosis Meningitis Encephalitis Ischemic Infarction

Name 4 bacterial organisms that account for more than 60% of all cases of acute rhino sinusitis: ______,_______,______ and _______.

Steptococcus pneumoniae Haemophilus influenza Staphylococcus aureus Moraxella catarrhails

A patient comes to the clinic complaining of a possible upper respiratory infection. What should the nurse inspect that would indicate that an upper respiratory infection may be present?

The nasal mucosa

A patient prescribed a medication for hypertension started taking it 3 days ago and arrives in the ER with an edematous face and tongue and having difficult time speaking. What medication is the nurse aware of that may produce this type of side effect?

Enalapril (Vasotec)

List 3 types of laryngeal communications:

Esophageal Speech Artificial larynx Tracheo-esophageal puncture`

A patient comes to the clinic with complaints of a sore throat and is diagnosed with acute pharyngitis. What does the nurse understand is the cause of acute pharyngitis?

Group A, Beta- hemolytic streptococci

Micro electrodes are used for surgical resection of smaller laryngeal tumors.

Laser surgery

A patient diagnosed 2 weeks ago with acute pharyngitis comes to the clinic stating that the sore throat got better for a couple of days and is now back along with an earache. What complications should the nurse be aware of related to acute pharyngitis?

Mastoiditis Otitis Media Peritonsillar abscess

Complete removal of the larynx

Total laryngectomy

Removal of the mucosa of the edge of the vocal cord

Vocal cord stripping

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?

When the patient has less than 30 ml for 2 consecutive days

_______ is the most common major suppurative complication of sore throat.

Peritonsillar abscess

Explain how rhinitis can lead to rhino sinusitis.

Rhinitis causes the nasal passages to become inflamed, congested, and edematous. The swollen conchae block the sinus openings and causes sinusitis.

List clinical manifestations that are used to diagnose obstructive sleep apnea.

Sleep apnea is defined as frequent loud snoring and breathing cessation for 10 seconds or longer with five or more episodes per hour. This is followed by awakening abruptly with a loud snort when the the blood oxygen level drops.

Medication therapy for allergic & nonallergic rhinitis focuses on_______.

Symptom relief

A patient comes to the clinic with a cold and was something to help relieve symptoms. What should the nurse include in educating the patient about the complicated common cold?

* Inform the patient about the symptoms of secondary infection. * Suggest that the patient take adequate fluids and get plenty of rest. * Inform the patient that the virus is contagious for 2 days before the symptoms appears & during the first part of symptomatic phase.

The nurse is educating a patient diagnosed with acute bacterial rhino sinusitis about intervention that may assist with symptom control. What should the nurse include in this information?

*Ensure an adequate fund intake *Increase the humidity in the home *Apply local heat to promote damage

A patient is diagnosed as being in the early stage of laryngeal cancer of the glottis with only 1 vocal cord involved. For what type of surgical intervention will the nurse plan to provide education?

Partial Laryngectomy

Portion of the larynx is removed, along with one vocal cord, and the tumor.

Partial Laryngectomy

A patient with an advanced laryngeal tumor is to have radiation therapy. Th patient tells the nurse, "If I am going to have radiation, I won't need surgery". What is the response by the nurse?

Radiation is used to shrink the tumor size and is an adjunct to surgery

The most common cause of laryngitis is ______, with symptoms including _______,_______ and _______.

Viral Hoarseness aphonia severe cough