The client with respiratory health problems

When developing a discharge plan to manage the care of a client with COPD, the nurse should advise the client to expect to: A. Develop respiratory infections easily. B. Maintain current status. C. Require less supplemental oxygen. D. Show permanent improvement.

A

When suctioning a tracheostomy tube 3 days following insertion , the nurse should follow which of the following procedures ? A. Use a sterile catheter each time the client is suctioned B. Clean the catheter in sterile water after each use and reuse for no longer than 8 hours C. Protect the catheter in sterile packaging between suctioning episodes D. Use a clean catheter with each suctioning and disinfect it in hydrogen peroxide between uses

A

The unlicensed assistive personnel (UAP) reports to the registered nurse that a client admitted with pneumonia is very diaphoretic. The nurse reviews the following vital signs in the chart obtained by the UAP. The nurse should do which of the following? Select all that apply A. Assure the client is maintaining complete bed rest B. Check the urine output C. Ask the client to drink more fluids D. Notify the physician E. Administer acetaminophen (Tylenol) as prescribed

B,C,E

compresses A client is being discharged with nasal pack Sneeze and cough Use ' normal Gargle every 4 hours with salt water with mouth closed saline nose drops daily Perform frequent mouth care ing in place The nurse should instruct the client to :

A

Which of the following is an expected outcome of pursed-lip breathing for clients with emphysema? A. To promote oxygen intake. B. To strengthen the diaphragm. C. To strengthen the intercostal muscles. D. To promote carbon dioxide elimination.

D

Which of the following are significant data togather from a client who has been diagnosed with pneumonia? Select all that apply A. Quality of breath sounds B. Presence of bowel sounds C. Occurrence of chest pain D. Amount of peripheral edema E. Color of nail beds .

A, C, E

Clients who have had active tuberculosis are at risk for recurrence . Which of the following condi tions increases that risk? A. Cool and damp weather B. Active exercise and exertion C. Physical and emotional stress D. Rest and inactivity.

C

The nurse administers theophylline to client. When evaluation the effectiveness of this medication, the nurse should assess the client for which of the following? A. Suppression of the client's respiratory infection B. Decrease in bronchial secretions C. Less difficulty breathing D. Thinning of tenacious, purulent sputum

C

The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following? A. Decreased cardiac output B. Pleural effusion C. Inadequate peripheral circulation D. Decreased oxygenation of the blood

D

A client who has undergone outpatient nasal surgery is ready for discharge & has nasal packing in place. which of the following discharge instructions would be appropriate for this client? A. Avoid activities that elicit the Valsalva maneuver B. Take aspirin to control nasal discomfort. C. Avoid brushing the teeth until the nasal packing is removed D. Apply heat to the nasal area to control swelling.

A

The nurse is planning to teach a client wit hCOPD how to cough effectively. Which of the following instructions should be included? A. Take a deep abdominal breath, ben forward, and cough three or four times on exhalation. B. Lie flat on the back, splint the thorax, take two deep breaths, and cough C. take several rapid, shallow breaths and then cough forcefully D. Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing.

A

The nurse's assignment consists of four clients. Prioritize which patient the nurse should assess first after receiving report. A. An 85-year-old client with bacterial pneumonia, temperature of 102.2 °F (42° C), and shortness of breath . B. A 60-year-old client with chest tubes who is 2 days postoperative following a thoracotomy for lung cancer and is requesting something for pain. C. A 35-year old client with suspected tuberculosis who has a cough D. A-56-year old client with emphysema who has a scheduled dose of bronchodilator due to be administered, with no report of acute respiratory distress.

A

A clients ABG values are as follows: pH,7.31; PaO2, 80mm HG; PaCO2, 65 mm Hg; HCO3-, 36 mEq/L. The nurse should assess the client for: A. Cyanosis B. Flushed skin C. Irritability D. Anxiety

B

The nurse should teach clients that the most common route of transmitting tubercle bacilli from when person to person is through contaminated : A. Dust particles B. Droplet nuclei C. Water D. Eating utensils

B

The nurse should include which of the following instructions in the teaching plan for a client with chronic sinusitis? A. Avoid the use of caffeinated beverages . B. Perform postural drainage every day. C. Take hot showers twice daily. D. Report a temperature of 102 °F ( 38.9 ° C ) or higher.

C

A client with allergic rhinitis asks the nurse what to do to decrease the rhinorrhea. Which of the would be appropriate for the nurse to give. the client? A. " Use your nasal decongestant spray regularly to help clear your nasal passages." B."Ask the doctor for antibiotics. Antibiotics will help decrease the secretions." C. "Its important to increase your activity. A daily brisk walk will help promote drainage." D. "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks."

D

Which of the following diets would be most appropriate for client with COPD? A. Low-fat, low-cholesterol diet. B. Bland, soft diet. C. Low-sodium diet D. High-calorie, high-protein diet

D

Which of the following indicates that the Clint with COPD who has been discharged to home understand the care plan? A. The client promises to do pursed-lip_breating at home. B. The Clint states actions to reduce pain C> Th Clint will use oxygen via a nasal cannula at 5L/min D. The client agrees to call the physician if dyspnea on exertion increases

D

Which of the following measures would most likely be successful in reducing pleuritic chest pain in a client with pneumonia? A. Encourage the client to breathe shallowly B. Have the client practice abdominal bresting C. Offer the client incentive spirometry. D. Teach the client to splint the rib cage when coughing.

D

Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? The client will: A. Maintain a fluid intake of 800 mL every 24 hours. B. Experience chills only once a day C. Cough productively without chest discomfort. D. Experience less nasal obstruction and discharge.

D

A nurse is completing the health history for a client who has been taking echinacea for a head cold. the client asks, "Why ins't this helping me feel better?" Which of the following responses by the nurse would be the most accurate? A. "There is limited information as to the effectiveness of herbal products." B. "Antibiotics are the agents needed to treat a head cold." C. "the head cold should be gone within the month." D. "Combining herbal products with prescription antiviral medications is sure to help you."

A

In which areas of the United States and Canada is the incidence of tuberculosis highest? A. Rural farming areas B. Inner-city areas C. Areas where clean water standards are low D. Suburban areas with significant industrial pollution

B

The client with tuberculosis is to be discharged home with community health nursing follow-up. Of the following nursing interventions, which should have the highest priority? A. Offering the client emotional support. B. Teaching the client about the disease and its treatment. C. Coordinating various agency services. D. Assessing the client's environment for sanitation.

B

The nurse is instructing a client with COPD how to do pursed-lip breathing. What should the nurse tell the patient to do first? A. Breathe in normally through your nose for two counts (while counting to yourself, one, two)" B. "Relax your neck & shoulder muscles C. "Pucker your lips as if you were going to whistle." D. "Breathe out slowly through pursed lips for four counts (While counting to yourself, one, two, three, four)

B

The nurse is teaching a client who has been diagnosed with tuberculosis how to avoid spreading the disease to family members. Which statement(s) indicate(s) that the client has understood the nurse's instructions? Select all that apply. A. "I will need to dispose of my old clothing when I return home." B. "I should always cover my mouth and nose when sneezing" C. "It is important that I isolate myself from family when possible." D. "I should use paper tissues to cough in and dispose of them promptly." E. "I can use regular plates and utensils whenever I eat. "

B

The nurse reviews an arterial blood gas report for a client with chronic obstructive pulmonary disease (COPD). pH 7.35; PC02 62; PO2 70; HCO3 34 The nurse should first: A. Apply a 100% non-rebreather mask. B. Assess the vital signs. C. Reposition the client. D. Prepare for intubation.

B

The nurse teaches the client how to instill nose drops. Which of the following techniques is correct? A. The client uses sterile technique when handling the dropper. B. The client blows the nose gently before instilling drops. C. The client uses a new dropper for each instillation. D. The client sits in a semi-Fowler's position with the head tilted forward after administration of the drops.

B

The nurse is teaching client who has been diagnosed with tuberculosis how to avoid spreading the disease to family members. Which statement(s) indicate(s) that the client has understood the nurse's instruction. Select all that apply. A. "I will need to dispose of my old clothing when I return home" B. "I should always cover may mouth and nose when sneezing." C. "It is important that I isolate myself from family when possible." D. "I should use paper tissues to cough in and dispose of them promptly." E. "I can use regular plates & utensils whenever I eat."

B, D, E

A client with pneumonia is experiencing pleuritic chest pain. The nurse should assess the client for: A. A mild but constant aching in the chest B. Severe midsternal pain. C. Moderate pain that worsens on inspiration D. Muscle spasm pain that accompanies coughing

C

An elderly client had posterior packing inserted to control a severe nosebleed. After insertion of the packing, the client should be closely monitored for which of the following complications? A. Vertigo B. Bell's palsy C. Hypoventilation D. Loss of gag reflex

C

The nurse should caution sexually active female clients taking isoniazid (INH) that the drug has which of the following effects? A. Increases the risk of vaginal infection . B. Has mutagenic effects on ova . C. Decreases the effectiveness of hormonal contraceptives . D. Inhibits ovulation

C

A health care provider has just inserted nasal packing for a client with. epistaxis. The Clint is taking ramipril (Alsace) for hypertension. What should the nurse instruct the client to do? A. Use 81 mg of aspirin daily for relief of the discomfort B. Omit the next dose of ramipril (Altace) C. Remove the packing if there is difficulty swallowing D. Avoid rigorous aerobic exercise

D

After nasal surgery the client expresses concern about how to decrease facial pain and swelling while recovering at home. Which of the following discharge instructions would be most effective for decreasing pain and edema? A. Take analgesics every 4 hours around the clock B. Use corticosteroid nasal spray as needed to control symptoms C. Use a bedside humidifier while sleeping D. Apply cold compresses to the area

D

Penicillin has been prescribed for a client admitted to the hospital for treatment of pneumonia Prior to administering the first dose of penicillin the nurse should ask the client: A. "Do you have a history of seizures?" B. "Do you have any cardiac history?" C. "Have you had any recent infections?" D. "Have you had a previous allergy to penicillin?"

D

The client with a laryngectomy does not want his family to see him . He indicates that he thinks the opening in his throat is disgusting . The nurse should : A. Initiate teaching about the care of a stoma B. Explain that the stoma will not always look as it does now C. Inform the client of the benefits of family support at this time D. Explore why the client believes the stoma is "disgusting"

D

The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. Which of the flowing findings would be expected? A. Normal breath sounds B. Prolonged inspiration C. Normal chest movement D. Coarse crackles & rhonchi

D

The nurse is planning to give preoperative instructions to a client who will be undergoing rhinoplasty. Which of the following instructions should be included? A. After surgery, nasal packing will be in place for 7 to 10 days. B. Normal saline nose drops will need to be administered preoperatively C. The results of the surgery will be immediately obvious postoperatively D. Aspirin-containing medications should not be taken for 2 weeks before surgery .

D

The nurse should include which of the following instructions when developing a teaching plan for a client who is receiving isoniazid and rifampin (Rifamate) for treatment of tuberculosis? A. Take the medication with antacids B. Double the dosage if a drug dose is missed C. Increase intake of dairy products D. Limit alcohol intake

D

What is the rationale that supports multidrug treatment for clients with tuberculosis? A. Multiple drugs potentiate the drugs' actions. B. Multiple drugs reduce undesirable drug adverse effects. C. Multiple drugs allow reduced drug dosages to be given. D. Multiple drugs reduce development of resistant strains of the bacteria.

D

When instructing clients on how to decrease the risk of COPD, the nurse should emphasize which of the following? A. Participate regularly in aerobics. exercises B. Maintain a high-protein diet. C. Avoid exposure to people with known respiratory infections D. Abstain from cigarette smoking.

D

Which of the following family members exposed to tuberculosis would be at highest risk for contracting the disease? A. 45-year-old mother . B. 17-year-old daughter C. 8-year old son D. 76-year-old grandmother

D

Bed rest is prescribed for a client with pneumonia during the acute phase of the illness . The nurse should determine the effectiveness of bed rest by assessing the client's: A. Decreased cellular demand for oxygen. B. Reduced episodes of coughing C. Diminished pain when breathing deeply D. Ability to expectorate secretions more easily

A

A client has had surgery for a deviated nasal septum. Which of the following would indicate that was occurring even if the nasal drip par remained dry and intact? A. Nausea B. Repeated swallowing C. Increased respiratory rate D. Increased pain .

B

A client with COPD is experiencing dyspnea and has a low PaO2 level. The nurse plans to administer oxygen as prescribed. Which of the following statements is true concerning oxygen administration to a client with COPD? A. High oxygen concentrations will cause coughing and dyspnea. B. High oxygen concentrations may inhibit the hypoxic stimuli to create. C. Increased oxygen use will cause the client to become dependent on he oxygen. D. Administration of oxygen is contraindicated in clients who are using bronchodilators

B

A client with tuberculosis is taking Isoniazid (INH). To help prevent development of peripheral neuropathies, the nurse should instruct the client to: A. Adhere to a low -cholesterol diet. B. Supplement the diet with pyridoxine (vitamin B.) C. Get extra rest. D. Avoid excessive sun exposure

B

A client had a Mantoux test result of an 8-mm induration. The test is considered positive when the client A. Lives in a long-term care facility. B. Has no known risk factors. C. Is immunocompromised. D. Works as a health care provider in a hospital.

C

A client is receiving streptomycin in the treatment regimen of tuberculosis . The nurse should assess for: A. Decreased serum creatinine. B. Difficulty swallowing. C. Hearing loss. D. IV infiltration.

C

Postoperative nursing management of the client following a radical neck dissection for laryngeal cancer requires : A. Complete bed rest minimizing head movement B. Vital signs once a shift . C. Clear liquid diet started at 48 hours . D. Frequent suctioning of the laryngectomy tube .

D

Guaifenesin 300 mg four times a day has been prescribed as an expectorant. The doage strength of the liquid is 200 mg/5 mL . How many milliliters should the nurse administer for each dose?

7.5 mL

A 79-year-old client is admitted to the hospital with a diagnosis of bacterial pneumonia. While obtaining the client's health history, the nurse learns that the client has osteoarthritis, follows a vegetarian diet, and is very concerned with cleanliness. Which of the following would most likely be a predisposing factor for the diagnosis of pneumonia? A. Age B. Osteoarthritis C. Vegetarian diet D. Daily bathing

A

A client has just returned from the post anesthesia care unit after undergoing a laryngectomy Which of the following interventions should the Nurse include in the plan of care? A. Maintain the head of the bed at 30 to 40 degrees B. Teach the client how to use esophageal speech C. Initiate small feedings of soft foods D. Irrigate drainage tubes as needed

A

Which of the following is a priority coal for the client with COPD? A. Maintaining functional ability. B. Minimizing chest pain C. Increasing carbon dioxide levels in the blood. D. Treating infectious agents

A

Which of the following physical assessment findings are normal for client with advanced COPD? A. Increased anteroposterior chest diameter B. Under develped neck muscles C. Collapsed neck veins D. Increased chest excursions with respiration

A

Which of the following symptoms is common in clients with active tuberculosis? A. Weight loss B. Increased appetite C. Dyspnea on exertion D. Mental status changes

A

Which of the following techniques for administering the Mantoux test is correct? A. Hold the needle and syringe almost parallel to the client's skin B. Pinch the skin when inserting the needle C. Aspirate before injecting the medication. D. Massage the site after injecting the medication

A

The client with COPD is taking theophylline. The nurse should instruct the client to report which of the following sings of theophylline toxicity? Select all that apply. A. Nausea. B. Vomiting. C. Seizures. D. Insomnia. E. Vision changes

A, B, C, D

The nurse administers two 325 mg aspirin every 4 hours to a client with pneumonia. The nurse should evaluate the outcome of the administration of the drug by assessing which of the following? Select all that apply. A. Decreased pain when breathing. B. Prolonged clotting time. C. Decreased temperature. D. Decreased respiratory rate expectorate. E. Increased ability to expectorate secretions

A, C

What areas of education should the nurse provide employees in a factory making products ash cause respiratory irritation to reduce the risk of laryngeal cancer? **Select all that apply** A. Stopping smoking B. Using a HEPA filter in the home C. limiting alcohol intaka D. Brushing teeth after every meal E. Avoiding raising the voice to be heard over the noise in the factory

A, C

A nurse is teaching a client about taking antihistamines. Which of the following instructions should the nurse include in the teaching plan? **Select all that apply** A. Operating machinery and driving may be dangerous while taking antihistamines. B. Continue taking antihistamines even if nasal infection develops. C. The effect of antihistamines isn to felt until a day later. D. Do not use alcohol with antihistamines E. Increase fluid intake to 2,000 mL/day

A, D, E

A client with bacterial pneumonia is to be started on IV antibiotics. Which of the following diagnostic tests must be completed before antibiotic therapy begins? A. Urinalysis B. Sputum culture C. Chest radiograph D. Red blood cell count

B

An elderly client admitted with pneumonia and dementia has attempted several times to pull out the IV and Foley catheter. The nurse obtains a prescription for bilateral soft wrist restraints. Which nursing action is most appropriate? A. Perform circulation checks to bilateral upper extremities each shift. B. Attach the ties of the restraints to the bedframe. C. Reevaluate the need for restraints and document weekly. D. Ensure the restraint order has been signed by the physician within 72 hours.

B

Which of the following activities should the nurse teach the client to implement after the removal of nasal packing on the 2nd postoperative day ? A. Avoid cleaning the nares until swelling has subsided B. Apply water-soluble jelly to lubricate the nares C. Keep a nasal drip pad in place to absorb secretions D. Use a bulb syringe to gently irrigate nares

B

Which of the following home care instructions would be appropriate for a client with a laryngectomy? A. Perform mouth care every morning and evening B. Provide adequate humidity in the home. C. Maintain a soft, bland diet D. Limit physical activity to shoulder and neck exercises .

B

Which of the following is an expected outcome for an elderly client following treatment for bacterial pneumonia? A. A respiratory rate of 25 to 30 breaths/min B. The ability to perform activities of daily living without dyspnea. C. A maximum loss of 5 to 10 lb (2.27 to 4.53 kg) of body weight. D. Chest pain that is minimized by splinting the rib cage.

B

A client who has been diagnosed with tuberculosis has been placed on drug therapy. The medication regimen includes rifampin (Rifadin) Which of the following instructions should the nurse include in the client's teaching plan related to the potential adverse effects of rifampin? Select all that apply. A. Having eye examinations every 6 months B. Maintaining follow-up monitoring of liver enzymes C. Decreasing protein intake in the diet D. Avoiding alcohol intake E. The urine may have an orange color.

B, D, E

A client has had hoarseness for more than 2 weeks The nurse should: A. Refer the client to a health care provider for a prescription for an antibiotic B. Instruct the client to gargle with salt water at home . C. Assess the client for dysphagia . D. Instruct the client to take a throat analgesic .

C

A client with allergic rhinitis is instructed on the correct technique for using an intranasal inhaler. Which of the following statements would demonstrate to the nurse that the client understands the instructions? A "I should limit the use of the inhaler to early morning and bedtime use." B. "It is important to not shake the canister because that can damage the spray device." C. "I should hold one nostril closed while I insert the spray into the other nostril." D. "The inhaler tip is inserted into the nostril and pointed toward the inside nostril wall."

C

A client with pneumonia has a temperature of 102.6° F (39.2 ° C) is diaphoretic and has a productive cough The nurse should include which of the following measures in the plan of care? A. Position changes every 4 hours B. Nasotracheal suctioning to clear C. Frequent linen changes D. Frequent offering of a bedpan

C

The nurse is reading the results of a tuberculin skin test (see figure). The nurse should interpret the results as: A. Negative B. Needing to be repeated C. Positive D. False

C

The nurse teaches a client with COPD to asses for signs and symptoms of right-sided heart failure. Which of the following signs and symptoms should be included in the teaching plan? A. Clubbing of nail beds. B. Hypertension C. Peripheral edema D. Increased appetite

C

When caring for a client who is receiving an aminoglycoside antibiotic, the nurse should monitor which of the following laboratory values? A. Serum sodium B. Serum potassium C. Serum creatinine D. Serum calcium

C

Which of the following assessments is a priority immediately after nasal surgery? A. Assessing the client's pain. B. Inspecting for periorbital ecchymosis C. Assessing respiratory status D. Measuring intake and output

C

Which of the following mental status changes experiencing may occur when a client with pneumonia is first hypoxia? A. Coma B. Apathy C. Irritability D. Depression

C

A client who has had a total laryngectomy appears withdrawn and depressed. The client keeps the curtain drawn, refuses visitors, and indicates a desire to be left alone. Which nursing intervention would most likely be therapeutic for the client? A. Discussing the behavior with the spouse to determine the cause . B. Exploring future plans . C. Respecting the need for privacy . D. Encouraging expression of feelings nonverbally and in writing .

D

The nurse is reconciling the prescriptions for a a client diagnosed recently with pulmonary tuberculosis who is being admitted to the hospital for a total hip replacement (see medication prescription sheet) The client asks if it is necessary to take all of these medications while in the hospital. The nurse should: A. Request that the health care provider review the prescriptions for a duplication between istering isoniazid and ethambutol. B. Inform the client that all drugs will be discontinued until the client can eat solid foods. C. Ask the pharmacist to check for drug interactions between the rifampin and isoniazid. D. Tell the client that it is important to continue to take the medications because the combination of drugs prevents bacterial resistance.

D

The nurse is teaching a client how to manage a nosebleed Which of the following instructions would be appropriate to give the client? A. "Tilt your head backward and pinch your nose" B. "Lie down flat and place an ice compress over the bridge of the nose" C. "Blow your nose gently with your neck flexed" D. "Sit down lean forward and pinch the soft portion of your nose"

D

Pseudoephedrine (Sudafed) has been prescribed as a nasal decongestant. Which of the following is a possible adverse effect of this drug A. Constipation B. Bradycardia C. Diplopia D. Restlessness

D

Which of the following is an expected outcome for a client recovering from a total laryngectomy? The client will : A. Regain the ability to taste and smell food B. Demonstrate appropriate care of the gastrostomy tube C. Communicate feelings about body image changes D. Demonstrate sterile suctioning technique for stoma care

C

The nurse is providing follow - up care to a client with tuberculosis who does not regularly take the prescribed medication . Which nursing action would be most appropriate for this client ? A. Ask the client's spouse to supervise the daily administration of the medications. B. Visit the client weekly to verify compliance with taking the medication. C. Notify the physician of the client's noncom pliance and request a different prescription. D. Remind the client that tuberculosis can be fatal if it is not treated promptly .

A

The nurse is reviewing the history and physical and physician prescriptions on the chart of a newly admitted client. The nurse should first: A. Initiate airborne precautions B. Apply oxygen at 2 L per nasal cannula C. Collect a sputum sample D. Reassess vital signs

A

The nurse is suctioning a client who had a laryngectomy. What is the maximum amount of time the nurse should suction the client? A. 10 seconds B. 15 seconds C. 25 seconds D. 30 seconds

A

A client is receiving streptomycin for the treatment of tuberculosis. The nurse should assess the client for eighth cranial nerve damage by observing the client for: A. Vertigo B. Facial paralysis C. Impaired vision D. Difficulty swallowing

A

A client newly diagnosed with tuberculosis (TB) is being admitted with the prescription for isolation precautions for tuberculosis. The nurse should assign the client to which type of room? A. A room at the end of the hall for privacy . B. A private room to implement airborne precautions C. A room near the nurses ' station to ensure confidentiality D. A room with windows to allow sunlight

A

The client with pneumonia develops mild constipation and the nurse administers prescribed sodium docusate (Colace) This drug works by: A. Softening the stool . B. Lubricating the stool C. Increasing stool bulk D. Stimulating peristalsis

A

The nurse is making rounds and observes the client who had a tracheostomy tube inserted 2 days.(see figure below). The nursing policy manual recommends use of the gauze pad. The nurse should: A. Make sure the gauze pad is dry and the client is in a comfortable position . B. Ask the nursing assistant to tie the tracheostomy tube ties in the back of the client neck. C. Reposition the gauze pad around the stoma with the open end downwards. D. As a RN to change the ties and position another gauze pad around the stoma.

A

When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects: A. While inhaling through an open mouth. B. While exhaling through pursed lips. C. After exhaling but before inhaling. D. While taking a deep breath and holding it.

B

Which of the following statements should indicate to the nurse that a client has understood the discharge instructions provided after nasal surgery? A. "I should not shower until my packing is removed." B. "I will take stool softeners and modify my diet to prevent constipation." C. "Coughing every 2 hours is important to prevent respiratory complications." D. "It is important to blow my nose each day to remove the dried secretions."

B