Chapter 22: Management of Patients with Upper Respiratory Tract Disorders (2)

The nurse is obtaining a health history from a client with laryngitis. Which causative factor, stated by the client, is least likely? pg. 565

"I was chewing ice chips all day long."

Select the nursing diagnosis that would warrant immediate health care provider notification. pg. 576

Ineffective airway clearance related to excessive mucus production secondary to retained secretions and inflammation

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 in the cafeteria at work. A fellow worker at another table suddenly stands up, leans forward with hands crossed at the neck, and makes gasping noises. The nurse first pg. 579

Stands behind the worker, who has hands across the neck

A client is visiting the emergency department because of massive bleeding from the nose that will not stop. Blood is on the client's shirt, and bleeding from the nose continues. The nurse intervenes by pg. 569

Telling the client to sit upright with the head tilted forward

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."

Your client has a history of hoarseness lasting longer than 2 weeks. The client is now complaining of feeling a lump in their throat. What would you suspect this client has? pg. 572

Laryngeal cancer

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

A patient has had a laryngectomy and was able to retain his airway, with no difficulty swallowing. There is no split of thyroid cartilage. The nurse would record this type of laryngectomy as which of the following? pg. 573

Partial laryngectomy

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? pg. 573

Partial laryngectomy

When the nurse gives a client and family instructions after laryngeal surgery, which does the nurse indicate should be avoided? pg. 579

Swimming

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

The nurse should advise the patient who has nasal packing for epistaxis that the packing can be left in place: pg. 569

Anywhere from 2 to 6 days.

Which of the following is the most effective treatment for obstructive sleep apnea (OSA)? pg. 568

Continuous positive airway pressure (CPAP)

Which is a priority nursing intervention that the nurse should perform for a client who has undergone surgery for a nasal obstruction? pg. 570

Ensure mouth breathing

The nurse is obtaining a health history from a client on an annual physical exam. Which documentation should be brought to the physician's attention? pg. 572

Hoarseness for 2 weeks

You are caring for a client who is 42-years-old and status post adenoidectomy. You find the client in respiratory distress when you enter their room. You ask another nurse to call the physician and bring an endotracheal tube into the room. What do you suspect? pg. 563

Edema of the upper airway

A client undergoes a total laryngectomy and tracheostomy formation. On discharge, the nurse should give which instruction to the client and family? pg. 577

"Family members should continue to talk to the client."

A client seeks care for hoarseness that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question? pg. 572

"Do you smoke cigarettes, cigars, or a pipe?"

Which is the antibiotic of choice used to treat acute bacterial rhinosinusitis (ABRS)? pg. 557

Amoxicillin