Exam #3 (CH 22 - Mgmt of Pts W/ Upper Resp Tract Disorders)

B

10. A pt playing softball was hit in the nose by the ball & has been determined to have an uncomplicated fractured nose with epistaxis. The nurse should prepare to assist the physician with what tasks? a. Preparing the patient for a septoplasty b. Applying nasal packing c. Administering nasal lavage d. Applying steroidal nasal spray

A, B, C

6. A pt 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? (Select all that apply.) a. Mastoiditis b. Otitis media c. Peritonsillar abscess d. Pericarditis e. Encephalitis

A

3. A patient has been diagnosed with acute rhinosinusitis caused by a bacterial organism. What antibiotic of choice for treatment of this disorder does the nurse anticipate educating the patient about? a. Amoxicillin-clavulanate (Augmentin) b. Cephalexin (Keflex) c. Azithromycin (Zithromax) d. Clarithromycin (Biaxin)

C

11. A patient prescribed a medication for hypertension started taking it 3 days ago & arrives in the emergency department with an edematous face and tongue and having a difficult time speaking. What medication is the nurse aware of that may produce this type of side effect? a. Metoprolol succinate (Toprol XL) b. Amlodipine (Norvasc) c. Enalapril (Vasotec) d. Valsartan (Diovan)

D

12. 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? a. Burning of the throat when hot liquids are ingested b. Enlarged cervical nodes c. Dysphagia d. Affected voice sounds

D

13. 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? a. Total laryngectomy b. Cordectomy c. Vocal cord stripping d. Partial laryngectomy

A

15. 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? a. When the patient has less than 30 mL for 2 consecutive days b. When the patient states that there is discomfort and requests removal c. When the drainage tube comes out d. In 1 week when the patient no longer has serous drainage

A, B, D

7. The nurse is educating the pt diagnosed with acute pharyngitis on methods to alleviate discomfort. What interventions should the nurse include in the information? (Select all that apply.) a. Apply an ice collar. b. Stay on bed rest during the febrile stage of the illness. c. Gargle with an alcohol-based mouthwash. d. Try a liquid or soft diet during the acute stage of the disease. e. Drink warm or hot liquids during the acute stage of the disease.

C

8. A patient comes to the clinic and is diagnosed with tonsillitis and adenoiditis. What bacterial pathogen does the nurse know is commonly associated with tonsillitis andadenoiditis? a. Gram-negative Klebsiella b. Pseudomonas aeruginosa c. Group A, beta-hemolytic streptococcus d. Staphylococcus aureus

A

9. 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? a. The nasal mucosa b. The buccal mucosa c. The frontal sinuses d. The tracheal mucosa

B

14. A patient with an advanced laryngeal tumor is to have radiation therapy. The patient tells the nurse, "If I am going to have radiation, I won't need surgery." What is the best response by the nurse? a. "That is correct. The radiation will eradicate the tumor and you won't have to have further treatment." b. "Radiation is used to shrink the tumor size and is an adjunct to surgery." c. "All patients have to have radiation before they have surgery. It is protocol." d. "You really don't have to have radiation but you won't have to have such invasive surgery if you have the radiation first."

B, C, D

1. A patient comes to the clinic with a cold & wants something to help relieve the symptoms. What should the nurse include in educating the patient about the uncomplicated common cold? (Select all that apply.) a. Tell the patient to take prescribed antibiotics to decrease the severity of symptoms. b. Inform the patient about the symptoms of secondary infection. c. Suggest that the patient take adequate fluids & get plenty of rest. d. Inform the patient that the virus is contagious for 2 days before symptoms appear & during the first part of the symptomatic phase. e. Inform the patient that taking an antihistamine will help to decrease the duration of the cold.

A

2. 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? a. An antiviral agent such as acyclovir b. An antibiotic such as amoxicillin c. An antihistamine such as Benadryl d. An ointment such as bacitracin

C, D, E

4. The nurse is educating a patient diagnosed with acute bacterial rhinosinusitis about interventions that may assist with symptom control. What should the nurse include in this information? (Select all that apply.) a. Take an over-the-counter nasal decongestant. b. Take an over-the-counter antihistamine. c. Ensure an adequate fluid intake. d. Increase the humidity in the home. e. Apply local heat to promote drainage.

A

5. 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? a. Group A, beta-hemolytic streptococci b. Gram-negative Klebsiella c. Pseudomonas aeruginosa d. Staphylococcus aureus