Chapter 13

What is the contagion period of a cold? -7 days -4 days -2 days -3 days

-3 days

Which statement is most important for the nurse to make when caring for an anxious patient with a new tracheostomy? -"I will be efficient and give care quickly." -"I have cared for patients who were able to have the tracheostomy reversed." -"I will wait until your tracheostomy heals before teaching." -"I understand that you might be apprehensive."

-"I understand that you might be apprehensive."

The nurse is caring for a patient with sleep apnea. The patient complains that he is constantly fatigued. Which response is most appropriate for the nurse to make? -"Patients with sleep apnea often wake frequently during the night." -"Patients with sleep apnea experience oxygen overloads, which lead to drowsiness." -"Patients with mild sleep apnea benefit from a small amount of red wine right before bed." -"All patients have difficulty sleeping properly in the hospital."

-"Patients with sleep apnea often wake frequently during the night."

The clinic nurse is giving discharge instructions to the mother of a 10-year-old boy who has been diagnosed with a mild cold. Which statements indicate that the mother accurately understands the nurse's instructions? Select all that apply. -"Since his cold symptoms just started, zinc lozenges may be helpful for him to take." -"I will be sure he drinks plenty of apple and orange juice." -"If he runs a fever, I will give him two aspirin every 4 hours until his fever comes down." -"I will be sure he takes the entire prescription of antibiotic." -"I will be sure he washes his hands well so he doesn't pass this cold on to his younger sister."

-"Since his cold symptoms just started, zinc lozenges may be helpful for him to take." -"I will be sure he drinks plenty of apple and orange juice." -"I will be sure he washes his hands well so he doesn't pass this cold on to his younger sister."

The nurse is caring for a patient who has had a cold for 1 week. The patient questions why the health care provider issued a prescription for an antibiotic. Which explanation is best? -"The antibiotic will help to reduce your symptoms." -"The antibiotic will treat the secondary bacterial infection that has developed." -"The antibiotic will decrease the amount of time for which you are contagious." -"The antibiotic will cure your cold."

-"The antibiotic will treat the secondary bacterial infection that has developed."

The student nurse is caring for a patient with a restrictive respiratory disease. Which description demonstrates the student's knowledge of the disease? -"The disease is characterized by decreased lung expansion." -"The disease is characterized by an obstruction in the lungs." -"The disease is characterized by increased lung volumes." -"The disease is characterized by narrowed tracheobronchial tree openings."

-"The disease is characterized by decreased lung expansion."

The 79-year-old patient with bacterial pneumonia becomes increasingly restless, confused, and agitated. The patient's temperature is 100° F, and his pulse, blood pressure, and respirations are elevated since the last assessment 6 hours ago. What action should the nurse take first? -Auscultate the patient's lungs. -Assess the patient's oxygen saturation. -Administer the mild sedative as ordered -Administer an ordered analgesic for discomfort.

-Assess the patient's oxygen saturation.

The nurse is teaching an adult post-tonsillectomy patient. Which dietary instructions are most important for the nurse to include? Select all that apply. -Avoid milk products -Avoid hot fluids. -Increase intake of citrus fruits. -Avoid foods with red dye. -Use a straw to drink liquids.

-Avoid hot fluids. -Avoid foods with red dye.

The nurse is teaching a patient with a newly resolved episode of epistaxis. Which information is important for the nurse to include? Select all that apply. -apply a warm compress for 20 min every hour -Avoid rubbing the nose -Avoid sneezing -Rest for several hours until all threat of epistaxis is gone

-Avoid rubbing the nose -Avoid sneezing -Rest for several hours until all threat of epistaxis is gone

The nurse is aware that the patient seeking antibiotic treatment for pharyngitis will only receive the desired medication if the condition is caused by what type of pathogen? -A virus -Bacteria -Protozoa -Fungi

-Bacteria

The nurse is assessing the patient with influenza. The patient reports having general malaise and aching muscles over the past 2 weeks. The nurse suspects that the patient may have developed which complication of influenza? -Urinary infection -Bacterial pneumonia -Bronchitis -Encephalitis

-Bacterial pneumonia

Through which method(s) can influenza spread? Select all that apply -Droplets -Blood-borne method -Vector -Indirect contact -Direct contact

-Droplets -Indirect contact -Direct contact

The nurse is caring for a patient with suspected sinusitis. Which assessment finding supports this diagnosis? -Clear drainage from the ear. -Ear pain when lying down -Generalized pain in the upper teeth. -Maxillary sinuses nontender on percussion.

-Generalized pain in the upper teeth.

The nurse is caring for a patient experiencing epistaxis. What action should the nurse take first? -Instruct the patient to sit forward and pinch the nose below the bone -Apply a cold compress. -Firmly pack the nostrils with gauze. -Obtain the patient's vital signs.

-Instruct the patient to sit forward and pinch the nose below the bone

The nurse is caring for a 20-year-old patient who recently underwent a tonsillectomy. The patient is fully awake and clearing his throat frequently but denies pain. Which action is most important for the nurse to take first? -Offer the patient a grape popsicle. -Remove the straw from the patient's tray. -Look in the patient's mouth. -Place the patient in a side-lying position.

-Look in the patient's mouth.

The nurse is assessing an older adult with a family tendency of developing laryngeal cancer. The nurse should ask the patient about which risk factors? -Occupational exposure to wood dust -History of smoking -Exposure to asbestos -Infection with Streptococcus bacteria -Alcohol abuse

-Occupational exposure to wood dust -History of smoking -Exposure to asbestos -Alcohol abuse

A patient who experienced high fever and chills, a productive cough, chest pain, general malaise, and aching muscles during the past week is admitted to the hospital. The nurse realizes these symptoms correspond most closely with which disease? -Streptococcus empyema -Pneumonia -Type A influenza -Pleurisy with effusion

-Pneumonia

The nurse is caring for a patient with viral pneumonia. Which intervention(s) should the nurse expect to be included in the care plan? Select all that apply. -Providing adequate rest periods -Providing oral hygiene before and after meals -Maintaining adequate fluid intake -Administering organism-specific antibiotics -Monitoring vital signs and respiratory status

-Providing adequate rest periods -Providing oral hygiene before and after meals -Maintaining adequate fluid intake -Monitoring vital signs and respiratory status

The nurse is caring for a patient during the immediate postoperative period following a rhinoplasty. Which finding is most concerning to the nurse? -The patient complains of nausea. -The patient complains of being cold and chilled. -The nurse notices the patient is swallowing frequently -The nurse notices drainage on the nasal drip pad.

-The nurse notices the patient is swallowing frequently

Which action(s) may help to reduce the risk of transmitting a common cold? Select all that apply. -Drink juices with vitamin C. -Turn the head to the crook of the arm when coughing. -Use saline nose sprays. -Cover the mouth and nose when sneezing. -Wash the hands frequently.

-Turn the head to the crook of the arm when coughing. -Cover the mouth and nose when sneezing. -Wash the hands frequently.