NURS 3230 Upper Respiratory Quiz

A client has received packing for a posterior nosebleed. In reviewing the client's orders, which order does the nurse question? A. Give ibuprofen 800 mg every 8 hours as needed for pain." B. "Encourage bedrest, with the head of the bed elevated 45-60 degrees." C. "Provide humidified air." D. "Suction at the bedside."

A

A client has an anterior nosebleed. What nursing actions would be important interventions for safe and quality care? Select all that apply. A. Be certain to maintain Body Substance or Standard Precautions. B. Apply pressure to the bridge of the nose to decrease bleeding. C. Instruct the client not to blow the nose for 24 hours after bleeding ceases. D. Watch the client closely for indications of change in oxygenation. E. Keep the client calm to reduce anxiety and elevated blood pressure.

A, C, E

The RN is observing a new nurse providing care for a client admitted with anterior epistaxis (nosebleed). What actions taken by the new nurse are appropriate for this client? Select all that apply. A. Place the client in a supine position. B. Apply direct lateral pressure to the nose for 10 minutes. C. Maintain Universal Body Substances Precautions. D. Apply ice or cool compresses to the nose. E. Instruct the client not to blow the nose for 24 hours.

B, D, E

A client who has just had a nosebleed successfully stopped using gauze packing will be sent home from the emergency department. Which statement by the client indicates a need for further teaching about self-care at home? A. "I may use saline nasal spray to moisturize my nose." B. "I should apply petroleum jelly to my nose." C. "I should not blow my nose for the next 6 hours." D. "I will not lift heavy objects for at least a month."

C

A client is hospitalized with posterior nasal bleeding and has a gauze pack in the posterior nasal cavity. The nurse assesses the client and notes restlessness and anxiety and an oxygen saturation of 92%. Which initial action by the nurse is correct?

Evaluate the position of the packing string

The abdominal thrust maneuver (formerly known as the Heimlich maneuver) for acute airway obstruction attempts to achieve which outcome?

Expel the air remaining in the victim's lungs

The nurse assesses that an unconscious client is struggling to breathe. What is the nurse's first action?

Extend the client's head and neck

A client calls the nurse to report a nosebleed that started with a sneeze. What does the nurse do first?

Position the client upright and leaning forward over an emesis basin

Which principle about anterior versus posterior nasal bleeding must the nurse consider the priority?

Posterior bleeding is an emergency because it cannot be easily reached