Ch 13 Adaptive quiz
What are some important things that the nurse needs to teach the patient about decongestants?
.They may be contraindicated for those with glaucoma. Nasal spray overuse may cause rebound nasal congestion.y use them three or four times a day for no more than 3 days.
A patient is seen in the outpatient clinic with symptoms of sneezing, runny nose, headache, sore throat, lethargy, and fatigue. The diagnosis of acute viral rhinitis (common cold) was made by the nurse practitioner. The patient is requesting antibiotics for treatment of the cold. Which information should be included in the patient teaching?
A virus causes the common cold.
What is the most prevalent infectious disease among people of all ages?
Acute viral rhinitis
A patient with a streptococcal infection of the tonsils asks when a return to school is possible. At what time is the patient no longer considered contagious?
After 24 hours on antibiotics
When teaching a patient about reducing temporary edema after rhinoplasty, what should the nurse include in the teaching? <p>When teaching a patient about reducing temporary edema after rhinoplasty, what should the nurse include in the teaching?</p>
Apply cold compresses.
Which aspects of care should be implemented by the nurse for a patient during the first 2 hours after a tonsillectomy? Select all that apply.
Assess for bleeding Ice collar around throat Avoid eating potato chips
A patient reports frequent bleeding from one nostril. Which advice should the nurse provide to the patient to prevent recurrent hemorrhage?
Avoid blowing the nose vigorously."
A patient is diagnosed with the common cold. The nurse is teaching the patient infection-control measures to prevent the spread of the virus to others and to protect the patient from a secondary bacterial infection. What should the nurse tell the patient about infection control?
Avoid sharing drinking glasses and eating utensils with others. Wash your hands frequently for at least 20 seconds with soap. cover your mouth with a disposable tissue when you sneeze or cough. Avoid crowded places, especially during the first 3 days, when the cold is most contagious.
Which drug for allergic rhinitis and sinusitis is a first-generation antihistamine?
Brompheniramine
patient expresses concern about having throat cancer. What are the signs and symptoms of possible throat cancer? Select all that apply.
Difficulty swallowing Lumps and knots on the neck Sore throat that lasts more than 2 weeks
The nurse is collecting data from a patient who underwent a tracheostomy and hears crackles during auscultation of the lungs. What intervention may help this patient?
Encourage coughing and deep breathing in the patient.
Which upper respiratory system disorder is commonly called strep throat?
Follicular pharyngitis
Which instructions should the nurse include when teaching self-care to a patient with acute pharyngitis? Select all that apply.
Gargle with warm salt water. Use the prescribed antiseptic spray. Drink cool liquids or warm broth for comfort.
A patient with a sore throat is to have a throat culture to establish whether the infection is being caused by Streptococcus pyogenes. If it is a streptococcal infection and the patient is not treated, what may the patient be at risk for?
Glomerulonephritis
A patient's nose begins to bleed. Which action should the LPN/LVN take?
Have the patient apply direct pressure by pinching his nose for 10 to 15 minutes.
What are some common patient complaints associated with sinusitis?
Headache, fever, and malaise
A patient presents at the urgent care center complaining of severe throat pain "that's so bad I can hardly swallow. It feels really scratchy on the back of my throat". The patient is diagnosed with severe pharyngitis. What would the nurse include in patient teaching regarding this condition?
Increase fluid intake to 2500 mL a day.
Which patient instructions should be provided for a patient with sinusitis? Select all that apply.
Inhale moist steam. Increase fluid intake unless contraindicated. Use prescribed medications to promote drainage and relieve pain.
A patient will be discharged home with a tracheostomy. Which patient and family instruction is it most critical to provide?
It is best to have two people available to change the ties.
Which nursing intervention will assist with the prevention of necrosis of the tracheal wall for a patient who has a tracheostomy tube?
Keep the tracheostomy cuff inflated just enough to seal the trachea
What instruction should the patient be given if epistaxis begins?
Lean forward and apply direct pressure by pinching the soft portion of the nose for 10 to 15 minutes.
The nurse schedules a sleep study for a patient per the physician's order. The nurse understands that the importance of the study is to determine if the patient has sleep apnea. If left untreated, sleep apnea can contribute to what complications? Select all that apply.
Morning headaches Constant fatigue Myocardial infarction
The nurse is caring for a patient following a total laryngectomy. Which interventions should the nurse anticipate will be needed?
Perform tracheostomy care Maintain aspiration precautions Develop an alternate communication method
A patient presents with epistaxis. Which interventions are appropriate to control the bleeding? Select all that apply.
Place the patient in a sitting position with the head tilted forward. Apply direct pressure by pinching the entire soft lower portion of the nose. If the bleeding continues, insert a small gauze pad into the bleeding nostril.
A patient has returned to the room after rhinoplasty surgery for a severe nasal fracture. Which nursing action will prevent nasal and facial swelling?
Placing cool compresses on the nasal area
Which drug for allergic rhinitis and sinusitis is an oral decongestant?
Pseudoephedrine
The nurse is careful to teach the proper treatment of Streptococcus of the throat, because not properly treating it could result in what problem(s)? Select all that apply.
Rheumatic fever Glomerulonephritis
What are some causes of epistaxis?
Snorting cocaine Allergy inflammation Overuse of nasal sprays Dry mucous membranes
What is another name for follicular pharyngitis?
Strep throat
The nurse observes that, during lunch, a patient's face has suddenly contorted and the patient is grasping her throat with her hand. What action does the nurse take?
The nurse performs abdominal thrusts on the patient.
For the unconscious adult or the child who is more than 1 year old, what is the most common cause of airway obstruction?
Tongue
Which infection is usually bacterial in origin?
Tonsillitis
When educating a patient about managing sinusitis, which instructions should the nurse include? Select all that apply.
Use a steam inhaler. Take antibiotic agents as prescribed.
A patient with allergic rhinitis has been advised to use beclomethasone (Beconase) nasal spray to relieve symptoms. What instructions should be given to this patient about the use of corticosteroid nasal spray? Select all that apply.
Use the spray twice daily, as ordered. Discontinue use if nasal infection occurs.
A patient has been prescribed topical decongestants for sinusitis. What information should the nurse include when teaching the patient about this medication?
Use these medications for a maximum of 3 days.
What are some predisposing factors for cancer of the larynx?
alcohol abuse Cigarette smoking Human papillomavirus Working as a house painter for 35 years
What is the rationale for not prescribing antibiotics to treat the common cold?
antibiotics cannot treat a viral infection.
The nurse is caring for a patient with epistaxis. What immediate intervention should the nurse provide?
close the patient's nostrils, and ask the patient to breathe through the mouth.
The nurse is caring for a patient going to surgery for a tracheostomy. What is the purpose of a tracheostomy?
inserting a tube for breathing
During the early postoperative period after a rhinoplasty, what are some important nursing interventions? Select all that apply.
use a humidifier to decrease mucosal drying. Use cool compresses to decrease nose and facial swelling.
