Exam One - Chapter 22 Prep U

The nurse is caring for a client who is demonstrating signs of increased respiratory distress R/T laryngeal obstruction. The nurse is calling the physician to report on the client's condition. Which of the following will the nurse report? SATA

- ABGs reporting PaCO2 of 48 and PaO2 of 84 - Nasal flaring with abdominal retractions - Lung sounds of wheezing - Increased respiratory effort

Late complications of radiation therapy may include which of the following:

- Laryngeal necrosis - Edema - Fibrosis

The herpes simplex virus type 1, which produces a cold sore, has an incubation period of:

2 to 12 days

How much fluid is typically present between the pleurae, which surround the lungs, to prevent friction rub?

20mL or less

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

Amoxicillin

You are caring for a client who is 42 years-old and status post adenloidectomy. 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?

Edema of the upper airway -- this scenario does not indicate post operative bleeding

What bacterial pathogen is commonly associated with tonsillitis and adenoiditis, and pharyngitis?

Group A, beta-hemolytic streptococcus

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

Hoarseness for 2 weeks

The nurse is caring for a patient who had a total laryngectomy and has drains in place. When will thee nurse understand that the drains will most likely be removed?

When the patient has <30mL for 2 consecutive days

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?

an antiviral ageent such as acyclovir

A client has undergone a laryngectomy. The nurse notes evidence of wound break down. The nurse understands that the client is at high risk for developing

carotid artery hemorrhage

Enlarged adenoids causes:

noisy breathing

epistaxis

nosebleed

A client has acute bacterial rhinosinusitis for several weeks despite treatment. The nurse observes for a possible complication of the infection by assessing for:

nuchal rigidity