Chapter 22 Management of Patients With Upper Respiratory Tract Disorders Book Review Exam 2

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?

"Radiation is used to shrink the tumor size and is an adjunct to surgery"

A patient comes to the clinic reporting symptoms of the common cold and 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.)

- Inform the patient about the symptoms of secondary infection - Suggest that the patient take adequate fluids and get plenty of rest - Inform the patient that the virus is contagious for 2 days before symptoms appear and during the first part of the symptomatic phase

A patient 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.)

- Mastoiditis - Otitis media - Peritonsillar abscess

The nurse is assessing a patient who smokes two 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?

Affected voice sounds

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 agent such as acyclovir

Medication therapy for allergic and nonallergic rhinitis focuses on ________________________

symptom relief

The most common cause of laryngitis is _________________

viral

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?

Amoxicillin-clavulanate

A patient playing softball was hit in the nose by the ball and has been determined to have an uncomplicated fractured nose with epistaxis. The nurse should prepare to assist the health care provider with what tasks?

Applying nasal packing

A patient comes to the clinic reporting a sore throat and is diagnosed with acute pharyngitis. Which causative bacteria does the nurse anticipate was the cause of the acute pharyngitis?

Group A, beta-hemolytic streptococci

Name four bacterial organisms that account for more than 60% of all cases of acute rhinosinusitis:

Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus, Moraxella catarrhalis

A patient comes to the clinic reporting a possible upper respiratory infection. What should the nurse assess that would indicate that an upper respiratory infection may be present?

The nasal mucosa

A patient arrives in the emergency department with an edematous face, tongue, and difficulty breathing after starting a new medication for hypertension. When reviewing medication, which antihypertensive would the nurse suspect as the causative factor?

Enalapril

Cordectomy

Excision of the vocal cord for lesions in the middle third of the vocal cord

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 and adenoiditis?

Group A, beta-hemolytic streptococcus

Lasersurgery

Microelectrodes are used for surgical resection of smaller laryngeal tumors

______________ remain the most common treatment for rhinitis and are administered for sneezing, pruritus, and rhinorrhea.

Antihistamines

The most serious complication of a tonsillectomy is ____________

hemorrhage

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?

When the patient has less than 30 mL for 2 consecutive days

The most common cause of laryngitis is viral, with symptoms including ____________________

hoarseness, aphonia, severe cough

Partial laryngectomy

Portion of the larynx is removed, along with one vocal cord, and the tumor

Vocal cord stripping

Removal of the mucosa on the edge of the vocal cord

Explain how rhinitis can lead to rhinosinusitis.

Rhinitis causes the nasal passages to become inflamed, congested, and edematous. The swollen conchae block the sinus openings and cause sinusitis.

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.)

- Ensure an adequate fluid intake - Increase the humidity in the home - Apply local heat to promote drainage

The nurse is educating the patient diagnosed with acute pharyngitis on methods to alleviate discomfort. What interventions should the nurse include in the information? (Select all that apply.)

- Apply an ice collar - Stay on bed rest during the febrile stage of the illness - Try a liquid or soft diet during the acute stage of the disease

Rhinosinusitis is classified by duration of symptoms as _______________________

acute, subacute, chronic

Total laryngectomy

Complete removal of the larynx

A patient is diagnosed as being in the early stage of laryngeal cancer of the glottis with only one vocal cord involved. For what type of surgical intervention will the nurse plan to provide education?

Partial laryngectomy

_________________ is the most common major suppurative complication of sore throat.

Peritonsillar abscess