LS1- Week 4 Chapter 22 Management of Pt with Upper Respiratory Tract Disorders

The nurse knows that there are three types of chronic pahrnygitis. Which of the following is charaterized by numberous swollen lymph follices on the pharyngeal wall? a. Hypertrophic b. Chronic granular c. Atrophic d. Aphonia

b. Chronic granular

Which is a priority nursing intervention that the nurse should perform for a client who has undergone surgery for a nasal obstruction? a. Apply a warm pack postoperatively b. Ensure mouth breathing c. Apply pressure to the convex portion of the nose d. Provide a splint postoperatively

b. Ensure mouth breathing

The nurse is caring for a client receiving radiation therapy for laryngeal cancer. Which is a late complication of radiation therapy? a. Xerostomia b. Laryngeal necrosis c. Dysphasia d. Pain

b. Laryngeal necrosis

Which diagnositic test is used to confirm the diagnosis of maxillary and frontal sinusitis? a. MRI b. Sinus x-rays c .Sinus aspirates d. CT scan

b. Sinus x-rays

A client is being assessed for acut laryngitis. The nurse knows that clinical manifestations of acute laryngitis include a. a nonedematous uvula b. hoarseness c. a sore throat that feels worse in the evening d. a moist cough

b. hoarseness

Stiffiness of the neck or inability to bend the neck is referred to as a. xerostomia b. nuchal rigidity c. dysphagia d. aphonia

b. nuchal rigidity

The nurse in the ICU is caring for a client with a nasotracheal tube. Because of the tube placement, the nurse understands that the client is at risk for developing a. subperiosteal abscess b. sinus infection c. severe epistaxis d. orbital cellulitis

b. sinus infection

A 76-year old client presents to the ED reporting "laryngitis" The triage nurse should ask whether the client has a medical history that includes a. Respiratory failure (RF) b. Chronic obstructive pulmonary disease (COPD) c. Gastroesophageal reflux disease (GERD) d. Congestive heart failure (CHF)

c. Gastroesophageal reflux disease

Which is the priority nursing diagnosis for a client undergoing a laryngectomy? a. Anxiety and depression b. Imbalanced nutrition: Less than body requirements c. Ineffective airway clearance d. Impaired verbal communication

c. Ineffective airway clearance

When the nurse gives a client and family instructions after laryngeal surgery, which does the nurse indicate should be avoided? a. Wearing a scarf over the stoma b. Coughing c. Swimming d. Hand-held showers

c. Swimming

When a client has undergone a layngectomy and there is evidence of wound breakdown, the nurse monitors the client very carefully because of the high risk for a. dehydration b. pulmonary embolism c. carotid artery hemorrhage d. pneumonia

c. carotid artery hemorrhage

The nurse is providing dischage instructions for a client following laryngeal surgery. The nurse instructs the client to avoid a. a wearing a scarf over the stoma b coughing c. swimming d. wearing a plastic bib while showering

c. swimming

A college student presents to the health clinical with signs and symptoms of viral rhinitis (common cold). The patient states, "I've felt terrible all week; what can I do to feel better?" Which of the following is the best response the nurse can give? a. "your symptoms should go away soon, just try to get some rest" b."Antibiotics will be prescribed, which will make you feel better" c. Have you tried a topic nasal decongestant; they work well" d. "You should rest, increase your fluids, and take ibuprofen"

d. "You should rest, increase your fluids, and take ibuprofen"

The nurse is dicussing immediate postoperative communication strategies with a client scheduled for a total laryngectomy. What information will the nurse nurse include? a. "After surgery you will have a sore throat, but you will be able to speak" b. "After surgery you will have to use an electric larynx to communicate" c. "A speech therapist will evaluate you and recommend a system of communication after surgery" d. "you can use writing or a communication board to communicate"

d. "you can use writing or a communication board to communicate"

A client presents to the ED with suspected allergic reaction. The client is experincing laryngeal edema, which is causing obstruction, and is demonstrating retractions in the neck during inspiration. Which is the nurse's priority intervention? a. Prepare for endotracheal intubation with mechanical ventilation b. Prepare for immediate tracheostomy c. Apply 100% oxygen via a face mask d. Prepare to administer subcutaneous epinephrine and corticosteroids

d. Prepare to administer subcutaneous epinephrine and corticosteroids

The first-line antibiotic used to treat acute rhinosinusitis is a. cefuroxime b. amoxicillin-clavulanic acid c. cefprozil d. ampicillin

d. ampicillin

Which medication is the treatment of choice for bacterial pharyngitis? a. Tylenol with codeine b. Pencillin c. Robitussin DM d. Tylenol

b. Penicillin

The nurse is assessing a client in the clinic, and upon physical assessment the client demonstrates displacement of the sternum. This would be documented as which condition? a. Funnel chest b. Pigeon chest c. Barrel chest d. Kyphoscoliosis

b. Pigeon chest

Which clinical manifestation of hemorrhage is related to carotid artery rupture? a. Increased blood pressure b. Shallow respirations c. Increased pulse rate d. Dry skin

c. Increased pulse rate

The herpes simplex virus type 1 (HSV-1), which produces a cold sore (fever blister), has an incubation period of a. 20 to 30 days b. 1 to 3 months c. 3 to 6 months d. 2 to 12 days

d. 2 to 12 days

The nurse is caring for a client who underwent a laryngectomy. Which intervention will the nurse initially complete in an effort to meet the client's nutritional needs. a. Offer plenty of thin liquids b. Liberally season foods c. Encourage sweet foods d. Initiate enteral feedings

d. Initiate enteral feedings

Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion? a. Simple b. Central c. Mixed d. Obstructive

d. Obstructive

Which intervention regarding nutrition is implemented for clients who have undergone laryngectomy? a. Season food to suit an increased sense of taste and smell b. Offer plenty of thin liquids when intakes resumes c. Recommend the long-term use of zinc lozenges d. Use enteral feedings after procedure

d. Use enteral feedings after procedure

The nurse is caring for a client with allergic rhinitis. The client asks the nurse about measures to help decrease allergic symptoms. Which is the best response by the nurse? a."Take over-the-counter nasal decongestants when you experience symptoms" b. " You should try to reduce exposure to irritants and allergens" c. Be sure to receieve your influenza vaccination each year" d. "you need to see your ear, nose, throat specialisty monthly"

b. " You should try to reduce exposure to irritants and allergens"

The nurse assesses a client who is bleeding profusely from the nose. The nurse documents this finding as which condition? a. Dysphagia b. Epistaxis c. Xerostomia d. Rhinorrhea

b. Epistaxis

Another term for clergyman's sore throat is a. aphonia b. chronic granular pharyngitis c. hypertrophic pharyngitis d. atrophic pharyngitis

b. chronic granular pharyngitis

A late complication of radiation therapy is a. xerostomia b. laryngeal necrosis c. pain d. dysphasia

b. laryngeal necrosis

The nurse is caring for a client admitted to the ED with an uncomplicated nasal fracture. Nasal packing has been put in place. Which intervention should the nurse include in the client's care? a. Apply pressure t the convex of the nose b. Restrict fluid intake c. Apply an ice pack d Position the patient in side-lying position

c. Apply an ice pack

A client has undergone a laryngectomy. The nurse notes evidence of wound breakdown. The nurse understands that the client is at a high risk for developing a. Dehydration b. Pulmonary embolism c. Carotid artery hemorrhage d. Pneumonia

c. Carotid artery hemorrhage

The nurse is caring for a client diagnosised with rhinosinusitis. The physician has ordered the client to receive four sprays of budesonide (Rhinocort) in each nostril every morning. The nurse informs the client that a common side effect of this medication is a. Arthralgia b. Watery eyes c. Epistaxis d. Headache

c. Epistaxis

Stiffness of the neck or inablitiy to bend the neck is referred to as a. nuchal rigidity b. aphonia c. xerostomia d. dysphagia

a. nuchal rigidity

The nurse is caring for a client following a tonsillectomy and adenoidectomy. Two hours after the procedure, the client begins to vomit large amounts of dark blood at frequent intervals and is tachycardia and febril. After notifiying the surgeon, the nurse, a. obtains a light, mirror, gauze, and curved hemostats b. orally suctions the client, as needed c. stays with and closely monitor the client d. prepares for a needle aspiration

a. obtains a light, mirror, gauze, and curved hemostats

The nurse is providing discharge instructions to a client who has nasal packing in place following nasal surgery. Which discharge instructions would be most appropriate for the client? a. Avoid sports activities for 6 weeks b. Decrease the amount of daily fluids c. Administer normal saline nasla drops as order d. Take aspirin for nasal discomfort

a. Avoid sports activities for 6 weeks

A client who has an altered level of consciousness is receiving a tube feeding. Clients receiving tube feeding should be placed in which position? a. Semi-Fowler's or higher b. Side-lying c. Trendelenburg d. Supine

a. Semi-Fowler's or higher