Respiratory Medsurg Course point

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

b. 2 to 12 days

The nurse is preparing the care plan for a patient who is scheduled for a laryngectomy. Which nursing diagnosis should receive the highest priority? a. Impaired verbal communication related to removal of the larynx b. Ineffective airway clearance related to surgical alterations in the airway c. Anxiety related to diagnosis of cancer d. Altered nutrition related to swallowing difficulties

b. Ineffective airway clearance related to surgical alterations in the airway

A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when he says: a. "I need to keep my inhaler at the bedside." b. "I should eat a high-protein diet." c. "I should become involved in a weight loss program." d. "I should sleep on my side all night long."

c. "I should become involved in a weight loss program."

A surgeon completes a total laryngectomy. Postoperatively, the nurse explains to the patient's family that: a. A portion of the vocal cord was removed. b. One vocal cord was removed along with a portion of the larynx. c. A permanent tracheal stoma would be necessary. d. The voice was spared and a tracheostomy would be in place until the airway was established.

c. A permanent tracheal stoma would be necessary.

A client comes into the Emergency Department with epistaxis. What intervention should you perform when caring for a client with epistaxis? a. Provide a nasal splint. b. Place the client in a semi-Fowler's position. c. Apply direct continuous pressure. d. Apply a moustache dressing.

c. Apply direct continuous pressure.

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. Take aspirin for nasal discomfort. b. Decrease the amount of daily fluids. c. Avoid sports activities for 6 weeks. d. Administer normal saline nasal drops as ordered.

c. Avoid sports activities for 6 weeks.

The nurse is caring for a client status post adenoidectomy. The nurse finds the client in severe respiratory distress when entering the room. What does the nurse suspect? a. Plugged tracheostomy tube b. Postoperative bleeding c. Edema of the upper airway d. Infection

c. Edema of the upper airway

A client reports nasal congestion, sneezing, sore throat, and coughing up of yellow mucus. The nurse assesses the client's temperature as 100.2°F. The client states this is the third episode this season. The highest priority nursing diagnosis is a. Acute pain related to upper airway irritation b. Deficient knowledge related to prevention of upper respiratory infections c. Ineffective airway clearance related to excess mucus production d. Deficient fluid volume related to increased fluid needs

c. Ineffective airway clearance related to excess mucus production

A client finished a course of antibiotics for laryngitis but continues to experience persistent hoarseness. Which symptom would cause the nurse to suspect laryngeal cancer? a. weight loss b. discomfort when drinking cold liquids c. a feeling of swelling at the back of the throat d. headaches in the morning

c. a feeling of swelling at the back of the throat

The nurse is obtaining a health history from a client with laryngitis. Which causative factor, stated by the client, is least likely? a. "I have environmental allergies." b. "I smoke a pack of cigarettes a day." c. "I used my voice in excess over the weekend." d. "I was chewing ice chips all day long."

d. "I was chewing ice chips all day long."

A client comes into the emergency department with epistaxis. What intervention should the nurse perform when caring for a client with epistaxis? a. Place the client in a semi-Fowler's position. b. Apply a moustache dressing. c. Provide a nasal splint. d. Apply direct continuous pressure.

d. Apply direct continuous pressure.

A patient has had a laryngectomy and was able to retain his airway, with no difficulty swallowing. There is no split of thyroid cartilage. The nurse would record this type of laryngectomy as which of the following? a.Hemilaryngectomy b. Supraglottic laryngectomy c. Total laryngectomy d. Partial laryngectomy

d. Partial laryngectomy

During a period of significant workplace stress, a patient has been experiencing the recurrence of viral rhinitis for the past several weeks and claims that he has been unable to fully recover from this cold. The nurse should recognize that this patient is at risk of developing: a. Epistaxis b. Epiglottitis c. Allergic rhinitis d. Rhinosinusitis

d. Rhinosinusitis

A client exhibits a sudden and complete loss of voice and is coughing. The nurse states a. "Do not smoke and avoid being around others who are smoking." b. "Do not use a humidifier; it will make your problem worse." c. "The 'tickle' in your throat will improve with cold liquids." d. "It is fine to speak in a whisper. This does not strain your voice."

a. "Do not smoke and avoid being around others who are smoking."

A client 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 client about? a. Amoxicillin-clavulanic acid b. Cefuroxime c. Clarithromycin d. Cephalexin

a. Amoxicillin-clavulanic acid

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 an ice pack. b. Position the patient in the side-lying position. c. Restrict fluid intake. d. Apply pressure to the convex of the nose.

a. Apply an ice pack.

The nurse is caring for a client diagnosed with enlarged adenoids. What condition is produced by enlarged adenoids? a. Noisy breathing b. Incrusted mucous membranes c. Hardened secretions d. Erosion of the trachea

a. Noisy breathing