AH Chap 22 Prep U

A client seeks care for hoarseness that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question? a. do you smoke? b. do you consume spicy foods? c. do you eat alot of red meat?

a. do you smoke?

A nurse takes the initial history of a patient who is being examined for cancer of the larynx. Select the sign that is considered an early clinical indicator. a. hoarseness lasting longer than 2 wk b. dysphasia c. dyspnea d. weight loss

a. hoarseness lasting longer than 2 wk others occur later

The nurse is caring for a client with allergic rhinitis. The patient asks the nurse about measures to help decrease allergic symptoms. The best response by the nurse is which of the following? a. reduce exposure to irritants/allergens b. get annual influenza vaccination c. carry OTC to treat exacerbations

a. reduce exposure to irritants/allergens

A nurse is providing instructions for the client with chronic rhinosinusitis. The nurse accurately tells the client: a. sleep w. head of bed elevated b. use saline irrigation once a day c. maintain normal caffeine consumption d. decrease alcohol intake

a. sleep w. head of bed elevated

Which of the following is a priority nursing intervention that the nurse should perform for a patient who has undergone surgery for a nasal obstruction? a splint should be provided b. apply pressure to convex portion of nose c. ensure mouth breathing

convex portion of nose c. ensure mouth breathing other options are used during nasal fracture

client you are caring for has just been told they have advanced laryngeal cancer. What is the treatment of choice? a. chemo b. radiation c. partial laryngectomy d. total laryngectomy

d. total laryngectomy

A 62-year-old male client with a history of chronic laryngitis arrives at the clinic complaining of a hoarseness "he can't shake." The nurse is aware that this client may be at risk for which of the following conditions?

laryngeal cancer

A patient is diagnosed as being in the early stage of laryngeal cancer of the glottis with only 1 vocal cord involved. For what type of surgical intervention will the nurse plan to provide education?

partial laryngectomy

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

b. carotid artery hemorrhage

A client undergoes a total laryngectomy and tracheostomy formation. On discharge, the nurse should give which instruction to the client and family? a. clean the tracheostomy tube w. alcohol and water b. family members should cont. to talk to pt c. pt should decrease fluid intake d. pt should decrease intake of protein

b. family members should cont. to talk to pt tube should be cleaned w. hydrogen peroxide + saline fluid + protein intake should be encouraged