Chapter 22 Prep U

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You are doing preoperative teaching with a client scheduled for laryngeal surgery. What should you teach this client to help prevent atelectasis? a) Encourage deep breathing every 2 hours. b) Caution against frequent coughing. c) Monitor for signs of dysphagia. d) Provide meticulous mouth care every 4 hours.

a) Encourage deep breathing every 2 hours.

A client recently diagnosed with laryngeal cancer and awaiting a laryngectomy was encouraged to attend a support group prior to surgery. The client asked the nurse about the name of the laryngeal speech method where the client speaks through the wall of the trachea with a device. The nurse is correct to provide teaching on which method? a) An artificial voice box b) A tracheoesophageal puncture c) Esophageal speech d) An electric larynx

b) A tracheoesophageal puncture

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) Apply a moustache dressing. c) Place the client in a semi-Fowler's position. d) Apply direct continuous pressure.

d) Apply direct continuous pressure.

A patient who has an altered level of conscious is receiving a tube feeding. Patients receiving tube feeding should be placed into which of the following positions? a) Supine b) Trendelenburg c) Side-lying d) Semi-Fowler's or higher

d) Semi-Fowler's or higher

A nurse is in the cafeteria at work. A fellow worker at another table suddenly stands up, leans forward with hands crossed at the neck, and makes gasping noises. The nurse first a) Exerts pressure against the worker's abdomen b) Places both arms around the worker's waist c) Makes a fist with one hand with the thumb outside the fist d) Stands behind the worker, who has hands across the neck

d) Stands behind the worker, who has hands across the neck

The antibiotic of choice utilized in the treatment of acute bacterial rhinosinusitis (ABRS) includes which of the following? a) Keflex (Cephalexin) b) Ceftin (Cefuroxime) c) Amoxicillin (Augmentin) d) Levofloxacin (Levaquin)

c) Amoxicillin (Augmentin)


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