Non-Infectious Upper Respiratory

When providing preoperative education for a patient who is scheduled for a supraglottic partial laryngectomy, the nurse explains that which structures will be removed?

The hyoid bone, false cords, and the epiglottis

Which information does the nurse include in the education for a patient who is being discharged after undergoing a rhinoplasty? Select all that apply. One, some, or all responses may be correct.

"Avoid forceful coughing" "Use cool compresses on your nose, eyes, and face" "Laxatives may be taken to prevent straining" "Do not blow your nose for the first few days after the packing is removed"

The nurse provides discharge teaching for a patient who underwent inner maxillary fixation surgery for a mandibular fracture. Which statement made by the patient indicates effective learning?

"I will cut the wires if I vomit"

When reviewing the list of patients who are in the emergency department (ED), the team leader determines that it is appropriate to assign which patient to a nurse with no previous emergency experience who has completed 1 month of orientation?

A patient who takes warfarin with epistaxis and bleeding

The nurse questions which item that is listed on the plan of care for a patient who has received packing for a posterior nosebleed?

Administer ibuprofen 800 mg q8h prn for pain

Which is the priority nursing action for patients who have experienced facial trauma?

Airway assessment

Which are the two major risk factors for head and neck cancer, especially when in combination?

Alcohol and tobacco use

A patient presents to the emergency department (ED) 2 days after being hit in the nose with a baseball. The patient's x-ray reveals a displaced fracture of the nose. The nurse anticipates that which item will be included on the patient's plan of care?

Applying a cool compress and administering analgesic medication

During a follow-up office visit, a patient who was prescribed continuous positive airway pressure (CPAP) to treat obstructive sleep apnea (OSA) reports ongoing daytime sleepiness. How does the nurse respond?

Ask the patient whether the CPAP has been used consistently at night

Which intervention does the nurse perform immediately when a patient with a nasal fracture presents to the emergency department?

Assess for an airway obstruction

A patient is learning the supraglottic method of swallowing after a partial laryngectomy, and the nurse instructs the patient to perform which action immediately after placing food in the mouth?

Bear down

Which intervention does the nurse expect to find in the plan of care for a patient with mild obstructive sleep apnea (OSA)? Select all that apply. One, some, or all responses may be correct.

Change in sleeping position Weight reduction

Which is a symptom of obstructive sleep apnea (OSA)? Select all that apply. One, some, or all responses may be correct.

Daytime sleepiness Waking up tired Snores heavily

Which principle guides the nurse's teaching of a patient who has had surgical repair after facial trauma? Select all that apply. One, some, or all responses may be correct.

Depending on the metal used, the plates may interfere with MRI studies Wire cutters must be readily available if an inner maxillary fixation was performed The patient remains in fixed occlusion for 6-10 weeks

Which intervention listed on a standard laryngectomy plan of care is the most important for the nurse to accomplish during the immediate postoperative period?

Establish a means for communicating, such as a picture board, a computer or smart phone

When caring for a patient with posterior nasal bleeding and a gauze pack in the posterior nasal cavity, which initial action does the nurse take when the assessment findings include restlessness, anxiety, and an oxygen saturation of 92%?

Evaluate the position of the packing string

The nurse identifies that which intervention is appropriate when a patient is experiencing airway obstruction because of the tongue falling back or excessive secretions?

Extending the head and neck slightly

The nurse assesses a patient who has undergone nasal surgery and identifies that which finding should be reported to the health care provider immediately?

Frequent swallowing

Which factor differentiates cerebrospinal fluid (CSF) leakage from normal nasal secretions?

Glucose content

Which is an effect of obstructive sleep apnea (OSA) on body metabolism? Select all that apply. One, some, or all responses may be correct.

Impaired gas exchange Increased blood carbon dioxide level

The nurse includes which intervention on the plan of care for a patient who is undergoing rhinoplasty for a severe nasal fracture?

Instruct the patient on changing the moustache dressing

Which type of facial trauma is a maxillary and nasoethmoid complex fracture plus an orbital-zygoma fracture?

Le Fort III

Which action does the nurse take during the psychosocial assessment of a patient after a laryngectomy?

Listen for patient statements about social isolation

Which nursing action is the highest priority when caring for a patient with laryngeal trauma?

Maintaining a patent airway

The nurse obtains laboratory results for a patient that show the following: pH 7.24; bicarbonate 20; partial pressure of arterial oxygen (PaO 2) 82; and partial pressure of arterial carbon dioxide (PaCO 2) 35. These findings are consistent with which acid-base imbalance?

Metabolic acidosis

Which statement does the nurse recognize as accurate regarding obstructive sleep apnea (OSA)?

Occurs due to upper airway obstruction by the tongue

Which factor is monitored during a polysomnography for a patient suspected of having obstructive sleep apnea (OSA)? Select all that apply. One, some, or all responses may be correct.

Oxygen saturation Carbon dioxide exhalation Heart abnormalities Depth of sleep Respiratory efforts Muscle movement

Which principle about anterior versus posterior nasal bleeding does the nurse consider the priority?

Posterior bleeding is an emergency because it cannot be easily reached

Xerostomia is a condition associated with which type of treatment?

Radiation therapy

A patient having continuous nasogastric (NG) suction after abdominal surgery has become irritable and anxious with hyperreflexia, tachycardia, and tachypnea. Which action by the nurse is correct?

Request an order to evaluate serum electrolytes and turning off the NG suction

A laboratory report for a patient shows the following results: pH 7.32; bicarbonate 24 mEq/L; partial pressure of arterial oxygen (PaO 2) 77 mm Hg; and partial pressure of arterial carbon dioxide (PaCO 2) 48 mm Hg. These findings are consistent with which acid-base imbalance?

Respiratory acidosis

Laboratory results for a patient show the following: pH 7.48; bicarbonate 26; partial pressure of arterial oxygen (PaO 2) 90; and partial pressure of arterial carbon dioxide (PaCO 2) 32. These findings are consistent with which acid-base imbalance?

Respiratory alkalosis

Which is a cause of upper airway impairment associated with obstructive sleep apnea (OSA)? Select all that apply. One, some, or all responses may be correct.

Short neck Smoking Large uvula Obesity

The nurse suspects which type of injury when a patient with facial trauma as a result of a motor vehicle accident presents to the emergency department with extensive bruising behind the ears?

Skull fracture and brain trauma

The nurse assesses a patient with facial trauma and identifies that which clinical manifestation requires immediate attention?

Stridor

The nurse determines that which is the most suitable position for a patient with epistaxis?

Upright, leaning forward

Which statement about obstructive sleep apnea (OSA) is correct?

With OSA, increased carbon dioxide levels stimulate neural centers to awaken the sleeper.

Which factor assists the nurse in determining if fluid leaking from a patient's nose is cerebrospinal fluid (CSF) or normal nasal secretions? Select all that apply. One, some, or all responses may be correct.

Yellow halo ring on filter paper as the fluid dries Positive glucose test on a dipstick

Which electrolyte abnormality would the nurse anticipate when reviewing laboratory data for a patient admitted with metabolic acidosis?

hyperkalemia

Which condition is an indication for nasoseptoplasty?

nasal septum deviation