Chapter 31--Upper Airway Dysfunction: Nursing Management

Document Content and Description Below

Chapter 31--Upper Airway Dysfunction: Nursing Management MULTIPLE CHOICE 1. A child is diagnosed with severe allergic rhinitis. Which of the following manifestations would the nurse most likely ... assess in this client? 1. Edematous neck glands 2. Reduced hearing 3. Pruritis 4. Frequent wiping of the nose with the palm of the hand PTS: 1 DIF: Analyze REF: Allergic Rhinitis: Assessment with Clinical Manifestations 2. A client tells the nurse that she experiences a stuffy nose, nasal pain, and postnasal drip every time she works in her company’s office. Which of the following types of allergic rhinitis is this client most likely experiencing? 1. Infectious 2. Perennial 3. Occupational 4. Seasonal PTS: 1 DIF: Analyze REF: Table 31-1 Types of Allergic Rhinitis 3. A client asks the nurse if there is an antihistamine that does not cause drowsiness. Which of the following medications would this client most likely prefer to treat allergic rhinitis? 1. Diphenhydramine 2. Chlorpheniramine maleate 3. Clemastine 4. Fexofenadine PTS: 1 DIF: Apply REF: Table 31-3 Medications Used in Treatment of Rhinitis 4. A client diagnosed with hypertension is experiencing allergic rhinitis. The nurse realizes that the medication that would not be indicated for this client would be: 1. loratadine. 2. montelukast. 3. pseudoephedrine. 4. zafirlukast. PTS: 1 DIF: Analyze REF: Table 31-3 Medications Used in Treatment of Rhinitis 5. A 16-year-old client is being prescribed a medication to treat acute sinusitis. The nurse realizes that this client should not be prescribed: 1. amoxicillin. 2. cefuroxime. 3. ciprofloxacin. 4. erythromycin. PTS: 1 DIF: Analyze REF: Acute Sinusitis: Pharmacology 6. The nurse is caring for a client diagnosed with acute sinusitis. Which of the following symptoms is the client most likely experiencing? 1. Anosmia 2. Fever 3. Halitosis 4. Metallic taste PTS: 1 DIF: Apply REF: Acute Sinusitis: Assessment with Clinical Manifestations 7. The nurse is planning care for the client diagnosed with viral rhinitis. Which of the following would be the best goal of care for this client? 1. Prevent secondary bacterial infection. 2. Prevent rhinitis medicamentosa. 3. Refrain from use of analgesics. 4. Encourage complete participation in activities. PTS: 1 DIF: Apply REF: Viral Rhinitis: Planning and Implementation 8. The nurse is instructing the mother of a client recovering from a tonsillectomy. Which of the following should the nurse instruct the mother to report? 1. Difficulty swallowing 2. Difficulty talking 3. Excessive swallowing 4. Pain PTS: 1 DIF: Apply REF: Tonsillitis and Adenoiditis: Planning and Implementation 9. Which of the following should the nurse instruct a client recovering from a tonsillectomy? 1. Drink milk to promote healing. 2. Gargle with salt water. 3. Maintain good hydration. 4. Use a straw to drink. PTS: 1 DIF: Apply REF: Tonsillitis and Adenoiditis: Planning and Implementation 10. A client is experiencing epistaxis. Which of the following interventions would the nurse complete? 1. Call the doctor. 2. Check laboratory test results. 3. Obtain an emesis basin. 4. Show the patient how to pinch the nose. PTS: 1 DIF: Apply REF: Epistaxis: Planning and Implementation 11. A client has been diagnosed with stage IV cancer of the larynx. The nurse realizes that which of the following surgeries is recommended for this type of cancer? 1. Hemilaryngectomy 2. Partial laryngectomy 3. Supraglottic laryngectomy 4. Total laryngectomy PTS: 1 DIF: Analyze REF: Laryngeal Obstruction: Surgery 12. A client is recovering from a total laryngectomy with the placement of a tracheostomy. The nurse should include which of the following instructions to this client? 1. Clean the tracheostomy tube with soap and water daily. 2. Limit protein in the diet. 3. Restrict fluids. 4. The nasogastric tube will be in for 2 weeks. PTS: 1 DIF: Apply REF: Laryngeal Obstruction: Nutrition 13. A client diagnosed with viral rhinitis tells the nurse that she has been using a decongestant nasal spray for several weeks and the symptoms are getting worse. Which of the following does the nurse suspect is occurring with this client? 1. Developing pneumonia 2. Subacute rhinitis 3. Rhinitis medicamentosa 4. Chronic otitis media PTS: 1 DIF: Analyze REF: Viral Rhinitis: Planning and Implementation MULTIPLE RESPONSE 1. The nurse is teaching a client how to use a nasal spray. Which of the following should be included in these instructions? (Select all that apply.) 1. Blow the nose before instilling the spray. 2. Tilt the head back and angle the tip of the bottle to the side of the nostril. 3. Use a finger to occlude the nostril that is not receiving the spray. 4. Inhale gently and evenly while discharging the spray into the nostril. 5. If a second spray is recommended, immediately repeat the procedure. 6. Blow the nose after administration of the spray. PTS: 1 DIF: Apply REF: Patient Playbook: Installation of Nasal Spray 2. A client has been diagnosed with allergic rhinitis. Which of the following should the nurse instruct the client regarding strategies to avoid this disorder? (Select all that apply.) 1. Remove home carpeting 2. Reduce the use of an air conditioner 3. Remove pets from the home 4. Open windows in the spring and summer 5. Use feather pillows 6. Wash bed linens in cold water PTS: 1 DIF: Apply REF: Nursing Strategy: Allergy Avoidance Measures 3. A client is demonstrating signs of chronic sinusitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Facial pain 2. Fever 3. Headache 4. Toothache 5. Fatigue 6. Swollen neck glands PTS: 1 DIF: Apply REF: Chronic Sinusitis: Assessment with Clinical Manifestations 4. With which of the following can the nurse instruct a client who is experiencing pain from a sore throat? (Select all that apply.) 1. Gargle with warm salt water. 2. Eat salty foods. 3. Suck on hard candy. 4. Drink fluids. 5. Avoid citrus fruits. 6. Suck on popsicles. PTS: 1 DIF: Apply REF: Patient Playbook: Easing Sore Throat Pain 5. A client is demonstrating signs of peritonsillar abscess. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Bradypnea 2. Drop in blood pressure 3. Hot potato voice 4. Trismus 5. Dysphagia 6. Sore throat PTS: 1 DIF: Apply REF: Peritonsillar Abscess: Assessment with Clinical Manifestations [Show More]

Last updated: 3 years ago

Preview 1 out of 6 pages