Exam 30: Nursing Care of Patients With Upper Respiratory Tract Disorders

The nurse is providing care for a patient diagnosed with influenza. The patient has a fever, chills, sore throat, and a cough. Breath sounds include crackles and wheezes. For which reason will the nurse contact the physician?

The nurse is providing care for a patient immediately after a tonsillectomy. Which action by the nurse should be avoided?

The nurse is providing care for a patient who is 4 days postoperative for a laryngectomy. Which data about the patient indicates the need to modify the expected outcomes?

A patient is diagnosed with sinusitis and reports pain over the cheeks and upper teeth in addition to pain between and behind the eyes. The pain locations are indicative of inflammation in the maxillary and ___________ sinuses.

After positioning a patient with epistaxis, which action will the nurse take next?

The nurse is providing care for a patient who is hospitalized for complications from West Nile virus. Which data is most indicative that the patient is improving?

During the postoperative period, the nurse reinforces teaching to a patient recovering from a laryngectomy about how to live with a tracheostomy. Which information will the nurse review?

A patient returns to the observation area after outpatient septoplasty for a deviated septum. Which observation will most concern the nurse?

The nurse is caring for a patient who is malnourished due to throat cancer. During the hospital stay following a laryngectomy, how does the nurse conclude that the patient's diet is adequate?

A patient is diagnosed with nasal polyps. For which additional health problems should the nurse assess this patient? (Select all that apply.)

The nurse is collecting data from a patient with a sinus infection. The patient has purulent nasal drainage, fever, and pain over the cheeks and upper teeth. Which sinuses does the nurse identify as being involved in the patient's condition?

The nurse is previewing teaching information for a patient who is diagnosed with noncancerous, chronic laryngitis. Which topic is least useful in addressing modifiable causes of the patient's condition?

The nurse instructs a patient with a nosebleed to sit up and lean slightly forward. For which reason does the nurse teach the patient to maintain this posture?

A patient is demonstrating signs of pharyngitis. Which symptoms will the nurse expect to assess in this patient? (Select all that apply.)

The nurse is reviewing patient teaching with a patient scheduled for a laryngectomy. For which reason will the nurse reinforce careful use of narcotics for postsurgical pain management?

A patient is discharged from the emergency department after treatment for epistaxis. The physician orders that all home medications be continued. Which medication will the nurse question?

The release of histamine and other substances causes vasodilation and edema. The resulting inflammation of the nasal mucous membranes is called ________________.

The family of a patient awaiting a laryngectomy for cancer asks how the patient will communicate. Which explanation will the nurse provide to the family?

A patient reports having a cold to the nurse in a HCP's office. Which symptoms does the patient report that causes the nurse to suspect influenza instead? (Select all that apply.)

A patient sees an HCP for symptoms of viral rhinitis. Which treatments does the nurse expect to be prescribed for this patient? (Select all that apply.)