Exam 27: Nursing Management: Upper Respiratory Problems

A patient returns from surgery with a tracheostomy tube after a total laryngectomy and radical neck dissection. In caring for the patient during the first 24 hours after surgery, the priority nursing action is to

A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, "How will I talk after the surgery?" The best response by the nurse is,

A patient with a tracheostomy is to use a fenestrated tracheostomy tube to provide for speech. Which of the following interventions will be included in the plan of care?

The nurse is obtaining a health history from a 67-year-old patient with a 40 pack-year smoking history, complaints of hoarseness and tightness in the throat, and difficulty swallowing. Which question is most important for the nurse to ask?

A patient who has been diagnosed with sleep apnea has CPAP ordered. Which of these nursing actions in the plan of care can the RN delegate to a nursing assistant?

A patient who has sleep apnea and has been using CPAP for 2 weeks returns to the sleep clinic and tells the nurse, "My sleep has not improved at all." Which response by the nurse is most appropriate?

When the nurse is deflating the cuff of a tracheostomy tube to evaluate the patient's ability to swallow, it is important to

The nurse is caring for a hospitalized 82-year-old patient who has nasal packing in place to treat a nosebleed. Which of these assessments will require the most immediate action by the nurse?

When teaching the patient with allergic rhinitis about management of the condition, the nurse explains that

The nurse notes all of these findings in a 76-year-old patient who has influenza. Which information will be most important to communicate to the health care provider?

A patient with laryngeal cancer has received teaching about radiation therapy. Which statement by the patient indicates that the teaching has been effective?

When the nurse removes a nasogastric (NG) tube that has been in place for 7 days, the patient develops a nosebleed. To control the bleeding, the nurse should initially

A spontaneously breathing patient who has a cuffed tracheostomy tube in place has new orders for speech therapy and a soft diet. To evaluate whether the patient can safely have the cuff deflated to promote speaking and make swallowing easier, the nurse deflates the cuff and then

When inflating the cuff on a tracheostomy tube to the appropriate level, the best action by the nurse will be to

The nurse is reviewing the charts for these patients who are scheduled in October for their yearly physical examinations. The nurse will plan on administration of the influenza vaccine injection to the

After teaching a patient with allergic rhinitis how to use a nasal inhaler, the nurse observes the patient self-administering a medication with the inhaler. Which patient action indicates that more teaching is needed?

A patient is discharged from the hospital with a tracheostomy tube for long-term airway management. The nurse determines that teaching related to care of the tracheostomy has been effective when the patient says,

A patient has undergone a rhinoplasty to correct nasal deformities resulting from trauma during an automobile accident. The nursing intervention that is most appropriate postoperatively is to

A nursing diagnosis of body image disturbance related to loss of control of personal care is identified for a patient with a total laryngectomy and radical neck dissection. The nurse evaluates that an expected outcome for the problem has been met when the patient

An RN is observing a nursing student who is suctioning a hospitalized patient with a tracheostomy in place. Which action by the student requires the RN to intervene?