Exam 27: Nursing Management: Upper Respiratory Problems

The teaching plan for a patient with acute sinusitis will need to include which of the following interventions (select all that apply)?

A patient with an uncuffed tracheostomy tube coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?

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?

After a patient has undergone a rhinoplasty, which nursing intervention will be included in the plan of care?

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 the following assessment findings will require the most immediate action by the nurse?

A patient who had a total laryngectomy has a nursing diagnosis of hopelessness related to loss of control of personal care. Which information obtained by the nurse is the best indicator that the problem identified in this nursing diagnosis is resolving?

The nurse obtains the following assessment data 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 teaching the patient with allergic rhinitis about management of the condition, the nurse explains that

After completing discharge instructions for a patient with a total laryngectomy, the nurse determines that additional instruction is needed when the patient says,

When the nurse is caring for a patient who has had a total laryngectomy and radical neck dissection during the first 24 hours after surgery, what is the priority nursing action?

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

The nurse enters the room of a patient who has just returned from surgery for a total laryngectomy and radical neck dissection and notes the following problems. In which order should the nurse address the problems? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________ A) The nasogastric ( NG ) tube is disconnected from suction and clamped off. B) The patient is in a side-lying position with the head of the bed flat. C) The Hemovac in the neck incision contains 200 mL of bloody drainage. D) The patient is coughing blood-tinged secretions from the tracheostomy.

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,

Which of these nursing actions can the RN working in a long-term care facility delegate to an experienced LPN/LVN who is caring for a patient with a permanent tracheostomy?

The nurse is reviewing the charts for five patients who are scheduled for their yearly physical examinations in October. Which of the following patients will require the inactivated influenza vaccination (select all that apply)?

Which of these patients in the respiratory disease clinic should the nurse assess first?

Which action should the nurse take first when a patient develops a nosebleed?

After discussing management of upper respiratory infections (URI) with a patient who has acute viral rhinitis, the nurse determines that additional teaching is needed when the patient says