Exam 29: Nursing Management Upper Respiratory Problems

The nurse is caring for a hospitalized older adult client who has posterior nasal packing in place to treat a nosebleed. Which of the following assessment findings will require the most immediate action by the nurse?

The nurse is caring for a client who has had a total laryngectomy and radical neck dissection. During the first 24 hours after surgery, which of the following actions is priority?

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

Which of the following causes is the most common cause of acute pharyngitis?

The nurse is caring for a client who has had an anterior packing for severe epistaxis. Which of the following nursing interventions should be included in the plan of care?

The nurse obtains the following assessment data for a client who has influenza. Which of the following information is most important to communicate to the health care provider?

Which of the following nursing actions should the nurse perform when suctioning a tracheostomy?

The nurse is reviewing the charts for five clients who are scheduled for their yearly physical examinations in October. Which of the following clients are considered a target population for the influenza vaccination? (Select all that apply.)

The nurse is deflating the cuff of a tracheostomy tube to evaluate the client's ability to swallow. Which of the following actions should the nurse implement?

Which of the following actions should the nurse take first when a client develops a nosebleed?

The nurse is obtaining a health history from a client with a 40 year, pack a day smoking history, symptoms of hoarseness and tightness in the throat, and difficulty swallowing. Which of the following questions is most important for the nurse to ask?

The nurse is teaching a client with laryngeal cancer about radiation therapy. Which of the following client statements indicate that the teaching has been effective?

The nurse is caring for a client who is scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx. The client asks the nurse, "How will I talk after the surgery?" Which of the following responses by the nurse is best?

The nurse is caring for a client with an uncuffed tracheostomy tube who coughs violently during suctioning and dislodges the tracheostomy tube. Which of the following actions should the nurse take first?

The nurse enters the room of a client 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?

The nurse is teaching a client with allergic rhinitis about management of the condition. Which of the following information should the nurse include in the teaching plan?

Which of the following clients in the respiratory disease clinic should the nurse assess first?

The nurse is providing teaching to a client who has acute viral rhinitis about management of upper respiratory infections (URI). Which of the following client statements indicate that additional teaching is needed?

The nurse is caring for a client with a tracheostomy tube and is inflating the cuff to the appropriate level. Which of the following actions is best for the nurse to implement?

The nurse is preparing a teaching plan for a client with acute sinusitis. Which of the following interventions should be included in the plan? (Select all that apply.)