Exam 23: Nursing Management: Upper Respiratory Problems

After being hit by a baseball,a patient arrives in the emergency department with a possible nasal fracture.Which finding by the nurse is most important to report to the health care provider?

Following a laryngectomy a patient coughs violently during suctioning and dislodges the tracheostomy tube.Which action should the nurse take first?

The nurse completes discharge instructions for a patient with a total laryngectomy.Which statement by the patient indicates that additional instruction is needed?

Which patient in the ear,nose,and throat (ENT)clinic should the nurse assess first?

The nurse obtains the following assessment data on an older patient who has influenza.Which information will be most important for the nurse to communicate to the health care provider?

The nurse is caring for a patient who has acute pharyngitis caused by Candida albicans.Which action is appropriate for the nurse to include in the plan of care?

A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube.Which action should the nurse include in the plan of care in collaboration with the speech therapist?

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

The nurse assumes care of a patient who 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 a space between each answer choice [A,B,C,D].)

When assessing a patient with a sore throat,the nurse notes anterior cervical lymph node swelling,a temperature of 101.6° F (38.7° C),and yellow patches on the tonsils.Which action will the nurse anticipate taking?

The nurse discusses management of upper respiratory infections (URI)with a patient who has acute sinusitis.Which statement by the patient indicates that additional teaching is needed?

The nurse is reviewing the medical records for five patients who are scheduled for their yearly physical examinations in September.Which patients should receive the inactivated influenza vaccination (select all that apply)?

A 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?

A nurse obtains a health history from a patient who has a 35 pack-year smoking history.The patient complains of hoarseness and tightness in the throat and difficulty swallowing.Which question is most important for the nurse to ask?

A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse,"Will I be able to talk normally after surgery?" What is the best response 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 this identified problem is resolving?

Which statement by the patient indicates that the teaching has been effective for a patient scheduled for radiation therapy of the larynx?

The nurse plans to teach a patient how to manage allergic rhinitis.Which information should the nurse include in the teaching plan?

Which nursing action could the registered nurse (RN)working in a skilled care hospital unit delegate to an experienced licensed practical/vocational nurse (LPN/LVN)caring for a patient with a permanent tracheostomy?

A patient arrives in the ear,nose,and throat clinic complaining of a piece of tissue being "stuck up my nose" and with foul-smelling nasal drainage from the right nare.Which action should the nurse take first?