Exam 19: Otorhinolaryngologic Surgery

The nasal sinuses serve as airspaces and communicate with the nasal cavity through the __________.Anteriorly,on each side of the skull,the frontal sinus,the anterior ethmoidal sinus,and the maxillary sinus (antrum of Highmore)drain into the middle meatus; the posterior ethmoid and the sphenoid sinuses drain into the ______________ recess.

During otolaryngologic procedures using local anesthetic,the perioperative nurse plans the environment of care as a quiet,warm,and functional domain of healing and comfort.An important consideration with most otolaryngologic patients identifies their specific _________ needs.

During the preoperative assessment for a patient scheduled for nasal surgery using a local anesthetic that includes epinephrine,what important consideration,relevant to epinephrine use,should be explored?

Benign or small malignant tumors of the oral cavity may be excised without a neck dissection,though in the presence of diagnosed or highly suspicious metastatic disease,a selective neck dissection may be performed in an effort to control a cancerous growth in the upper jugular lymphatic chain of the neck.Typically,endotracheal anesthesia is used,and a pharyngeal pack of moist gauze may be inserted in the mouth.When head and neck surgery is performed,the perioperative nurse must be prepared for possible additional procedures.Of these possibilities,what is the highest priority consideration for the perioperative nurse?