Exam 60: Management of Clients with Upper Airway Disorders

A client is in the recovery room after surgical removal of nasal polyps. The nurse notices the client is swallowing frequently. The most appropriate action by the nurse is to

A neighbor tells a nurse that s/he has been experiencing hoarseness for over 3 weeks. The nurse should advise the client to see a doctor for

In the preoperative teaching plan for a client scheduled for total laryngectomy and radical neck resection, the nurse would give highest priority to the

For an elderly client who has a posterior nasal plug and anterior nasal packing in place to control an episode of severe epistaxis, the priority assessment for the nurse would be assessing for

When a client coughs violently and the tracheostomy tube falls out, the client becomes dyspneic and the nurse attempts to reinsert the tracheostomy tube over the next 60 seconds but is unable to do so. The nurse's next action would be

A client is trying unsuccessfully to clear the airway with a cough. The measure the nurse would suggest to help the client cough more effectively is

The measure that would best aid the nurse in removing heavy, tenacious secretions during suctioning is

A client recently had a total laryngectomy and plans to use an artificial larynx for speech. The common problem the nurse would address regarding the artificial larynx is that

When feeding a client with a tracheostomy, the nurse would

The nurse working with a client who has acute sinusitis plans to teach the client about the routinely-used treatments for this condition, which include (Select all that apply)

When a friend comes to the nurse's apartment to seek help to stop the bleeding from a broken nose, the nurse would attempt to convince the friend to seek treatment in the emergency department primarily because

A busy nurse in the ICU wishes to delegate aspects of respiratory care to an unlicensed assistive personnel (UAP). Which of the following actions can the nurse delegate? (Select all that apply.)

After a posterior nasal pack is inserted by the physician, the client is very anxious and states, "I don't feel like I'm breathing right." The immediate intervention the nurse would initiate is

Noting the need to use 8 ml rather than 5 ml to inflate the tracheostomy cuff sufficiently, the nurse would

The priority nursing intervention for a client experiencing a laryngospasm would be

The spouse of a client who is receiving mechanical ventilation via tracheostomy asks why his wife cannot have a tracheostomy button. The nurse's most informative response would be

A client has frequent bouts of laryngitis. When assessing the client the nurse should specifically ask questions regarding the presence of

For a client who has undergone functional endoscopic sinus surgery (FESS) as part of the surgical management of sinusitis, the nurse would instruct the client

Which intervention would probably help most when teaching a client to speak again after a laryngectomy?

During a community screening event, the nurse would identify that the client at highest risk for development of laryngeal cancer is