Deck 14: Care of Patients With Disorders of the Upper Respiratory System

Question 1

When the patient with an upper respiratory infection states that it is difficult to chew due to pain in the upper teeth,the nurse suspects:

A)abscess.
B)caries.
C)sinusitis.
D)pharyngitis.

Answer 1

sinusitis.

Question 2

The nurse is careful to apply suction prior to deflating the cuff on a cuffed tracheostomy in order to prevent:

A)bleeding.
B)excessive negative pressure.
C)accidental dislodgement of the tube.
D)aspiration.

Answer 2

aspiration.

Question 3

The patient with sleep apnea complains to the nurse that he is constantly fatigued.The nurse is most accurate in telling the patient that his fatigue is related to which factor?

A)Oxygen deficiency
B)Waking frequently during the night
C)Increased respiratory effort
D)Snoring

Answer 3

Waking frequently during the night

Question 4

The nurse is aware that the patient seeking antibiotic treatment for pharyngitis will only receive the desired medication if the condition is caused by:

A)protozoa.
B)bacteria.
C)a virus.
D)a previous infection.

Question 5

The 20-year-old who has laser surgery to remove the tonsils should be positioned postoperatively in the position of:

A)side-lying.
B)semi-Fowler's.
C)prone.
D)supine.

Question 6

Common causative organisms for the infection causing sinusitis are: (Select all that apply.)

A)pneumococci.
B)Pseudomonas.
C)staphylococci.
D)Haemophilus influenzae.
E)streptococci.

Question 7

The nurse is caring for a patient during the immediate postoperative period following a rhinoplasty.The nurse is most concerned with which assessment finding?

A)The patient complains of being cold and chilled.
B)The patient complains of nausea.
C)The nurse notices the patient swallowing frequently.
D)The patient has a decreased fluid intake.

Question 8

The nurse determines that the patient understands patient teaching regarding esophageal speech when witnessing the patient perform which activity?

A)Inhaling air through the nose and forcing it down the esophagus
B)Relaxing the diaphragm to allow air into the trachea and esophagus
C)Coughing to express air
D)Swallowing air and forcing it back up through the esophagus

Question 9

The nurse is caring for a patient experiencing epistaxis.What should the nurses's initial intervention be to stop the epistaxis?

A)Have the patient lie back and hold ice to the nose.
B)Firmly pack the nostrils with gauze.
C)Press firmly on the area beneath the nose and lips.
D)Have the patient sit forward and pinch the soft part of the nose.

Question 10

When doing routine cleaning of a double-lumen tracheostomy tube,the nurse will include which of the following actions?

A)Place the patient flat on the bed.
B)Reinsert the inner cannula without touching the faceplate of the tracheostomy tube.
C)Rinse the inner cannula in a basin of hydrogen peroxide.
D)Clean the inner cannula with a pipe cleaner.

Question 11

The nurse advises that,to reduce the risk of giving a cold to another,one should: (Select all that apply.)

A)cover the mouth and nose when sneezing.
B)wash the hands frequently.
C)use saline nose sprays.
D)turn the head to the crook of the arm when coughing.
E)drink juices with vitamin C.

Question 12

The nurse clarifies that the antibiotic given to the patient with a cold is to:

A)cure the cold.
B)reduce the symptoms.
C)prevent a secondary bacterial infection.
D)protect the immune system.

Question 13

The nurse instructs the adult post-tonsillectomy patient to avoid: (Select all that apply.)

A)citrus fluids.
B)hot fluids.
C)milk products.
D)coughing and sneezing.
E)using a straw.

Question 14

The nurse is assisting the physician with insertion of a new tracheostomy tube.The physician asks for the obturator.The nurse correctly hands the physician which device?

A)The guide for the tracheostomy tube to be inserted
B)The scalpel used to make the tracheotomy stoma
C)A single-cannula tracheostomy tube
D)A cuffed tracheostomy tube

Question 15

The nurse instructs the laryngectomized patient that,in order to warm the inspired air during cold weather,the patient should:

A)place hand over stoma.
B)use scarf to cover stoma.
C)wear moist dressing over stoma.
D)stay in area of humidified air.

Question 16

The nurse reminds the patient that a cold is contagious for about _____ days.

A)2
B)3
C)4
D)7

Question 17

The patient has a tracheostomy with a one-way valve box that allows the patient to:

A)drink.
B)eat.
C)cough.
D)speak.

Question 18

To help reduce the anxiety of a new tracheostomy patient,the nurse should:

A)be efficient in giving care quickly.
B)give care with minimal conversation.
C)delay teaching until tracheostomy is healed.
D)offer reassurance of awareness of apprehension.

Question 19

The nurse is developing the care plan for a laryngectomy patient.Which patient need will be of the highest priority for the nurse to address?

A)A method of pain control
B)Family support
C)A method of communication
D)The need for long-term care

Question 20

The nurse assesses the older adult with a family tendency of developing laryngeal cancer for: (Select all that apply.)

A)history of smoking.
B)alcohol abuse.
C)exposure to asbestos.
D)eating spicy foods.
E)infection with Streptococcus bacteria.

Question 21

The clinic nurse is giving discharge instructions to the mother of a 12-year-old boy who has been diagnosed with a mild cold.Which statements by the mother demonstrate knowledge of care? (Select all that apply.)

A)"He will be receiving an antibiotic, correct?"
B)"I will be sure he drinks plenty of apple and orange juice."
C)"If he runs a fever, I will give him 2 aspirin every 4 hours until his fever comes down."
D)"I will be sure he washes his hands well so he doesn't pass this on to his younger sister."
E)"Since his cold just started, zinc lozenges are a good idea for him to take."

Question 22

The nurse includes in the discharge instruction to a patient who has had a microlaryngoscopy with laser removal of polyps to: (Select all that apply.)

A)be alert for massive swelling.
B)return to work in 3 days.
C)cough to expectorate blood.
D)observe 2 days of voice rest.
E)take opioids for pain.

Question 23

Matching
Place the steps of abdominal thrusts in proper sequence.

Step: 2

A)Wrap hand around fist.
B)Squeeze and thrust 5 times.
C)Make a fist.
D)Check status of breathing.
E)Position fist, thumb foremost, over umbilicus.

Question 24

Matching
Place the steps of abdominal thrusts in proper sequence.

Step: 3

A)Wrap hand around fist.
B)Squeeze and thrust 5 times.
C)Make a fist.
D)Check status of breathing.
E)Position fist, thumb foremost, over umbilicus.

Question 25

The nurse encourages a patient with cancer of the larynx that the "near-total laryngectomy" is a new procedure that preserves the ability to __________ and to __________.

Question 26

The radical neck resection removes a large amount of tissue on the same side as the lesion.The tissues removed include: (Select all that apply.)

A)all muscle, lymph nodes, and soft tissue from the lower edge of the mandible to the top of the clavicle.
B)all muscle, lymph nodes, and soft tissue from the top of the trapezius to the midline.
C)all muscle, lymph nodes, and soft tissue from the lower edge of the eye socket to the bottom of the maxilla, including the zygomatic arch.
D)part of the tongue and parotid salivary glands.
E)lower lip to midline.

Question 27

When epistaxis has been controlled,the nurse instructs the patient to: (Select all that apply.)

A)avoid sneezing.
B)rest for several hours until all threat of epistaxis is gone.
C)avoid rubbing the nose.
D)gently remove clotted blood from the occluded nostril.
E)blow the nose gently in small breaths.

Question 28

Matching
Place the steps of abdominal thrusts in proper sequence.

Step: 5

A)Wrap hand around fist.
B)Squeeze and thrust 5 times.
C)Make a fist.
D)Check status of breathing.
E)Position fist, thumb foremost, over umbilicus.

Question 29

Matching
Place the steps of abdominal thrusts in proper sequence.

Step: 4

A)Wrap hand around fist.
B)Squeeze and thrust 5 times.
C)Make a fist.
D)Check status of breathing.
E)Position fist, thumb foremost, over umbilicus.

Question 30

The nurse setting up the environment for tracheal suction on a newly postoperative tracheostomy patient will: (Select all that apply.)

A)auscultate lungs for retained secretions.
B)wash hands and open sterile suction kit.
C)don clean gloves and lift out catheter and connect to suction.
D)don sterile gloves and prepare solutions from kit.
E)perform suction with sterile supplies.

Question 31

Matching
Place the steps of abdominal thrusts in proper sequence.

Step: 1

A)Wrap hand around fist.
B)Squeeze and thrust 5 times.
C)Make a fist.
D)Check status of breathing.
E)Position fist, thumb foremost, over umbilicus.