Question 1

The nurse is providing care to a patient receiving radiation in the treatment of laryngeal cancer.Which patient statement indicates the need for further education regarding radiation treatments?&#10;A) &#34;My skin may become red,tender,and peel.&#34;&#10;B) &#34;I should avoid the sun while I am receiving this therapy.&#34;&#10;C) &#34;I will wear soft,loose fitting clothing made of cotton to limit irritation.&#34;&#10;D) &#34;My therapy includes washing my skin with a harsh soap and applying lotion.&#34;&#10;

Accepted Answer

It is not recommended to wash the skin with harsh soap during radiation therapy as it can cause skin irritation. Patients should use mild soap and avoid scrubbing the treated area. Lotion should also be applied carefully and only after consulting with the healthcare provider. The other options (A, B, and C) are correct statements regarding radiation therapy.

Question 2

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a corticosteroid nasal spray.Which drug should the nurse educate the patient about based on this data?&#10;A) Loratadine&#10;B) Fluticasone&#10;C) Guaifenesin&#10;D) Diphenhydramine&#10;

Accepted Answer

Rhinitis is an inflammatory condition of the nasal mucosa, thus a corticosteroid nasal spray such as Fluticasone is the appropriate medication to reduce inflammation and relieve symptoms. Loratadine is an antihistamine used for allergies, guaifenesin is an expectorant for cough, and diphenhydramine is an antihistamine used for allergies and sleep aid. None of these medications are appropriate for treating rhinitis.

Question 3

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a first generation antihistamine.Which drug should the nurse educate the patient about based on this data?&#10;A) Loratadine&#10;B) Fluticasone&#10;C) Guaifenesin&#10;D) Diphenhydramine&#10;

Accepted Answer

First generation antihistamines, such as diphenhydramine, are effective for treating symptoms of rhinitis but have a higher likelihood of causing drowsiness and other side effects compared to newer, second-generation antihistamines like loratadine. Fluticasone is a nasal steroid and guaifenesin is an expectorant, neither of which is classified as an antihistamine.

Question 4

The nurse is providing education to a patient who is receiving chemotherapy in the treatment of laryngeal cancer.Which medication should the nurse include to decrease the risk for nausea and vomiting?&#10;A) Antiemetic&#10;B) Decongestant&#10;C) Antihistamine&#10;D) Corticosteroid&#10;

Accepted Answer

Antiemetics are medications that help prevent or treat nausea and vomiting, which are common side effects of chemotherapy. They work by blocking certain neurotransmitters in the brain that trigger nausea and vomiting. Therefore, including antiemetics in the patient's treatment plan can help decrease the risk for these side effects and improve the patient's quality of life. Decongestants, antihistamines, and corticosteroids are not used to manage nausea and vomiting in patients receiving chemotherapy.

Question 5

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which drug should the nurse include for a patient who requires a corticosteroid?&#10;A) Saline&#10;B) Azelastine&#10;C) Fluticasone&#10;D) Oxymetazonline&#10;

Accepted Answer

Fluticasone is a corticosteroid nasal spray used to treat nasal congestion due to allergies or other conditions. It works by reducing inflammation in the nasal passages. Saline is a non-medicated nasal spray used to moisten the nasal passages and relieve dryness. Azelastine is an antihistamine nasal spray used to treat allergy symptoms. Oxymetazoline is a decongestant nasal spray that works by narrowing blood vessels in the nasal passages to reduce swelling and congestion, but should only be used for short-term relief due to the risk of rebound congestion with prolonged use.

Question 6

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a decongestant.Which drug should the nurse educate the patient about based on this data?&#10;A) Loratadine&#10;B) Fluticasone&#10;C) Guaifenesin&#10;D) Diphenhydramine&#10;

Accepted Answer

The answer of The nurse is providing care to a...

Question 7

The nurse is providing care to a patient receiving chemotherapy for the treatment of laryngeal cancer.Which laboratory test should the nurse anticipate to monitor the patient for neutropenia?&#10;A) Platelet count&#10;B) Serum potassium&#10;C) Red blood cell count&#10;D) White blood cell count&#10;

Accepted Answer

Neutropenia is a condition characterized by a decrease in the number of neutrophils, a type of white blood cell that plays a critical role in fighting infections. The nurse should anticipate monitoring the patient's white blood cell count, specifically the neutrophil count, to assess for the development of neutropenia. Platelet count is used to assess for bleeding disorders, serum potassium is used to assess for electrolyte imbalances, and red blood cell count is used to assess for anemia.

Question 8

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which should the nurse recommend when the patient wants a natural?&#10;A) Saline&#10;B) Azelastine&#10;C) Fluticasone&#10;D) Oxymetazonline&#10;

Accepted Answer

Saline nasal sprays are made of salt water and can help to moisturize nasal passages and reduce congestion without any medications or chemicals. It is a natural option for patients who prefer it. Azelastine, Fluticasone, and Oxymetazonline are medications used to treat congestion, but they are not considered natural options.

Question 9

When capping the patient's tracheostomy tube with a speaking valve,the nurse assesses the patient's breath sounds around the tube and hears no air leak.Which nursing action is the most appropriate based on this assessment finding?

A) Allowing the cap to remain in place as long as the patient tolerates it
B) Documenting the placement of the cap and relevant data regarding patient assessment
C) Removing the valve and notifying the health-care provider
D) Assisting the patient out of bed

Accepted Answer

If there is no air leak when the speaking valve is in place, it may indicate that the airway is obstructed or the cuff is inflated, which can be dangerous. The nurse should remove the valve and notify the healthcare provider for further assessment.

Question 10

The nurse is caring for a patient with a longstanding permanent tracheostomy that has been in place for several years in order to provide mechanical ventilation.Which type of tracheostomy does the nurse anticipate this patient may have based on the health history?

A) Uncuffed tracheostomy
B) Cuffed tracheostomy
C) Fenestrated tracheostomy
D) Uncuffed or fenestrated tracheostomy

Accepted Answer

A longstanding permanent tracheostomy that has been in place for several years for mechanical ventilation is most likely to be a cuffed tracheostomy. Cuffed tracheostomies are preferred for long-term ventilation to minimize the risk of aspiration and to allow for better control of ventilation. Uncuffed tracheostomies are more commonly used for weaning from mechanical ventilation, while fenestrated tracheostomies are used for speech and weaning from mechanical ventilation.

Question 11

The nurse is providing education to the patient who is receiving treatment for laryngeal cancer.Which patient statement regarding nutrition requires further education from the nurse?&#10;A) &#34;I will eat small,frequent meals to ensure I get enough calories each day.&#34;&#10;B) &#34;Even though I don't like tomatoes,I will eat them since they are not acidic.&#34;&#10;C) &#34;Liquid supplements are easy to swallow and will increase my caloric intake.&#34;&#10;D) &#34;I will eat foods that taste good and are easy to eat and swallow to get enough calories each day.&#34;&#10;

Accepted Answer

The answer of The nurse is providing education to the...

Question 12

The nurse is providing education to a patient receiving radiation therapy for the treatment of laryngeal cancer.Which patient statement indicates the need for further education regarding oral care?&#10;A) &#34;I should increase my oral intake of water.&#34;&#10;B) &#34;I will avoid spicy foods to decrease my discomfort.&#34;&#10;C) &#34;I can chew gum to decrease the dry mouth that may occur.&#34;&#10;D) &#34;I should use a firm-bristle toothbrush to ensure food particles are removed.&#34;&#10;

Accepted Answer

The answer of The nurse is providing education to a...

Question 13

The nurse is caring for a patient with a longstanding permanent tracheostomy that has been in place for several years in order to provide mechanical ventilation.Which type of tracheostomy does the nurse anticipate this patient may have based on the health history?

A) Uncuffed tracheostomy
B) Cuffed tracheostomy
C) Fenestrated tracheostomy
D) Uncuffed or fenestrated tracheostomy

Accepted Answer

The answer of The nurse is caring for a patient...

Question 14

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which drug should the nurse include for a patient who requires an antihistamine?&#10;A) Saline&#10;B) Azelastine&#10;C) Fluticasone&#10;D) Oxymetazonline&#10;

Accepted Answer

The answer of The nurse is providing education to the...

Question 15

When preparing to cap the patient's tracheostomy tube with a speaking valve,which nursing action is inappropriate before placing the valve?&#10;A) Suctioning the oropharynx if there are any secretions present&#10;B) Asking the patient to cough&#10;C) Suctioning the tracheostomy tube&#10;D) Deflating the cuffed tracheostomy tube&#10;

Accepted Answer

The answer of When preparing to cap the patient's tracheostomy...

Question 16

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which drug should the nurse include for a patient who requires a decongestant?&#10;A) Saline&#10;B) Azelastine&#10;C) Fluticasone&#10;D) Oxymetazonline&#10;

Accepted Answer

The answer of The nurse is providing education to the...

Question 17

The nurse is performing tracheostomy care.Which portion of the trach will the nurse use when tying the new trach ties?&#10;A) Inner cannula&#10;B) Outer cannula&#10;C) Obturator&#10;D) Flange&#10;

Accepted Answer

The answer of The nurse is performing tracheostomy care.Which portion...

Question 18

An adult patient diagnosed with sleep apnea has been prescribed a continuous positive airway pressure (CPAP)machine as treatment.The nurse is instructing the patient on how to use the machine.Which instruction should the nurse include?

A) Any size mask will work
B) Straps can be loose,if that feels more comfortable
C) Use relaxation exercises to reduce uncomfortable feelings from the mask
D) Do not use a humidifier at the same time

Accepted Answer

The answer of An adult patient diagnosed with sleep apnea...

Question 19

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a second generation antihistamine.Which drug should the nurse educate the patient about based on this data?&#10;A) Loratadine&#10;B) Fluticasone&#10;C) Guaifenesin&#10;D) Diphenhydramine&#10;

Accepted Answer

The answer of The nurse is providing care to a...

Question 20

The nurse is caring for a patient being weaned from the ventilator,and wants to improve the patient's ability to communicate.Which item will the nurse request an order for from the health-care provider?

A) Cuffed tracheostomy tube
B) Uncuffed tracheostomy tube
C) Fenestrated tracheostomy tube
D) Obturator

Accepted Answer

The answer of The nurse is caring for a patient...

Question 21

Which intervention should the nurse implement for a patient who is at risk for aspiration as a result of laryngeal trauma?&#10;A) Encouraging voice rest&#10;B) Maintaining NPO status&#10;C) Placing in high-Fowler's position&#10;D) Providing humidified air via face mask&#10;

Accepted Answer

The answer of Which intervention should the nurse implement for...

Question 22

Which drug prescription does the nurse anticipate for empiric therapy when providing care to an adult patient diagnosed with acute bacterial rhinosinusitis (ABRS)?&#10;A) Azithromycin&#10;B) Clarithromycin&#10;C) Amoxicillin-clavulante&#10;D) Intranasal corticosteriods&#10;

Accepted Answer

The answer of Which drug prescription does the nurse anticipate...

Question 23

Which is the priority nursing diagnosis for a patient who experiences a laryngeal trauma?&#10;A) Impaired comfort&#10;B) Impaired swallowing&#10;C) Ineffective airway clearance&#10;D) Risk for impaired verbal communication&#10;

Accepted Answer

The answer of Which is the priority nursing diagnosis for...

Question 24

Which drug prescription does the nurse anticipate for adjuvant therapy when providing care to an adult patient diagnosed with acute bacterial rhinosinusitis (ABRS)?&#10;A) Azithromycin&#10;B) Clarithromycin&#10;C) Amoxicillin-clavulante&#10;D) Intranasal corticosteriods&#10;

Accepted Answer

The answer of Which drug prescription does the nurse anticipate...

Question 25

Which assessment data collected by the nurse indicates a patient with laryngeal trauma is experiencing issues with airway clearance?&#10;A) Tachypnea&#10;B) Bradycardia&#10;C) Hypotension&#10;D) Increased oxygen saturation&#10;

Accepted Answer

The answer of Which assessment data collected by the nurse...

Deck 25: Coordinating Care for Patients With Upper Airway Disorders