Question 1

The public health nurse is preparing an education program on preventing laryngeal trauma and obstruction for community members. What should the nurse include in this program?

Accepted Answer

A) Teaching the Heimlich maneuver is essential for responding to choking incidents, which can cause laryngeal trauma or obstruction.B) Abstaining from eating while under the influence of alcohol can prevent choking, as alcohol impairs the reflexes necessary for safe swallowing.D) Wearing a medical alert bracelet if allergic to stinging insects is important because insect stings can cause swelling that may lead to airway obstruction.E) Advising individuals who wear dentures to take small bites can help prevent choking, which is a risk for laryngeal trauma or obstruction.

Question 2

During a health history the nurse learns that a patient experiences several head colds each year. What teaching should the nurse consider providing to this patient?

Accepted Answer

The answer of During a health history the nurse learns...

Question 3

The community health nurse learns that an adult community member has been diagnosed with diphtheria. What should the nurse do to prevent the spread of this infection?

Accepted Answer

The answer of The community health nurse learns that an...

Question 4

The nurse is caring for patients who have been exposed to the influenza virus. For which patients should the nurse recognize that the antiviral drug zanamivir (Relenza) would be contraindicated?

Accepted Answer

Zanamivir (Relenza) is contraindicated in patients with respiratory conditions such as COPD and asthma because it can cause bronchospasm and worsen these conditions.

Question 5

During an assessment the nurse is concerned that a patient is at risk for developing laryngeal cancer. What did the nurse assess to make this clinical decision?

Accepted Answer

The answer of During an assessment the nurse is concerned...

Question 6

The nurse is preparing discharge instructions for a patient recovering from a rhinoplasty. What should the nurse include in these instructions?

Accepted Answer

A) Applying ice can help reduce swelling and pain.
C) Vigorous coughing can put strain on the nose and may disrupt healing.
D) Elevating the head of the bed can help reduce swelling and promote drainage. 
Overall, the instructions should focus on promoting healing and reducing complications such as bleeding, infection, and pain. Restricting oral fluid intake and expecting eye bruising are not necessarily relevant to a rhinoplasty procedure specifically.

Question 7

During a health history the nurse suspects that a patient may be experiencing sleep apnea. What findings led the nurse to make this clinical decision?

Accepted Answer

The answer of During a health history the nurse suspects...

Question 8

The nurse caring for an older patient with influenza emphasizes the importance of drinking plenty of fluids and getting adequate rest to prevent the development of complications. What physiological changes is the nurse most concerned about in this patient?

Accepted Answer

The answer of The nurse caring for an older patient...

Question 9

The nurse is planning care for a patient with viral laryngitis. What should the nurse include when teaching the patient about care for this condition?

Accepted Answer

The answer of The nurse is planning care for a...

Question 10

A patient with an ongoing sinus infection is admitted for treatment. In addition to antibiotics, which treatments should the nurse expect to be prescribed for this patient?

Accepted Answer

For a patient with an ongoing sinus infection, in addition to antibiotics, treatments can include topical steroids (A) to reduce inflammation, saline nose drops (B) to help clear the nasal passages, oral decongestants (D) to relieve congestion, and warm steam inhalation (E) to soothe the sinuses. Saltwater gargles (C) are more commonly used for throat issues and are not directly beneficial for sinus infections.

Question 11

A patient is prescribed fexofenadine (Allegra) for allergic rhinitis. For which reasons in the patient's medical history should the nurse question providing the medication to this patient?

Accepted Answer

The answer of A patient is prescribed fexofenadine (Allegra) for...

Question 12

A patient with a penicillin allergy is diagnosed with scarlet fever. Which medications should the nurse anticipate being prescribed for this patient?

Accepted Answer

The answer of A patient with a penicillin allergy is...

Question 13

A patient comes to the community clinic seeking help for a nosebleed. Which actions should the nurse take to help this patient?

Accepted Answer

Pinching the nose towards the septum helps to apply pressure and stop the bleeding. Applying ice can constrict blood vessels and reduce bleeding. Placing the patient in a seated position helps prevent swallowing blood and reduces the risk of aspiration.

Question 14

A patient with chronic sinus infections is scheduled for the Caldwell-Luc procedure. What should the nurse include when teaching the patient about this procedure?

Accepted Answer

The answer of A patient with chronic sinus infections is...

Question 15

A patient avoids people with obvious colds and does not understand why she continues to develop colds throughout the winter. What should the nurse respond to this patient?

Accepted Answer

There are over 200 strains of viruses that cause colds, making it difficult to avoid them entirely. People can be contagious before showing symptoms, and viruses can spread through direct contact with contaminated objects.

Question 16

A patient's nasopharyngeal culture results are positive for B. pertussis. What actions should the nurse take for this patient?

Accepted Answer

The answer of A patient's nasopharyngeal culture results are positive...

Question 17

A patient with nasal trauma has clear, watery fluid dripping from the nose. After testing, the nurse learns this fluid contains glucose. What should this finding indicate to the nurse?

Accepted Answer

Clear, watery fluid with glucose is often indicative of cerebrospinal fluid (CSF) leakage, which can occur with a fracture of the ethmoid or sphenoid sinuses. This finding requires immediate notification of the healthcare provider as there is a risk of infection and increased intracranial pressure. The patient may require further testing, such as a CT scan or MRI, for confirmation and evaluation of the extent of the injury.

Question 18

A patient recovering from a total laryngectomy and permanent tracheostomy is being discharged. What observations indicate that discharge teaching has been effective?

Accepted Answer

The answer of A patient recovering from a total laryngectomy...

Question 19

A hospitalized patient is diagnosed with influenza. What actions should the nurse take to help this patient?

Accepted Answer

Influenza is transmitted via droplets, so the patient should be in a private room (A) and droplet precautions should be implemented (B). The nurse should wear a mask when caring for the patient (C), and the patient should wear a mask when being transported (E). A HEPA filter mask is not necessary for influenza (D).

Question 20

The nurse provides discharge instructions to a patient recovering from endoscopic sinus surgery. Which patient statements indicate that teaching has been effective?

Accepted Answer

The answer of The nurse provides discharge instructions to a...

Quiz 35: Nursing Care of Patients With Upper Respiratory Disorders