Deck 34: Nursing Care of People With Upper Respiratory Disorders

Question 1

A middle-aged person is seen in the clinic for a continuing cough after recovering from the flu a few weeks ago. What does the nurse realise that this person might be demonstrating?

A)A secondary bacterial pneumonia
B)Otitis media
C)Reye's syndrome
D)Tracheobronchitis

Answer 1

Tracheobronchitis

Question 2

A middle-aged person who is diagnosed with pertussis is complaining of right-sided thoracic pain. What should the nurse assess this person for? Select all that apply.

A)Pleurisy
B)Pneumothorax
C)Pulmonary oedema
D)Rib fractures

Answer 2

Pneumothorax
Rib fractures

Question 3

A person who was diagnosed with the flu is demonstrating rapid, shallow respirations. Which of the following is this person most at risk of developing?

A)Pneumothorax
B)Pleurisy
C)Atelectasis
D)Dehydration

Answer 3

Atelectasis

Question 4

The nurse suspects that a person is demonstrating signs of tonsillitis. Which of the following would be indications of this disorder? Select all that apply.

A)Thirst
B)Hoarse voice
C)Difficulty swallowing
D)Otalgia

Question 5

A person tells the nurse, 'After I leave here, I need to get to the dentist. My upper teeth are hurting and I don't know why.' What should the nurse do?

A)End the visit quickly so the person can get to the dentist.
B)Reschedule the appointment for another time.
C)Check the person's nasopharynx.
D)Assess the person for a sinus infection.

Question 6

A person tells the nurse he has a 'cold' every spring that lasts for several weeks. What does the nurse suspect that the person is experiencing?

A)Vasomotor rhinitis
B)Allergic rhinitis
C)Acute viral rhinitis
D)Atrophic rhinitis

Question 7

A young adult man is seen in the emergency department after sustaining injuries from a motorcycle accident. During the assessment, the person's nose begins to bleed. Which of the following should the nurse include in the assessment of this person?

A)Tobacco usage
B)Alcohol consumption
C)Normal dietary pattern
D)Use of cocaine or other substance abuse

Question 8

A person is receiving anterior nasal packing for a nose bleed. Which of the following should be included in the instructions for this person?

A)Remove the packing in the morning.
B)The packing will be in place for at least 24 hours and up to 72 hours.
C)The packing will be needed for at least 1 week.
D)The packing will stay in place for 2 to 5 days.

Question 9

A person says, 'My nose is always congested and it just seems to get worse with the nasal spray I've been using.' What does the nurse realise that this person is describing?

A)A chronic sinus infection that needs to be treated with antibiotics
B)Overuse of the nasal spray
C)Rebound nasal congestion
D)An adverse effect of the nasal spray

Question 10

While recovering at home from a total laryngectomy, a person notices an increase in left shoulder weakness. What is this symptom consistent with?

A)Medication complication
B)Side effect of neck radiation therapy
C)Removal of the cervical lymph nodes
D)Damage to the spinal accessory nerve

Question 11

Which of the following would be a factor that is considered when staging the cancer in a patient with a laryngeal tumour?

A)Number of tumours
B)Sex of the patient
C)Age of the patient
D)Location of the tumour

Question 12

A person with multiple facial and nasal injuries needs a nasogastric tube placed. Which of the following is the appropriate method to place this tube?

A)Through the person's mouth.
B)Through the obstructed nare
C)Through the person's unobstructed nare
D)wait until the oedema in the nares subsides.

Question 13

A person with epiglottitis is allergic to penicillin. What is the antibiotic of choice for this person?

A)Ampicillin (Austrapen)
B)Dicloxacillin (Diclocil)
C)Amoxicillin (Augmentin)
D)Rocephin (Ceftriaxone)

Question 14

While engaging in a high school sports activity, an adolescent sustains an injury to the nose. Which of the following indicates that the person has a nasal fracture?

A)Shortness of breath
B)Hypotension
C)Diaphoresis
D)Bony crepitus on palpation

Question 15

A person who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery. What is an appropriate nursing response to this person?

A)'You will have to ask your doctor.'
B)'Yes, but it might sound a little different.'
C)'You will, but with an electronic device.'
D)'You will need to wait and see what happens.'

Question 16

The nurse observes a person's respirations during sleep and notes the absence of respirations that last from 15 to 45 seconds. What is this finding consistent with?

A)Respiratory muscle fatigue
B)Sleep apnoea
C)Respiratory acidosis
D)Laryngeal oedema

Question 17

A person reports 'increased hoarseness' and a change in 'voice quality.' What is an appropriate assessment question for the nurse to ask this person?

A)'Have you been overseas recently?'
B)'Do you smoke?'
C)'Have you recently experienced a cold?'
D)'What medications are you currently taking?'

Question 18

While eating a meal in the hospital, a person begins to demonstrate difficulty breathing and signs of choking. What is the person experiencing?

A)A pulmonary embolus
B)Laryngeal obstruction
C)Bronchoconstriction
D)Epiglottitis

Question 19

Which of the following may be the most appropriate choice to promote drainage in a patient who presents with sinusitis?

A)Augmentin
B)Cool mist
C)Saline spray
D)Nasal packing

Question 20

The nurse is providing care to a person with a new tracheostomy tube. Which of the following is appropriate to include in this person's care? Select all that apply.

A)Apply new dressing in a V shape.
B)Suction the person prior to care using sterile technique.
C)Remove encrusted secretions with normal saline.
D)Clean the inner cannula with hydrogen peroxide.