Deck 31: Upper Airway Dysfunction: Nursing Management

Question 1

The nurse is instructing the mother of a client recovering from a tonsillectomy. Which of the following should the nurse instruct the mother to report?

A) Difficulty swallowing
B) Difficulty talking
C) Excessive swallowing
D) Pain

Answer 1

Excessive swallowing

Question 2

A client is demonstrating signs of chronic sinusitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)

A) Facial pain
B) Fever
C) Headache
D) Toothache
E) Fatigue
F) Swollen neck glands

Answer 2

Facial pain
Headache
Toothache
Fatigue

Question 3

A client asks the nurse if there is an antihistamine that does not cause drowsiness. Which of the following medications would this client most likely prefer to treat allergic rhinitis?

A) Diphenhydramine
B) Chlorpheniramine maleate
C) Clemastine
D) Fexofenadine

Answer 3

Fexofenadine

Question 4

A client tells the nurse that she experiences a stuffy nose, nasal pain, and postnasal drip every time she works in her company's office. Which of the following types of allergic rhinitis is this client most likely experiencing?

A) Infectious
B) Perennial
C) Occupational
D) Seasonal

Question 5

The nurse is planning care for the client diagnosed with viral rhinitis. Which of the following would be the best goal of care for this client?

A) Prevent secondary bacterial infection.
B) Prevent rhinitis medicamentosa.
C) Refrain from use of analgesics.
D) Encourage complete participation in activities.

Question 6

A child is diagnosed with severe allergic rhinitis. Which of the following manifestations would the nurse most likely assess in this client?

A) Edematous neck glands
B) Reduced hearing
C) Pruritis
D) Frequent wiping of the nose with the palm of the hand

Question 7

The nurse is caring for a client diagnosed with acute sinusitis. Which of the following symptoms is the client most likely experiencing?

A) Anosmia
B) Fever
C) Halitosis
D) Metallic taste

Question 8

A client has been diagnosed with allergic rhinitis. Which of the following should the nurse instruct the client regarding strategies to avoid this disorder? (Select all that apply.)

A) Remove home carpeting
B) Reduce the use of an air conditioner
C) Remove pets from the home
D) Open windows in the spring and summer
E) Use feather pillows
F) Wash bed linens in cold water

Question 9

A client is demonstrating signs of peritonsillar abscess. Which of the following will the nurse most likely assess in this client? (Select all that apply.)

A) Bradypnea
B) Drop in blood pressure
C) Hot potato voice
D) Trismus
E) Dysphagia
F) Sore throat

Question 10

A 16-year-old client is being prescribed a medication to treat acute sinusitis. The nurse realizes that this client should not be prescribed:

A) amoxicillin.
B) cefuroxime.
C) ciprofloxacin.
D) erythromycin.

Question 11

A client is recovering from a total laryngectomy with the placement of a tracheostomy. The nurse should include which of the following instructions to this client?

A) Clean the tracheostomy tube with soap and water daily.
B) Limit protein in the diet.
C) Restrict fluids.
D) The nasogastric tube will be in for 2 weeks.

Question 12

The nurse is teaching a client how to use a nasal spray. Which of the following should be included in these instructions? (Select all that apply.)

A) Blow the nose before instilling the spray.
B) Tilt the head back and angle the tip of the bottle to the side of the nostril.
C) Use a finger to occlude the nostril that is not receiving the spray.
D) Inhale gently and evenly while discharging the spray into the nostril.
E) If a second spray is recommended, immediately repeat the procedure.
F) Blow the nose after administration of the spray.

Question 13

A client diagnosed with hypertension is experiencing allergic rhinitis. The nurse realizes that the medication that would not be indicated for this client would be:

A) loratadine.
B) montelukast.
C) pseudoephedrine.
D) zafirlukast.

Question 14

A client has been diagnosed with stage IV cancer of the larynx. The nurse realizes that which of the following surgeries is recommended for this type of cancer?

A) Hemilaryngectomy
B) Partial laryngectomy
C) Supraglottic laryngectomy
D) Total laryngectomy

Question 15

With which of the following can the nurse instruct a client who is experiencing pain from a sore throat? (Select all that apply.)

A) Gargle with warm salt water.
B) Eat salty foods.
C) Suck on hard candy.
D) Drink fluids.
E) Avoid citrus fruits.
F) Suck on popsicles.

Question 16

A client is experiencing epistaxis. Which of the following interventions would the nurse complete?

A) Call the doctor.
B) Check laboratory test results.
C) Obtain an emesis basin.
D) Show the patient how to pinch the nose.

Question 17

Which of the following should the nurse instruct a client recovering from a tonsillectomy?

A) Drink milk to promote healing.
B) Gargle with salt water.
C) Maintain good hydration.
D) Use a straw to drink.

Question 18

A client diagnosed with viral rhinitis tells the nurse that she has been using a decongestant nasal spray for several weeks and the symptoms are getting worse. Which of the following does the nurse suspect is occurring with this client?

A) Developing pneumonia
B) Subacute rhinitis
C) Rhinitis medicamentosa
D) Chronic otitis media