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?

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?

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?

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?

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?

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?

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?

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?

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?

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?

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?

Accepted Answer

Patients with laryngeal cancer should avoid acidic foods such as tomatoes, as they can irritate the throat and worsen symptoms. The other statements are all appropriate and indicate a good understanding of nutrition for someone undergoing treatment for laryngeal cancer.

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?

Accepted Answer

Using a firm-bristle toothbrush can cause trauma to the oral mucosa and increase the risk of infection. A soft-bristle toothbrush should be used instead. The other statements indicate good understanding of oral care during radiation therapy.

Question 13

The nurse is caring for a patient with a tracheostomy tube in place connected to a mechanical ventilator.When facilitating communication,which strategy is inappropriate?

Accepted Answer

Using a fenestrated tracheostomy tube is not appropriate for facilitating communication in a patient with a tracheostomy tube connected to a mechanical ventilator. A fenestrated tracheostomy tube is used for patients who can breathe spontaneously without the need for a mechanical ventilator. The other options of using writing materials, a communication board, or a Passy-Muir valve are appropriate for communication in this patient population.

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?

Accepted Answer

Azelastine is an antihistamine nasal spray used to treat seasonal allergies and perennial allergic rhinitis. Saline is not an antihistamine and is used for nasal irrigation. Fluticasone is a steroid nasal spray used for inflammation and congestion. Oxymetazoline is a decongestant nasal spray used for short term relief of congestion.

Question 15

When preparing to cap the patient's tracheostomy tube with a speaking valve,which nursing action is inappropriate before placing the valve?

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?

Accepted Answer

Oxymetazoline is a decongestant and works by constricting blood vessels in the nasal passages, which reduces swelling and congestion. Saline and azelastine are not decongestants, and fluticasone is a steroid nasal spray for reducing inflammation, not congestion.

Question 17

The nurse is performing tracheostomy care.Which portion of the trach will the nurse use when tying the new trach ties?

Accepted Answer

The flange is the portion of the tracheostomy tube that sits against the neck and has holes for the trach ties to be tied around. The other options, such as the inner cannula and outer cannula, are not involved in tying the new trach ties. The obturator is used during the initial placement of the trach tube, but not during regular tracheostomy care.

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?

Accepted Answer

Relaxation exercises can help reduce discomfort and anxiety associated with wearing the CPAP mask, making it easier for the patient to adapt to the treatment.

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?

Accepted Answer

Rhinitis is an inflammation of the nasal passages causing symptoms such as runny nose, sneezing, and congestion. Antihistamines are commonly used to relieve these symptoms. Second-generation antihistamines like loratadine are preferred over first-generation antihistamines like diphenhydramine as they have fewer side effects such as drowsiness and impaired coordination. Fluticasone is a nasal corticosteroid used to relieve inflammation and nasal congestion. Guaifenesin is an expectorant used to loosen mucus in the chest and throat.

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?

Accepted Answer

A fenestrated tracheostomy tube has a small opening on the posterior surface that allows the patient to speak. This can help improve the patient's ability to communicate while being weaned from the ventilator. A cuffed or uncuffed tracheostomy tube does not have this feature. An obturator is used to insert a tracheostomy tube, but it is not necessary for improving communication.

Quiz 25: Coordinating Care for Patients With Upper Airway Disorders