Chapter 29: Nursing Management: Upper Respiratory Problems Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Exam 2022 Questions and Answers(A+ Solution guide)

1. Which is the most common infection causing acute pharyngitis? a. Fungal b. Viral c. Acute follicular d. Peritonsillar - ANS: B Viral pharyngitis accounts for approximately 70% of all cases of acute pharyngitis. PTS: 1 DIF: Cognitive Level: Knowledge REF: page 641 OBJ: 3 TOP: Nursing Process: Assessment MSC: CRNE: CH-8 2. When the nurse removes a nasogastric tube that has been in place for 7 days postoperatively, the patient develops a nosebleed. To control the bleeding, what should the nurse do? a. Pinch the soft lower portion of the nose for 10 to 15 minutes. b. Place the patient in a sitting position with the head hyperextended. c. Apply ice compresses to the patient's forehead and back of the neck. d. Pack the nares with ribbon gauze to apply pressure to the source of the bleeding. - ANS: A The first nursing action for epistaxis is to apply direct pressure by pinching the nostrils. PTS: 1 DIF: Cognitive Level: Application REF: pages 634-635 OBJ: 1 TOP: Nursing Process: Implementation MSC: CRNE: CH-69 3. In teaching the patient with allergic rhinitis about management of the condition, what should the nurse explain?a. Identification and avoidance of triggers of the symptoms are important to avoid reactions. b. Allergic reactions can be prevented if oral antihistamines are taken before exposure to allergens. c. Corticosteroid nasal sprays are the only topical drugs recommended for treatment of hay fever. d. Prescription antihistamine drugs should be requested because over-the-counter preparations are ineffective for allergic rhinitis. - ANS: A