NURS 110 / NURS110 EXAM 2 / MIDTERM EXAM. QUESTIONS AND ANSWERS

A patient who has just had a total laryngectomy for cancer is being discharged. Which statement indicates the patient needs further teaching on care of the tracheostomy? A.I must avoid getting any objects in the stoma B.I can take a shower when I get home C.I can learn to speak with an electric larynx D.I need to clean around the stoma every day Which statement indicates that further teaching is required for the patient diagnosed with OSA? A. The CPAP machine will help me be more awake during the day B. If I exercise and lose weight I may not need to use the CPAP C.I will use the CPAP machine only when I need it to sleep well D. The CPAP helps to keep my airway open when I sleep The nurse would assess the patient with acute pharyngitis for what signs and symptoms that would indicate a complication of GAS pharyngitis? A. Pain and spasm of the lower leg muscles B. Gross hematuria, edema and hypertension C. Reduced visual fields and blurred vision D. Insomnia, heartburn and abdominal distention A patient will be going home with a tracheal stoma. What information will be important to include in the discharge teaching of this patient? A. Water sports are permitted B. Wear a medical ID bracelet C. Mouth to mouth ventilation should be performed in an emergency D. Fifteen minutes of strenuous exercise will improve overall strength A 43 year old obese patient is being treated for severe obstructive sleep apnea •Describe the classis signs and symptoms of OSA •Snoring, excessive tiredness, wake up with snore •Describe the treatment using noninvasive positive pressure ventilation •CPAP, BIPAP A diagnosis of laryngitis has been made in a 36 year old opera singer. She is complaining of a cough and hoarseness in her throat. •Discuss treatment goals for this patient •Rest voice, hydration, nutrition An 8 year old patient is being seen in the emergency room. He was playing football. He has a nasal fracture with clear liquid leaking from his nose. A CSF leak is suspected. •Describe the nursing management of this patient •** pressure, ice, keep head elevated, avoid sports, symptom management •The nurse should be alert to which complication? •**meningitis- look out for CSF – s/s of infection