BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 436
Chapter 22: Management of Patients With Upper Respiratory Tract
Disorders
1. The nurse is providing patient teaching to a young mother who has brought her 3-month-old infant to the
clinic for a well-baby checkup. What action should the nurse recommend to the woman to prevent the
transmission of organisms to her infant during the cold season?
A) Take preventative antibiotics, as ordered.
B) Gargle with warm salt water regularly.
C) Dress herself and her infant warmly.
D) Wash her hands frequently.
Ans: D
Feedback:
Handwashing remains the most effective preventive measure to reduce the transmission of organisms.
Taking prescribed antibiotics, using warm salt-water gargles, and dressing warmly do not suppress
transmission. Antibiotics are not prescribed for a cold.
2. A patient visiting the clinic is diagnosed with acute sinusitis. To promote sinus drainage, the nurse
should instruct the patient to perform which of the following?
A) Apply a cold pack to the affected area.
B) Apply a mustard poultice to the forehead.
C) Perform postural drainage.
D) Increase fluid intake.
Ans: D
Feedback:
For a patient diagnosed with acute sinusitis, the nurse should instruct the patient that hot packs,
increasing fluid intake, and elevating the head of the bed can promote drainage. Applying a mustard
poultice will not promote sinus drainage. Postural drainage is used to remove bronchial secretions.
3. The nurse is creating a plan of car for a patient diagnosed with acute laryngitis. What intervention should
NURSINGTB.COM
, BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 437
be included in the patients plan of care?
A) Place warm cloths on the patients throat, as needed.
B) Have the patient inhale warm steam three times daily.
C) Encourage the patient to limit speech whenever possible.
D) Limit the patients fluid intake to 1.5 L/day.
Ans: C
Feedback:
Management of acute laryngitis includes resting the voice, avoiding irritants (including smoking),
resting, and inhaling cool steam or an aerosol. Fluid intake should be increased. Warm cloths on the
throat will not help relieve the symptoms of acute laryngitis.
4. A patient comes to the ED and is admitted with epistaxis. Pressure has been applied to the patients
midline septum for 10 minutes, but the bleeding continues. The nurse should anticipate using what
treatment to control the bleeding?
A) Irrigation with a hypertonic solution
B) Nasopharyngeal suction
C) Normal saline application
D) Silver nitrate application
Ans: D
Feedback:
If pressure to the midline septum does not stop the bleeding for epistaxis, additional treatment of silver
nitrate application, Gelfoam, electrocautery, or vasoconstrictors may be used. Suction may be used to
visualize the nasal septum, but it does not alleviate the bleeding. Irrigation with a hypertonic solution is
not used to treat epistaxis.
5. The nurse is planning the care of a patient who is scheduled for a laryngectomy. The nurse should assign
the highest priority to which postoperative nursing diagnosis?
A) Anxiety related to diagnosis of cancer
B) Altered nutrition related to swallowing difficulties
NURSINGTB.COM
, BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 438
C) Ineffective airway clearance related to airway alterations
D) Impaired verbal communication related to removal of the larynx
Ans: C
Feedback:
Each of the listed diagnoses is valid, but ineffective airway clearance is the priority nursing diagnosis for
all conditions.
6. The home care nurse is assessing the home environment of a patient who will be discharged from the
hospital shortly after his laryngectomy. The nurse should inform the patient that he may need to arrange
for the installation of which system in his home?
A) A humidification system
B) An air conditioning system
C) A water purification system
D) A radiant heating system
Ans: A
Feedback:
The nurse stresses the importance of humidification at home and instructs the family to obtain and set up
a humidification system before the patient returns home. Air-conditioning may be too cool and too
drying for the patient. A water purification system or a radiant heating system is not necessary.
7. The nurse is caring for a patient whose recent unexplained weight loss and history of smoking have
prompted diagnostic testing for cancer. What symptom is most closely associated with the early stages
of laryngeal cancer?
A) Hoarseness
B) Dyspnea
C) Dysphagia
D) Frequent nosebleeds
Ans: A
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 436
Chapter 22: Management of Patients With Upper Respiratory Tract
Disorders
1. The nurse is providing patient teaching to a young mother who has brought her 3-month-old infant to the
clinic for a well-baby checkup. What action should the nurse recommend to the woman to prevent the
transmission of organisms to her infant during the cold season?
A) Take preventative antibiotics, as ordered.
B) Gargle with warm salt water regularly.
C) Dress herself and her infant warmly.
D) Wash her hands frequently.
Ans: D
Feedback:
Handwashing remains the most effective preventive measure to reduce the transmission of organisms.
Taking prescribed antibiotics, using warm salt-water gargles, and dressing warmly do not suppress
transmission. Antibiotics are not prescribed for a cold.
2. A patient visiting the clinic is diagnosed with acute sinusitis. To promote sinus drainage, the nurse
should instruct the patient to perform which of the following?
A) Apply a cold pack to the affected area.
B) Apply a mustard poultice to the forehead.
C) Perform postural drainage.
D) Increase fluid intake.
Ans: D
Feedback:
For a patient diagnosed with acute sinusitis, the nurse should instruct the patient that hot packs,
increasing fluid intake, and elevating the head of the bed can promote drainage. Applying a mustard
poultice will not promote sinus drainage. Postural drainage is used to remove bronchial secretions.
3. The nurse is creating a plan of car for a patient diagnosed with acute laryngitis. What intervention should
NURSINGTB.COM
, BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 437
be included in the patients plan of care?
A) Place warm cloths on the patients throat, as needed.
B) Have the patient inhale warm steam three times daily.
C) Encourage the patient to limit speech whenever possible.
D) Limit the patients fluid intake to 1.5 L/day.
Ans: C
Feedback:
Management of acute laryngitis includes resting the voice, avoiding irritants (including smoking),
resting, and inhaling cool steam or an aerosol. Fluid intake should be increased. Warm cloths on the
throat will not help relieve the symptoms of acute laryngitis.
4. A patient comes to the ED and is admitted with epistaxis. Pressure has been applied to the patients
midline septum for 10 minutes, but the bleeding continues. The nurse should anticipate using what
treatment to control the bleeding?
A) Irrigation with a hypertonic solution
B) Nasopharyngeal suction
C) Normal saline application
D) Silver nitrate application
Ans: D
Feedback:
If pressure to the midline septum does not stop the bleeding for epistaxis, additional treatment of silver
nitrate application, Gelfoam, electrocautery, or vasoconstrictors may be used. Suction may be used to
visualize the nasal septum, but it does not alleviate the bleeding. Irrigation with a hypertonic solution is
not used to treat epistaxis.
5. The nurse is planning the care of a patient who is scheduled for a laryngectomy. The nurse should assign
the highest priority to which postoperative nursing diagnosis?
A) Anxiety related to diagnosis of cancer
B) Altered nutrition related to swallowing difficulties
NURSINGTB.COM
, BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 438
C) Ineffective airway clearance related to airway alterations
D) Impaired verbal communication related to removal of the larynx
Ans: C
Feedback:
Each of the listed diagnoses is valid, but ineffective airway clearance is the priority nursing diagnosis for
all conditions.
6. The home care nurse is assessing the home environment of a patient who will be discharged from the
hospital shortly after his laryngectomy. The nurse should inform the patient that he may need to arrange
for the installation of which system in his home?
A) A humidification system
B) An air conditioning system
C) A water purification system
D) A radiant heating system
Ans: A
Feedback:
The nurse stresses the importance of humidification at home and instructs the family to obtain and set up
a humidification system before the patient returns home. Air-conditioning may be too cool and too
drying for the patient. A water purification system or a radiant heating system is not necessary.
7. The nurse is caring for a patient whose recent unexplained weight loss and history of smoking have
prompted diagnostic testing for cancer. What symptom is most closely associated with the early stages
of laryngeal cancer?
A) Hoarseness
B) Dyspnea
C) Dysphagia
D) Frequent nosebleeds
Ans: A
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