prep u 22 Q&A
After a tonsillectomy, a client is being prepared for discharge. The nurse should instruct
the client to report which sign or symptom immediately? - (correct answer)Bleeding
A client with acute viral rhinosinusitis is being seen in a clinic. The nurse is providing
discharge instructions and includes the following information: - (correct answer)Avoid air
travel.
A nurse is providing instructions for the client with chronic rhinosinusitis. The nurse
accurately tells the client: - (correct answer)Sleep with the head of bed elevated.
A client exhibits a sudden and complete loss of voice and is coughing. The nurse states
- (correct answer)"Do not smoke and avoid being around others who are smoking."
You are doing preoperative teaching with a client scheduled for laryngeal surgery. What
should you teach this client to help prevent atelectasis? - (correct answer)Encourage
deep breathing every 2 hours.
The client you are caring for has just been told they have advanced laryngeal cancer.
What is the treatment of choice? - (correct answer)Total laryngectomy
The nurse is obtaining a health history from a client on an annual physical exam. Which
documentation should be brought to the physician's attention? - (correct
answer)Hoarseness for 2 weeks
The nurse is caring for a respiratory client who uses a noninvasive positive pressure
device. Which medical equipment does the nurse anticipate to find in the client's room?
- (correct answer)A face mask
A patient is diagnosed as being in the early stage of laryngeal cancer of the glottis with
only 1 vocal cord involved. For what type of surgical intervention will the nurse plan to
provide education? - (correct answer)Partial laryngectomy
, A surgeon completes a total laryngectomy. Postoperatively, the nurse explains to the
patient's family that: - (correct answer)A permanent tracheal stoma would be necessary.
Which assessment finding puts a client at increased risk for epistaxis? - (correct
answer)Cocaine use
The herpes simplex virus type 1 (HSV-1), which produces a cold sore (fever blister), has
an incubation period of - (correct answer)2 to 12 days.
The nurse is caring for the client in the intensive care unit immediately after removal of
the endotracheal tube. Which of the following nursing actions is most important to
complete every hour to ensure that the respiratory system is not compromised? -
(correct answer)Auscultate lung sounds.
The nurse is educating a patient diagnosed with acute bacterial rhinosinusitis about
interventions that may assist with symptom control. What should the nurse include in
this information? (Select all that apply.) - (correct answer)Ensure an adequate fluid
intake.
Increase the humidity in the home.
Apply local heat to promote drainage.
A patient playing softball was hit in the nose by the ball and has been determined to
have an uncomplicated fractured nose with epistaxis. The nurse should prepare to
assist the physician with what tasks? - (correct answer)Applying nasal packing
A nurse is caring for a client who has a history of sleep apnea. The client understands
the disease process when he says: - (correct answer)"I should become involved in a
weight loss program."
After a tonsillectomy, a client is being prepared for discharge. The nurse should instruct
the client to report which sign or symptom immediately? - (correct answer)Bleeding
A client with acute viral rhinosinusitis is being seen in a clinic. The nurse is providing
discharge instructions and includes the following information: - (correct answer)Avoid air
travel.
A nurse is providing instructions for the client with chronic rhinosinusitis. The nurse
accurately tells the client: - (correct answer)Sleep with the head of bed elevated.
A client exhibits a sudden and complete loss of voice and is coughing. The nurse states
- (correct answer)"Do not smoke and avoid being around others who are smoking."
You are doing preoperative teaching with a client scheduled for laryngeal surgery. What
should you teach this client to help prevent atelectasis? - (correct answer)Encourage
deep breathing every 2 hours.
The client you are caring for has just been told they have advanced laryngeal cancer.
What is the treatment of choice? - (correct answer)Total laryngectomy
The nurse is obtaining a health history from a client on an annual physical exam. Which
documentation should be brought to the physician's attention? - (correct
answer)Hoarseness for 2 weeks
The nurse is caring for a respiratory client who uses a noninvasive positive pressure
device. Which medical equipment does the nurse anticipate to find in the client's room?
- (correct answer)A face mask
A patient is diagnosed as being in the early stage of laryngeal cancer of the glottis with
only 1 vocal cord involved. For what type of surgical intervention will the nurse plan to
provide education? - (correct answer)Partial laryngectomy
, A surgeon completes a total laryngectomy. Postoperatively, the nurse explains to the
patient's family that: - (correct answer)A permanent tracheal stoma would be necessary.
Which assessment finding puts a client at increased risk for epistaxis? - (correct
answer)Cocaine use
The herpes simplex virus type 1 (HSV-1), which produces a cold sore (fever blister), has
an incubation period of - (correct answer)2 to 12 days.
The nurse is caring for the client in the intensive care unit immediately after removal of
the endotracheal tube. Which of the following nursing actions is most important to
complete every hour to ensure that the respiratory system is not compromised? -
(correct answer)Auscultate lung sounds.
The nurse is educating a patient diagnosed with acute bacterial rhinosinusitis about
interventions that may assist with symptom control. What should the nurse include in
this information? (Select all that apply.) - (correct answer)Ensure an adequate fluid
intake.
Increase the humidity in the home.
Apply local heat to promote drainage.
A patient playing softball was hit in the nose by the ball and has been determined to
have an uncomplicated fractured nose with epistaxis. The nurse should prepare to
assist the physician with what tasks? - (correct answer)Applying nasal packing
A nurse is caring for a client who has a history of sleep apnea. The client understands
the disease process when he says: - (correct answer)"I should become involved in a
weight loss program."
