CHRONIC CARE EXAM 3 QUESTION & ANSWERS/ NEWEST
VERSION WITH COMPLETE SOLUTIONS WITH RATIONALES
100% VERIFIED ANSWERS− A+ GRADED FREE
The Nurse Discusses Management Of Upper Respiratory Infection With A Patient Who Has
Acute Sinusitis. Which Statement By The Patient Indicates That Additional Teaching Is Needed?
A. "I Will Drink Lots Of Juices And Other Fluids To Stay Well Hydrated."
B. "I Can Use Nasal Decongestant Spray Until The Congestion Is Gone."
C. "I Can Take Acetaminophen To Treat My Sinus Discomfort."
D. "I Will Watch For Changes In Nasal Secretions Or The Sputum That I Cough Up."
ANS: B.
The Nurse Should Clarify That Nasal Decongestant Sprays Should Be Used For No More Than 5
Days To Prevent Rebound Vasodilation And Congestion. The Other Responses Indicate That The
Teaching Has Been Effective.
Which Patient Statement Indicates That Teaching About Radiation Therapy About Radiation
Therapy Of The Larynx Was Effective?
A."I Should Not Use Any Lotions On My Neck."
B."I Will Need To Carry A Water Bottle With Me."
C."Until The Radiation Is Complete, I May Have Diarrhea."
D."Alcohol-Based Mouthwashes Will Help Clean My Mouth."
ANS: B.
Xerostomia Can Be Partially Alleviated By Drinking Fluids At Frequent Intervals. Radiation Will
Damage Tissues At The Site Being Radiated But Should Not Affect The Abdominal Organs, So
Loose Stools Are Not A Usual Complication Of Head And Neck Radiation Therapy. Frequent Oral
Rinsing With Non-Alcohol Based Rinses Is Recommended. Prescribed Lotions And Sunscreen
May Be Used On Radiated Skin, Although They Should Not Be Used Just Before The Radiation
Therapy.
, A Nurse Obtains A Health History From A Patient Who Has A 35 Pack-Year Smoking History. The
Patient Reports Hoarseness And Tightness In The Throat And Difficulty Swallowing. Which
Question Is Important For The Nurse To Ask?
A."How Much Alcohol Do You Drink In An Average Week?"
B."Do You Have A Family History Of Head Or Neck Cancer?"
C."Have You Had Frequent Streptococcal Throat Infection?"
D."Do You Use Antihistamines For Upper Airway Congestion?"
ANS: A.
Prolonged Alcohol Use And Smoking Are Associated With The Development Of Laryngeal
Cancer, Which The Patients Symptoms And History Suggest. Family History Is Not A Risk Factor
For Head Or Neck Cancer. Frequent Antihistamine Use Would Be Asked About If The Nurse
Suspected Allergic Rhinitis, But The Patient's Symptoms Are Not Suggestive Of This Diagnosis.
Patients With Streptococcal Throat Infections Will Also Have Pain And A Fever.
A Patient Scheduled For A Total Laryngectomy And Radical Neck Dissection For Cancer Of The
Larynx Asks The Nurse, "Will I Be Able To Talk Normally After Surgery?" Which Responses By The
Nurse Would Be The Most Accurate?
A."You Will Breathe Through A Permanent Opening In Your Neck, But You Will Not Be Able To
Communicate Orally."
B."You Won't Be Able To Talk Right After Surgery, But You Will Be Able To Speak Again After The
Tracheostomy Tube Is Removed."
C."You Will Have A Permanent Opening In Your Neck, And You Will Need Rehabilitation For
Some Typer Of Voice Restoration."
D."You Won't Be Able To Speak As You Used To, But There Are Artificial Voice Devices That Will
Give You The Ability To Speak Normally."
VERSION WITH COMPLETE SOLUTIONS WITH RATIONALES
100% VERIFIED ANSWERS− A+ GRADED FREE
The Nurse Discusses Management Of Upper Respiratory Infection With A Patient Who Has
Acute Sinusitis. Which Statement By The Patient Indicates That Additional Teaching Is Needed?
A. "I Will Drink Lots Of Juices And Other Fluids To Stay Well Hydrated."
B. "I Can Use Nasal Decongestant Spray Until The Congestion Is Gone."
C. "I Can Take Acetaminophen To Treat My Sinus Discomfort."
D. "I Will Watch For Changes In Nasal Secretions Or The Sputum That I Cough Up."
ANS: B.
The Nurse Should Clarify That Nasal Decongestant Sprays Should Be Used For No More Than 5
Days To Prevent Rebound Vasodilation And Congestion. The Other Responses Indicate That The
Teaching Has Been Effective.
Which Patient Statement Indicates That Teaching About Radiation Therapy About Radiation
Therapy Of The Larynx Was Effective?
A."I Should Not Use Any Lotions On My Neck."
B."I Will Need To Carry A Water Bottle With Me."
C."Until The Radiation Is Complete, I May Have Diarrhea."
D."Alcohol-Based Mouthwashes Will Help Clean My Mouth."
ANS: B.
Xerostomia Can Be Partially Alleviated By Drinking Fluids At Frequent Intervals. Radiation Will
Damage Tissues At The Site Being Radiated But Should Not Affect The Abdominal Organs, So
Loose Stools Are Not A Usual Complication Of Head And Neck Radiation Therapy. Frequent Oral
Rinsing With Non-Alcohol Based Rinses Is Recommended. Prescribed Lotions And Sunscreen
May Be Used On Radiated Skin, Although They Should Not Be Used Just Before The Radiation
Therapy.
, A Nurse Obtains A Health History From A Patient Who Has A 35 Pack-Year Smoking History. The
Patient Reports Hoarseness And Tightness In The Throat And Difficulty Swallowing. Which
Question Is Important For The Nurse To Ask?
A."How Much Alcohol Do You Drink In An Average Week?"
B."Do You Have A Family History Of Head Or Neck Cancer?"
C."Have You Had Frequent Streptococcal Throat Infection?"
D."Do You Use Antihistamines For Upper Airway Congestion?"
ANS: A.
Prolonged Alcohol Use And Smoking Are Associated With The Development Of Laryngeal
Cancer, Which The Patients Symptoms And History Suggest. Family History Is Not A Risk Factor
For Head Or Neck Cancer. Frequent Antihistamine Use Would Be Asked About If The Nurse
Suspected Allergic Rhinitis, But The Patient's Symptoms Are Not Suggestive Of This Diagnosis.
Patients With Streptococcal Throat Infections Will Also Have Pain And A Fever.
A Patient Scheduled For A Total Laryngectomy And Radical Neck Dissection For Cancer Of The
Larynx Asks The Nurse, "Will I Be Able To Talk Normally After Surgery?" Which Responses By The
Nurse Would Be The Most Accurate?
A."You Will Breathe Through A Permanent Opening In Your Neck, But You Will Not Be Able To
Communicate Orally."
B."You Won't Be Able To Talk Right After Surgery, But You Will Be Able To Speak Again After The
Tracheostomy Tube Is Removed."
C."You Will Have A Permanent Opening In Your Neck, And You Will Need Rehabilitation For
Some Typer Of Voice Restoration."
D."You Won't Be Able To Speak As You Used To, But There Are Artificial Voice Devices That Will
Give You The Ability To Speak Normally."
