Nur 270 CH 22 questions fully
solved & updated(latest
update).
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?
- answer wash hands frequently
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? - answer increase fluid intake
The nurse is creating a plan of car for a patient diagnosed with
acute laryngitis. What intervention should be included in the
patient's plan of care? - answer encourage pt to limit speech
whenever possible
A patient comes to the ED and is admitted with epistaxis. Pressure
has been applied to the patient's midline septum for 10 minutes,
but the bleeding continues. The nurse should anticipate using what
treatment to control the bleeding? - answer Silver nitrate
application
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 - answer ineffective airway
clearance r/t airway alterations
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? -
answer humidification system
The nurse is caring for a pt 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 - answer hoarseness
the nurse is caring for a pt who needs education on his medication
therapy for allergic rhinitis. the pt is to take cromolyn (Nasalcrom)
daily. In providing education for this pt, how should the nurse
describe the action of the medication - answer it inhibits the release
of histamine and other chemicals
The campus nurse at a university is assessing a 21-year-old student
who presents with a severe nosebleed. The site of bleeding appears
to be the anterior portion of the nasal septum. The nurse instructs
the student to tilt her head forward and the nurse applies pressure
to the nose, but the student's nose continues to bleed. Which
intervention should the nurse next implement? - answer insert a
tampon in the affected nare
The ED nurse is assessing a young gymnast who fell from a balance
beam. The gymnast presents with a clear fluid leaking from her
nose. What should the ED nurse suspect? - answer Fracture of the
cribriform plate
A 42-year-old patient is admitted to the ED after an assault. The
patient received blunt trauma to the face and has a suspected nasal
fracture. Which of the following interventions should the nurse
perform? - answer Apply ice and keep the patient's head elevated.
The occupational health nurse is obtaining a patient history during a
pre-employment physical. During the history, the patient states that
he has hereditary angioedema. The nurse should identify what
solved & updated(latest
update).
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?
- answer wash hands frequently
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? - answer increase fluid intake
The nurse is creating a plan of car for a patient diagnosed with
acute laryngitis. What intervention should be included in the
patient's plan of care? - answer encourage pt to limit speech
whenever possible
A patient comes to the ED and is admitted with epistaxis. Pressure
has been applied to the patient's midline septum for 10 minutes,
but the bleeding continues. The nurse should anticipate using what
treatment to control the bleeding? - answer Silver nitrate
application
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 - answer ineffective airway
clearance r/t airway alterations
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? -
answer humidification system
The nurse is caring for a pt 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 - answer hoarseness
the nurse is caring for a pt who needs education on his medication
therapy for allergic rhinitis. the pt is to take cromolyn (Nasalcrom)
daily. In providing education for this pt, how should the nurse
describe the action of the medication - answer it inhibits the release
of histamine and other chemicals
The campus nurse at a university is assessing a 21-year-old student
who presents with a severe nosebleed. The site of bleeding appears
to be the anterior portion of the nasal septum. The nurse instructs
the student to tilt her head forward and the nurse applies pressure
to the nose, but the student's nose continues to bleed. Which
intervention should the nurse next implement? - answer insert a
tampon in the affected nare
The ED nurse is assessing a young gymnast who fell from a balance
beam. The gymnast presents with a clear fluid leaking from her
nose. What should the ED nurse suspect? - answer Fracture of the
cribriform plate
A 42-year-old patient is admitted to the ED after an assault. The
patient received blunt trauma to the face and has a suspected nasal
fracture. Which of the following interventions should the nurse
perform? - answer Apply ice and keep the patient's head elevated.
The occupational health nurse is obtaining a patient history during a
pre-employment physical. During the history, the patient states that
he has hereditary angioedema. The nurse should identify what
