Med Surg Exam 3 - Chapter 27

8 Questions | Total Attempts: 260

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Med Surg Exam 3 - Chapter 27

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Questions and Answers
  • 1. 
    A patient was seen in the clinic for an episode of epistaxis, which was controlled by placement of anterior nasal packing. During discharge teaching, the nurse instructs the patient to
    • A. 

      Use aspirin for pain relief

    • B. 

      Remove the packing later that day

    • C. 

      Skip the next does of antihypertensive medication

    • D. 

      Avoid vigorous nose blowing and strenuous activity

  • 2. 
    A patient with allergic rhinitis reports severe nasal congestion, sneezing, and water, itchy eyes and nose at a various times of the year. To teach the patient to control these symptoms, the nurse advises the patient to
    • A. 

      Avoid all intranasal sprays and oral antihistamines

    • B. 

      Limit the duration of use of nasal decongestant spray to 10 days

    • C. 

      Use oral decongestants at bedtime to prevent symptoms during the night

    • D. 

      Keep a diary of when the allergic reaction occurs and what precipitates it

  • 3. 
    A patient is seen at the clinic with fever, muscle aches, sore throat with yellowish exudate, and headache. The nurse anticipates that the collaborative management will include (select all that apply)
    • A. 

      Antiviral agents to treat influenza

    • B. 

      Treatment with antibiotics starting ASAP

    • C. 

      A throat culture or rapid strep antigen test

    • D. 

      Supportive care including, bland liquids

    • E. 

      Comprehensive history to determine possible etiology

  • 4. 
    A type of tracheostomy tube that prevents speech is
    • A. 

      A cuffless

    • B. 

      A fenestrated tracheostomy tube

    • C. 

      A tube with an inflated foam cuff

    • D. 

      A cuffed tube with the cuff deflated

  • 5. 
    To prevent excessive pressure on tracheal capillaries, pressures in the cuff of a trachestomy tube should be
    • A. 

      Monitored every 2 to 3 days

    • B. 

      Less than 20 mm Hg or 25 cm H2O

    • C. 

      Less than 30 mm Hg or 35 cm H2O

    • D. 

      Sufficient to fill the pilot balloon until it is tense

  • 6. 
    Which of the following is a late symptom of head and neck cancer?
    • A. 

      Hoarseness

    • B. 

      Change in fit of dentures

    • C. 

      Mouth ulcers that do not heal

    • D. 

      Decreased mobility of the tongue

  • 7. 
    • A. 

      Notify the physician immediately

    • B. 

      Place the patient in the prone position to facilitate drainage

    • C. 

      Instill 3 mL of normal saline into the tracheostomy tube to loosen secretions

    • D. 

      Continue your assessment of the patient, including O2 saturation, respiratory rate, and breath sounds.

  • 8. 
    When using a voice prosthesis, the patient
    • A. 

      Swallows air using a Valsalva maneuver

    • B. 

      Places a vibrating device in the mouth

    • C. 

      Places a speaking valve over the stoma

    • D. 

      Blocks the stoma entrance with a finger