Med Surg Exam 3 - Chapter 27

8 Questions | By Christytuong | Updated: Mar 21, 2022 | Attempts: 362

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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.

While in the recovery room, a patient with a total laryngectomy is suctioned and has bloody mucus with some clots. Which of the following nursing interventions would apply?
- 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