Med Surg Exam 3 - Chapter 27
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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
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