Chapter 14: Care of Patients with Disorders of the Upper Respiratory System

Chapter 14: Care of Patients with Disorders of the Upper Respiratory System

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse reminds the patient that a cold is contagious for about _____ days.

ANS:  B

The contagion period of a viral cold is about 3 days.

DIF:    Cognitive Level: Knowledge            REF:   279                OBJ:   1 (theory)

TOP:   Contagion of Colds                         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

2. The nurse clarifies that the antibiotic given to the patient with a cold is to:

ANS:  C

Antibiotics are given to people with a viral cold to prevent a secondary bacterial infection. There is no cure for a cold. Antibiotics will not reduce symptoms of a cold because a cold is viral in etiology, and antibiotics will not affect the immune system response to viral infections.

DIF:    Cognitive Level: Application           REF:   279                OBJ:   1 (theory)

TOP:   Antibiotics     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

3. When the patient with an upper respiratory infection states that it is difficult to chew due to pain in the upper teeth, the nurse suspects:

ANS:  C

While an abscess or dental caries can cause tooth pain, generalized pain in the upper teeth associated with an upper respiratory infection indicates sinusitis.

DIF:    Cognitive Level: Comprehension     REF:   279                OBJ:   1 (theory)

TOP:   Sinusitis         KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance

4. The 20-year-old who has laser surgery to remove the tonsils should be positioned postoperatively in the position of:

ANS:  B

Semi-Fowler’s position is the best position for the adult tonsillectomy patient to ensure adequate ventilation due to the airway being swollen and bleeding associated with the surgery. Side-lying, prone, and supine would not assist in ventilation.

DIF:    Cognitive Level: Application           REF:   281                OBJ:   2 (theory)

TOP:   Positioning After Tonsillectomy       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

5. The patient with sleep apnea complains to the nurse that he is constantly fatigued. The nurse is most accurate in telling the patient that his fatigue is related to which factor?

ANS:  B

The periods of apnea and abrupt intake of air wakens the patient frequently during the night and reduces the amount of rapid eye movement (REM) sleep. Oxygen deficiency also occurs, but is related to other symptoms of sleep apnea. Increased respiratory effort is not usually associated with sleep apnea.

DIF:    Cognitive Level: Application           REF:   282                OBJ:   1 (theory)

TOP:   Sleep Apnea   KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation