Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
$2.99
Chapter 20, Caring for Clients With Upper Respiratory Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 201. | You are caring for a client who is post–sinus surgery. When you assess this client, you ask him how many fingers you are holding up. Why do you assess postoperative visual acuity? |
| A) | To assess possible hemorrhage |
| B) | To assess damage to the optic nerve |
| C) | To assess postoperative infection |
| D) | To assess impaired drainage |
| Ans: | B |
| Feedback: | |
| A client who has undergone a sinus surgery faces a serious risk of damage to the optic nerve. Therefore, the nurse assesses postoperative visual acuity by asking the client to identify the number of fingers displayed. To assess possible hemorrhage, the nurse observes the client for repeated swallowing. The nurse assesses for pain over the involved sinuses and not a postoperative infection or an impaired drainage. |
| 2. | You are caring for a client diagnosed with enlarged adenoids. What condition is produced by enlarged adenoids? |
| A) | Incrusted mucous membranes |
| B) | Hardened secretions |
| C) | Erosion of the trachea |
| D) | Noisy breathing |
| Ans: | D |
| Feedback: | |
| Enlarged adenoids may produce nasal obstruction, noisy breathing, snoring, and a nasal quality to the voice. Incrustation of the mucous membranes in the trachea and the main bronchus occurs during the postoperative period following a tracheostomy. The long-term and short-term complications of tracheostomy include airway obstruction. These are caused by hardened secretions and erosion of the trachea. |
| 3. | You are performing a preoperative assessment on a client who is scheduled for a tonsillectomy. Why would you ask the client about the use of herbal supplements? |
| A) | They produce anorexia. |
| B) | They impair the immune system. |
| C) | They prolong bleeding. |
| D) | They lower high-density lipoprotein levels. |
| Ans: | C |
| Feedback: | |
| The nurse must find out the bleeding tendencies of clients scheduled for tonsillectomy and adenoidectomy. Therefore, the nurse asks the clients about any recent use of herbal supplements. The nurse must ask about the use of these supplements because they may prolong bleeding. A client may experience anorexia because of a diminished sense of taste and smell following a laryngectomy. Similarly, excess zinc impairs the immune system and lowers the levels of high-density lipoproteins. These symptoms are not caused by herbal supplements. |
| 4. | A client comes into the emergency department with epistaxis. What intervention should you perform when caring for a client with epistaxis? |
| A) | Apply a moustache dressing. |
| B) | Provide a nasal splint. |
| C) | Apply direct continuous pressure. |
| D) | Place the client in a semi-Fowler’s position. |
| Ans: | C |
| Feedback: | |
| The severity and location of bleeding determine the treatment of a client with epistaxis. To manage this condition, the nurse should apply direct continuous pressure to the nares for 5 to 10 minutes with the client’s head tilted slightly forward. Application of a moustache dressing or a drip pad to absorb drainage, application of a nasal splint, and placement of the client in a semi-Fowler’s position are interventions related to the management of a client with a nasal obstruction. |
| 5. | You are presenting about upper respiratory infections at an educational event for a local community group. What should you be sure to include regarding cold tablets containing antihistamines? |
| A) | They dilute the nasal secretions. |
| B) | They lead to frequent sinus drainage. |
| C) | They decrease discomfort temporarily. |
| D) | They prolong bleeding. |
| Ans: | C |
| Feedback: | |
| Some cold tablets contain antihistamines that thicken the nasal secretions. Although this action may temporarily decrease the discomfort of profuse nasal secretions, thickened secretions can block the drainage openings of the sinus cavity, leading to the failure of the sinuses to drain adequately. Aspirin prolongs bleeding. |
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $35.00.$25.00Current price is: $25.00.