Deck 25: Coordinating Care for Patients With Upper Airway Disorders

Question 1

The nurse is providing care to a patient receiving radiation in the treatment of laryngeal cancer.Which patient statement indicates the need for further education regarding radiation treatments?

A) "My skin may become red,tender,and peel."
B) "I should avoid the sun while I am receiving this therapy."
C) "I will wear soft,loose fitting clothing made of cotton to limit irritation."
D) "My therapy includes washing my skin with a harsh soap and applying lotion."

Answer 1

"My therapy includes washing my skin with a harsh soap and applying lotion."

Question 2

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a corticosteroid nasal spray.Which drug should the nurse educate the patient about based on this data?

A) Loratadine
B) Fluticasone
C) Guaifenesin
D) Diphenhydramine

Answer 2

Fluticasone

Question 3

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a first generation antihistamine.Which drug should the nurse educate the patient about based on this data?

A) Loratadine
B) Fluticasone
C) Guaifenesin
D) Diphenhydramine

Answer 3

Diphenhydramine

Question 4

The nurse is providing education to a patient who is receiving chemotherapy in the treatment of laryngeal cancer.Which medication should the nurse include to decrease the risk for nausea and vomiting?

A) Antiemetic
B) Decongestant
C) Antihistamine
D) Corticosteroid

Question 5

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which drug should the nurse include for a patient who requires a corticosteroid?

A) Saline
B) Azelastine
C) Fluticasone
D) Oxymetazonline

Question 6

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a decongestant.Which drug should the nurse educate the patient about based on this data?

A) Loratadine
B) Fluticasone
C) Guaifenesin
D) Diphenhydramine

Question 7

The nurse is providing care to a patient receiving chemotherapy for the treatment of laryngeal cancer.Which laboratory test should the nurse anticipate to monitor the patient for neutropenia?

A) Platelet count
B) Serum potassium
C) Red blood cell count
D) White blood cell count

Question 8

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which should the nurse recommend when the patient wants a natural?

A) Saline
B) Azelastine
C) Fluticasone
D) Oxymetazonline

Question 9

When capping the patient's tracheostomy tube with a speaking valve,the nurse assesses the patient's breath sounds around the tube and hears no air leak.Which nursing action is the most appropriate based on this assessment finding?

A) Allowing the cap to remain in place as long as the patient tolerates it
B) Documenting the placement of the cap and relevant data regarding patient assessment
C) Removing the valve and notifying the health-care provider
D) Assisting the patient out of bed

Question 10

The nurse is caring for a patient with a longstanding permanent tracheostomy that has been in place for several years in order to provide mechanical ventilation.Which type of tracheostomy does the nurse anticipate this patient may have based on the health history?

A) Uncuffed tracheostomy
B) Cuffed tracheostomy
C) Fenestrated tracheostomy
D) Uncuffed or fenestrated tracheostomy

Question 11

The nurse is providing education to the patient who is receiving treatment for laryngeal cancer.Which patient statement regarding nutrition requires further education from the nurse?

A) "I will eat small,frequent meals to ensure I get enough calories each day."
B) "Even though I don't like tomatoes,I will eat them since they are not acidic."
C) "Liquid supplements are easy to swallow and will increase my caloric intake."
D) "I will eat foods that taste good and are easy to eat and swallow to get enough calories each day."

Question 12

The nurse is providing education to a patient receiving radiation therapy for the treatment of laryngeal cancer.Which patient statement indicates the need for further education regarding oral care?

A) "I should increase my oral intake of water."
B) "I will avoid spicy foods to decrease my discomfort."
C) "I can chew gum to decrease the dry mouth that may occur."
D) "I should use a firm-bristle toothbrush to ensure food particles are removed."

Question 13

The nurse is caring for a patient with a tracheostomy tube in place connected to a mechanical ventilator.When facilitating communication,which strategy is inappropriate?

A) Using a fenestrated tracheostomy tube
B) Using writing materials
C) Using a communication board
D) Using a Passy-Muir valve

Question 14

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which drug should the nurse include for a patient who requires an antihistamine?

A) Saline
B) Azelastine
C) Fluticasone
D) Oxymetazonline

Question 15

When preparing to cap the patient's tracheostomy tube with a speaking valve,which nursing action is inappropriate before placing the valve?

A) Suctioning the oropharynx if there are any secretions present
B) Asking the patient to cough
C) Suctioning the tracheostomy tube
D) Deflating the cuffed tracheostomy tube

Question 16

The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.Which drug should the nurse include for a patient who requires a decongestant?

A) Saline
B) Azelastine
C) Fluticasone
D) Oxymetazonline

Question 17

The nurse is performing tracheostomy care.Which portion of the trach will the nurse use when tying the new trach ties?

A) Inner cannula
B) Outer cannula
C) Obturator
D) Flange

Question 18

An adult patient diagnosed with sleep apnea has been prescribed a continuous positive airway pressure (CPAP)machine as treatment.The nurse is instructing the patient on how to use the machine.Which instruction should the nurse include?

A) Any size mask will work
B) Straps can be loose,if that feels more comfortable
C) Use relaxation exercises to reduce uncomfortable feelings from the mask
D) Do not use a humidifier at the same time

Question 19

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a second generation antihistamine.Which drug should the nurse educate the patient about based on this data?

A) Loratadine
B) Fluticasone
C) Guaifenesin
D) Diphenhydramine

Question 20

The nurse is caring for a patient being weaned from the ventilator,and wants to improve the patient's ability to communicate.Which item will the nurse request an order for from the health-care provider?

A) Cuffed tracheostomy tube
B) Uncuffed tracheostomy tube
C) Fenestrated tracheostomy tube
D) Obturator

Question 21

Which intervention should the nurse implement for a patient who is at risk for aspiration as a result of laryngeal trauma?

A) Encouraging voice rest
B) Maintaining NPO status
C) Placing in high-Fowler's position
D) Providing humidified air via face mask

Question 22

Which drug prescription does the nurse anticipate for empiric therapy when providing care to an adult patient diagnosed with acute bacterial rhinosinusitis (ABRS)?

A) Azithromycin
B) Clarithromycin
C) Amoxicillin-clavulante
D) Intranasal corticosteriods

Question 23

Which is the priority nursing diagnosis for a patient who experiences a laryngeal trauma?

A) Impaired comfort
B) Impaired swallowing
C) Ineffective airway clearance
D) Risk for impaired verbal communication

Question 24

Which drug prescription does the nurse anticipate for adjuvant therapy when providing care to an adult patient diagnosed with acute bacterial rhinosinusitis (ABRS)?

A) Azithromycin
B) Clarithromycin
C) Amoxicillin-clavulante
D) Intranasal corticosteriods

Question 25

Which assessment data collected by the nurse indicates a patient with laryngeal trauma is experiencing issues with airway clearance?

A) Tachypnea
B) Bradycardia
C) Hypotension
D) Increased oxygen saturation