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?
1)"My skin may become red, tender, and peel."
2)"I should avoid the sun while I am receiving this therapy."
3)"I will wear soft, loose-fitting clothing made of cotton to limit irritation."
4)"My therapy includes washing my skin with a deodorant soap and applying lotion."

Answer 1

4

Question 2

The nurse provides dietary teaching for a patient who is being treated for laryngeal cancer. Which patient statement indicates a need for additional information?
1)"I should eat foods that are soft and easy to swallow."
2)"I should eat three large high-calorie meals each day."
3)"I will try to drink a liquid nutritional supplement each day."
4)"I will avoid spicy foods as they may increase my pain with swallowing."

Answer 2

2

Question 3

Which statement by a patient scheduled for a total laryngectomy indicates the need for further teaching?
1)"I will have to eat through a tube in stomach for the rest of my life."
2)"I will not be able to speak after the surgery."
3)"I will be able to eat and drink once I heal from the surgery."
4)"I will have a permanent tracheotomy."

Answer 3

1

Question 4

The nurse correlates nasal itching, sneezing, nasal congestion, and rhinorrhea that is thin and clear to which disorder?
1)Acute bacterial rhinosinusitis (ABRS)
2)Acute viral rhinosinusitis
3)Chronic rhinitis
4)Rhinitis

Question 5

The nurse is providing care to a patient who is diagnosed with rhinosinusitis and prescribed fluticasone. The nurse recognizes that the rationale for this medication is which of the following actions?
1)Decreasing sinus drainage
2)Decreasing inflammation
3)Decreasing viscosity of secretions
4)Decreasing risk of infection

Question 6

In reviewing the prescribed medications for a patient being treated for rhinitis, the nurse correlates patient complaints of sleepiness, dry mouth eyes and mouth, and constipation to which medication?
1)Alavert
2)Benadryl
3)Claritin
4)Flonase

Question 7

The nurse is providing care to a patient who is diagnosed with rhinosinusitis and prescribed azelastine. The nurse recognizes that the rationale for this medication is which of the following actions?
1)Decreasing fever
2)Decreasing inflammation
3)Decreasing nasal drainage
4)Decreasing viscosity of secretions

Question 8

Which patient does the nurse assess to have the greatest risk for obstructive sleep apnea?
1)35-year-old obese female with a history of type 2 diabetes
2)42-year-old obese male with history of cigarette smoking
3)55-year-old obese female who works as an administrative assistant
4)68-year-old obese male who worked in a chemical plant for 45 years

Question 9

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a second generation antihistamine. The nurse includes data regarding which medication?
1)Loratadine
2)Fluticasone
3)Guaifenesin
4)Diphenhydramine

Question 10

The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a first generation antihistamine. The nurse includes data regarding which medication?
1)Loratadine
2)Fluticasone
3)Guaifenesin
4)Diphenhydramine

Question 11

The nurse provides education to a patient who is being treated for rhinitis. Which patient statement indicates the need for further teaching?
1)"I will use my nasal decongestant spray every day."
2)"I will make an appointment if my nasal drainage is yellow."
3)"I will avoid spending time outside when pollen levels are increased."
4)"I will cover my cough with my arm to decrease the spread of germs."

Question 12

Which diagnostic study is the most effective in determining whether a patient has obstructive sleep apnea?
1)Arterial blood gas
2)Bronchoscopy
3)Computed tomography (CT) of the chest
4)Polysomnography

Question 13

Which prescribed first-line therapy does the nurse include in a teaching session for a patient who wants to quit smoking?
1)The use of oral clonidine
2)The use of nicotine patches
3)The importance of taking daily walks
4)The importance of behavioral therapy

Question 14

The nurse recognizes which patient at greatest risk for chronic rhinosinusitis?
1)Female patient with history of otorrhea
2)Female patient with history of nasal polyps
3)Male patient who has a tonsillectomy at age 12
4)Male patient with history of nasal trauma

Question 15

In assessing the patient immediately after extubation, which finding requires an immediate intervention?
1)Respiratory rate of 22
2)Adventitious breath sounds
3)Stridor
4)Tachycardia

Question 16

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?
1)"I will eat small, frequent meals to ensure I get enough calories each day."
2)"I can eat any type of food as long as it is easy to swallow."
3)"Liquid supplements are easy to swallow and will increase my caloric intake."
4)"I will eat foods that taste good and are easy to swallow to get enough calories each day."

Question 17

The nurse is caring for a patient who has developed rhinitis medicamentosa. The nurse correlates this finding to which treatment used to in the management of rhinosinusitis?
1)Intranasal corticosteroids
2)Topical decongestants
3)Normal saline irrigation
4)Oral antibiotics

Question 18

Which patient statement regarding the use of a normal saline nasal rinse requires intervention by the nurse?
1)"I will lean over the sink with my head tilted to one side."
2)"I will insert the spout of the irrigating device in the upper nostril."
3)"I will slowly pour the normal saline into the nostril while breathing through my mouth."
4)"I will allow fluid to drain out the upper nostril to remove excess mucous from my nose."

Question 19

The nurse is assessing a patient who was recently diagnosed with chronic rhinitis. Which statement by the patient is most consistent with this diagnosis?
1)"My nasal drainage is always clear and watery."
2)"My nose has been runny for 4 weeks."
3)"My nasal drainage has gotten thicker over the last 12 weeks."
4)"I always get a runny nose in the spring when everything blooms."

Question 20

Which statement by the patient being treated with intranasal corticosteroids indicates that teaching was effective regarding this medication?
1)"I will have to monitor my glucose levels because of this medication."
2)"I may gain a few pounds because of this medication."
3)"I will have to gradually wean myself from this medication."
4)"I may not see result from this medication for a few days or weeks."

Question 21

Which patient statements accurately reflect the benefits of physical activity during the smoking cessation process? Select all that apply.
1)"Exercise decreases stress."
2)"Exercise decreases anxiety."
3)"Exercise decreases cravings."
4)"Exercise increases weight loss."
5)"Exercise increases my desire to quit smoking."

Question 22

In providing care to a patient with laryngeal trauma, which order does the nurse question?
1)Place an intubation tray at the bedside
2)Maintain NPO status
3)Elevate the head of the 45 degrees or higher
4)Administer warm, humidified air

Question 23

Which is the priority nursing diagnosis for a patient who experiences laryngeal trauma?
1)Ineffective Breathing Pattern
2)Impaired Swallowing
3)Ineffective Airway Clearance
4)Impaired Gas Exchange

Question 24

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?
1)"I should increase my oral intake of water."
2)"I will avoid spicy foods."
3)"I can chew gum to decrease dry mouth."
4)"I should use a firm-bristle toothbrush to clean my teeth."

Question 25

Which interventions does the nurse include in the plan of care for a patient who receives chemotherapy for the treatment of laryngeal cancer? Select all that apply.
1)Assessing daily weights
2)Teaching to avoid crowds
3)Monitoring input and output
4)Encouraging small, frequent meals
5)Instructing to avoid the use of mouthwashes that contain topical anesthetics

Question 26

In preparing an educational session related to obstructive sleep apnea, the nurse includes which risk factors? Select all that apply.
1)Female gender
2)Male gender
3)Obesity
4)Age older than 65
5)Type 2 diabetes mellitus

Question 27

Which criteria is used to diagnosis acute bacterial rhinosinusitis (ABRS) in adult patients? Select all that apply.
1)A 1-day history of facial pain
2)Decrease in nasal discharge after 6 days
3)New onset of headache after 5 or 6 days
4)Symptoms that last more than 10 days without clinical improvement
5)Temperature greater than or equal to 102°F (39°C) with purulent nasal discharge for 4 days

Question 28

The nurse correlates which data in a patient's history as a significant risk factor for laryngeal cancer? Select all that apply.
1)Alcohol use
2)Cigarette smoking
3)Gastroesophageal reflux disease (GERD)
4)High-fat diet
5)Voice abuse

Question 29

Which first-line medications does the nurse include in a teaching session for a patient who wants to quit smoking? Select all that apply.
1)Clonidine
2)Bupropion
3)Varenicline
4)Nortriptyline
5)Nicotine gum

Question 30

Which assessment data collected by the nurse requires an immediate intervention in the patient with laryngeal trauma?
1)Tachypnea
2)Bradycardia
3)Hypotension
4)Complaints of throat pain