NSG 201H -Coordinating Care for Patients With Upper Airway Disorders

NSG 201H -Coordinating Care for Patients With Upper Airway Disorders

NSG 201H -Coordinating Care for Patients With Upper Airway Disorders

Chapter 25: Coordinating Care for Patients With Upper Airway Disorders

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   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?

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

 

____     2.   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?

1)	Cuffed tracheostomy tube
2)	Uncuffed tracheostomy tube
3)	Fenestrated tracheostomy tube
4)	Obturator

 

____     3.   The nurse is performing tracheostomy care. Which portion of the trach will the nurse use when tying the new trach ties?

1)	Inner cannula
2)	Outer cannula
3)	Obturator
4)	Flange

 

____     4.   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?

1)	Uncuffed tracheostomy
2)	Cuffed tracheostomy
3)	Fenestrated tracheostomy
4)	Uncuffed or fenestrated tracheostomy

 

NSG 201H -Coordinating Care for Patients With Upper Airway Disorders

____     5.   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?

1)	Using a fenestrated tracheostomy tube
2)	Using writing materials
3)	Using a communication board
4)	Using a Passy-Muir valve

 

____     6.   When preparing to cap the patient’s tracheostomy tube with a speaking valve, which nursing action is inappropriate before placing the valve?

1)	Suctioning the oropharynx if there are any secretions present
2)	Asking the patient to cough
3)	Suctioning the tracheostomy tube
4)	Deflating the cuffed tracheostomy tube

 

____     7.   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?

1)	Allowing the cap to remain in place as long as the patient tolerates it
2)	Documenting the placement of the cap and relevant data regarding patient assessment
3)	Removing the valve and notifying the health-care provider
4)	Assisting the patient out of bed

 

____     8.   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?

1)	Loratadine
2)	Fluticasone
3)	Guaifenesin
4)	Diphenhydramine

 

NSG 201H -Coordinating Care for Patients With Upper Airway Disorders

____     9.   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?

1)	Loratadine
2)	Fluticasone
3)	Guaifenesin
4)	Diphenhydramine

 

____   10.   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?

1)	Loratadine
2)	Fluticasone
3)	Guaifenesin
4)	Diphenhydramine

 

____   11.   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?

1)	Loratadine
2)	Fluticasone
3)	Guaifenesin
4)	Diphenhydramine

 

____   12.   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?

1)	Saline
2)	Azelastine
3)	Fluticasone
4)	Oxymetazonline

 

____   13.   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?

1)	Saline
2)	Azelastine
3)	Fluticasone
4)	Oxymetazonline

 

____   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 a decongestant?

1)	Saline
2)	Azelastine
3)	Fluticasone
4)	Oxymetazonline

 

____   15.   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?

1)	Saline
2)	Azelastine
3)	Fluticasone
4)	Oxymetazonline

 

____   16.   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 harsh soap and applying lotion.”

 

____   17.   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 to decrease my discomfort.”
3)	“I can chew gum to decrease the dry mouth that may occur.”
4)	“I should use a firm-bristle toothbrush to ensure food particles are removed.”

 

____   18.   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?

1)	Antiemetic
2)	Decongestant
3)	Antihistamine
4)	Corticosteroid

 

____   19.   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?

1)	Platelet count
2)	Serum potassium
3)	Red blood cell count
4)	White blood cell count

 

NSG 201H -Coordinating Care for Patients With Upper Airway Disorders

____   20.   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)	“Even though I don’t like tomatoes, I will eat them since they are not acidic.”
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 eat and swallow to get enough calories each day.”

 

____   21.   Which drug prescription does the nurse anticipate for empiric therapy when providing care to an adult patient diagnosed with acute bacterial rhinosinusitis (ABRS)?

1)	Azithromycin
2)	Clarithromycin
3)	Amoxicillin-clavulante
4)	Intranasal corticosteriods

 

____   22.   Which drug prescription does the nurse anticipate for adjuvant therapy when providing care to an adult patient diagnosed with acute bacterial rhinosinusitis (ABRS)?

1)	Azithromycin
2)	Clarithromycin
3)	Amoxicillin-clavulante
4)	Intranasal corticosteriods

 

____   23.   Which is the priority nursing diagnosis for a patient who experiences a laryngeal trauma?

1)	Impaired comfort
2)	Impaired swallowing
3)	Ineffective airway clearance
4)	Risk for impaired verbal communication

 

____   24.   Which assessment data collected by the nurse indicates a patient with laryngeal trauma is experiencing issues with airway clearance?

1)	Tachypnea
2)	Bradycardia
3)	Hypotension
4)	Increased oxygen saturation

 

____   25.   Which intervention should the nurse implement for a patient who is at risk for aspiration as a result of laryngeal trauma?

1)	Encouraging voice rest
2)	Maintaining NPO status
3)	Placing in high-Fowler’s position
4)	Providing humidified air via face mask

 

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Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____   26.   Which criteria is used to diagnosis acute bacterial rhinosinusitis (ABRS) in adult patients? Select all that apply.

1)	Facial pain that lasts for one day
2)	Decrease in nasal discharge after six days
3)	New onset of headache after five or six 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 four days

 

____   27.   Which first-line medications should 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

 

____   28.   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 support network.”