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Kpolizzi02 Kpolizzi02
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Posts: 380
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6 years ago
While eating a meal in the hospital, a patient exhibits difficulty breathing and signs of choking. What should the nurse realize the patient is experiencing?
 
  1. laryngeal obstruction
  2. pulmonary emboli
  3. epiglottitis
  4. acute myocardial infarction

Question 2

The nurse observes a patient's respirations during sleep and notes the absence of respirations that lasts from 15 to 45 seconds. What should the nurse consider this patient is experiencing?
 
  1. laryngeal spasm
  2. sleep apnea
  3. respiratory acidosis
  4. renal failure

Question 3

A patient who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery. Which response would be appropriate for the nurse to make?
 
  Select all that apply.
  1. No.
  2. You will have to ask your physician.
  3. Yes, but it might sound a little different.
  4. You will, but with an electronic device.
  5. Normal speaking, breathing, and swallowing will return as you recover.

Question 4

A female patient is seen for increased hoarseness and a change in voice quality. What is an appropriate assessment question for the nurse to ask this patient?
 
  1. What medications are you currently taking?
  2. Have you recently had a cold?
  3. Have you recently visited another country?
  4. What is your occupation?

Question 5

A patient with multiple facial and nasal injuries needs a nasogastric tube placed. Which method should the nurse use to place this tube?
 
  1. through the mouth
  2. through the unobstructed nare
  3. through the obstructed nare
  4. after the edema in the nares subsides

Question 6

While engaging in a high school sports activity, an adolescent sustains an injury to the nose. Which assessment findings indicate that the patient has a nasal fracture?
 
  Select all that apply.
  1. shortness of breath
  2. diaphoresis
  3. drop in blood pressures
  4. periorbital ecchymosis
  5. nasal bridge instability

Question 7

A middle-aged adult patient who is diagnosed with pertussis is complaining of right-sided thoracic pain. The nurse recognizes that this patient should be assessed for which conditions?
 
  Select all that apply.
  1. pleural effusion
  2. pneumothorax
  3. pulmonary emboli
  4. rib fractures
  5. pleurisy

Question 8

The nurse suspects that a patient has tonsillitis. What did the nurse assess to make this clinical decision?
 
  Select all that apply.
  1. hoarse voice
  2. thirst
  3. nucal rigidity
  4. pain around the ears
  5. low-grade fever

Question 9

A patient comes to the community clinic seeking help for a nosebleed. Which actions should the nurse take to help this patient?
 
  Select all that apply.
 
  1. pinch the nose towards the septum
  2. apply ice to the nose and forehead
  3. place the patient in a seated position
  4. insert rolled gauze pads into each nare
  5. assist the patient to lean back when seated
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1
The most common cause of laryngeal obstruction in adults is ingested meat that lodges in the airway. Pulmonary emboli, epiglottitis, and acute myocardial infarction would not cause this patient to choke.

The answer to question 2

Correct Answer: 2
Manifestations of obstructive sleep apnea include periods of apnea that last 15 to 120 seconds. No symptoms of laryngeal spasm or renal failure are noted. Respiratory acidosis would be diagnosed from arterial blood gases.

The answer to question 3

Correct Answer: 3, 5
In a partial laryngectomy, 50 or more of the larynx is removed. The voice generally is well preserved, although it may be changed by the surgery. The patient can expect normal speaking, breathing, and swallowing to return upon recovery from surgery. With knowledge of a partial laryngectomy, the nurse is able to answer the question. The use of an electronic device is generally not necessary following a partial laryngectomy.

The answer to question 4

Correct Answer: 4
Hoarseness and a breathy voice quality are manifestations of benign vocal cord tumors. The patient with a cold would exhibit additional signs and symptoms. The list of medications and recent travel history would have a rare relevance to this patient's specific complaints.

The answer to question 5

Correct Answer: 2
The nasogastric tube is inserted through the unobstructed nare to avoid mucosal trauma. A tube could not be placed through an obstructed nare. The nasal edema may persist for a long period, so waiting would not be appropriate. A tube placed through the mouth would be an orogastric tube.

The answer to question 6

Correct Answer: 4, 5
Manifestations of a fractured nose include periorbital ecchymosis and nasal bridge instability. Shortness of breath, diaphoresis, and a drop in blood pressure are not manifestations of a nasal fracture.

The answer to question 7

Correct Answer: 2, 4, 5
Complications of pertussis in adolescents and adults, including pneumothorax and rib fractures, may result from increased intrathoracic pressure during prolonged coughing spells. Pleurisy is pain related to inflammation of the pleurae and is usually secondary to another process such as pertussis or rib injury. Pleural effusion is a collection of fluid in the lungs. Pulmonary emboli are clots in the lung and are not a result of pertussis.

The answer to question 8

Correct Answer: 1, 4, 5
Manifestations of tonsillitis include otalgia, hoarse voice, fever, and tender, swollen anterior cervical lymph nodes. Thirst and nuchal rigidity (pain when bending the neck) are not manifestations of tonsillitis.

The answer to question 9

Correct Answer: 1, 2, 3
Anterior bleeding can usually be managed with simple first-aid measures, such as applying pressure or pinching the nose toward the septum for 5 to 10 minutes, applying ice packs to the nose and forehead to cause vasoconstriction, and placing the patient is in a sitting position to decrease blood flow to the head and reduce venous pressure. Leaning forward rather than back reduces drainage of blood backward into the nasopharynx and decreases swallowing of blood. If applying pressure does not control the bleeding, nasal packing may be necessary.
Kpolizzi02 Author
wrote...
6 years ago
Thank you Slight Smile
wrote...
6 years ago
Pleasure
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