The nurse is teaching a client how to use a nasal spray. Which of the following should be included in these instructions? (Select all that apply.)
1. Blow the nose before instilling the spray.
2. Tilt the head back and angle the tip of the bottle to the side of the nostril.
3. Use a finger to occlude the nostril that is not receiving the spray.
4. Inhale gently and evenly while discharging the spray into the nostril.
5. If a second spray is recommended, immediately repeat the procedure.
6. Blow the nose after administration of the spray.
Question 2A client diagnosed with viral rhinitis tells the nurse that she has been using a decongestant nasal spray for several weeks and the symptoms are getting worse. Which of the following does the nurse suspect is occurring with this client?
1. Developing pneumonia
2. Subacute rhinitis
3. Rhinitis medicamentosa
4. Chronic otitis media
Question 3A client is recovering from a total laryngectomy with the placement of a tracheostomy. The nurse should include which of the following instructions to this client?
1. Clean the tracheostomy tube with soap and water daily.
2. Limit protein in the diet.
3. Restrict fluids.
4. The nasogastric tube will be in for 2 weeks.
Question 4A client has been diagnosed with stage IV cancer of the larynx. The nurse realizes that which of the following surgeries is recommended for this type of cancer?
1. Hemilaryngectomy
2. Partial laryngectomy
3. Supraglottic laryngectomy
4. Total laryngectomy
Question 5A client is experiencing epistaxis. Which of the following interventions would the nurse complete?
1. Call the doctor.
2. Check laboratory test results.
3. Obtain an emesis basin.
4. Show the patient how to pinch the nose.
Question 6Which of the following should the nurse instruct a client recovering from a tonsillectomy?
1. Drink milk to promote healing.
2. Gargle with salt water.
3. Maintain good hydration.
4. Use a straw to drink.
Question 7The nurse is instructing the mother of a client recovering from a tonsillectomy. Which of the following should the nurse instruct the mother to report?
1. Difficulty swallowing
2. Difficulty talking
3. Excessive swallowing
4. Pain
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