Quizlet a client exhibits a sudden and complete loss of voice and is coughing the nurse states

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    Terms in this set (30)

    The OR nurse is setting up a water-seal chest drainage system for a client who has just had a thoracotomy. The nurse knows that the amount of suction in the system is determined by the water level. At what suction level should the nurse set the system?

    20 cm H2O

    The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for complications associated with the medical device.
    Complete the following sentence by choosing from the lists of options.
    The nurse monitors the client for Select 1(muscle weakness, purulent nasal drainage, polyphagia) , a finding indicative of Select 2(bacterial pharyngitis, rhinosinusitis, viral pneumonia), a noted complication of nasogastric tubes.

    purulent nasal drainage, rhinosinusitis

    A client exhibits a sudden and complete loss of voice and is coughing. The nurse states

    "Do not smoke and avoid being around others who are smoking."

    A client is diagnosed with mild obstructive sleep apnea after having a sleep study performed. What treatment modality will be the most effective for this client?

    Continuous positive airway pressure (CPAP)

    A 42-year-old client is admitted to the ED after an assault. The client received blunt trauma to the face and has a suspected nasal fracture. What intervention should the nurse perform?

    Apply ice and keep the client's head elevated.

    A patient has had a laryngectomy and was able to retain his airway, with no difficulty swallowing. There is no split of thyroid cartilage. The nurse would record this type of laryngectomy as which of the following?

    Partial laryngectomy

    A female patient with obstructive sleep apnea (OSA) has been recommended a continuous positive airway pressure (CPAP) machine for the treatment of her health problem. The nurse's priority for patient education should be:

    The importance of complying with CPAP despite the inconvenience associated with its use

    A nurse is in the cafeteria at work. A fellow worker at another table suddenly stands up, leans forward with hands crossed at the neck, and makes gasping noises. The nurse first

    Stands behind the worker, who has hands across the neck

    The nurse is caring for a client admitted to the ED with an uncomplicated nasal fracture. Nasal packing has been put in place. Which intervention should the nurse include in the client's care?

    Apply an ice pack.

    It is cold season, and the school nurse has been asked to provide an educational event for the parent teacher organization of the local elementary school. Which information should the nurse include in education about the treatment of pharyngitis?

    Use of warm saline gargles or throat irrigations can relieve symptoms.

    A client who has an altered level of consciousness is receiving tube feedings. Clients receiving tube feeding should be placed in which position?

    Semi-Fowler's or higher

    A nurse takes the initial history of a patient who is being examined for cancer of the larynx. Select the sign that is considered an early clinical indicator.

    Hoarseness of more than 2 week's duration

    The nurse is obtaining a health history from a client with laryngitis. Which causative factor, stated by the client, is least likely?

    "I was chewing ice chips all day long."

    Two months prior to a scheduled tonsillectomy, a client has a peritonsillar abscess related to a severe strep infection. After culturing the area and before receiving the results, the physician immediately prescribes a potent antibiotic. The physician is quick to prescribe a strong antibiotic to prevent:

    the spread of microorganisms into the bloodstream.

    A client has had a laryngectomy as treatment for laryngeal cancer. Which postoperative instruction is of utmost importance to the client's health and safety?

    avoid swimming

    The nurse is caring for a client whose recent unexplained weight loss and history of smoking have prompted diagnostic testing for cancer. Which symptom is most closely associated with the early stages of laryngeal cancer?

    Hoarseness

    A client finished a course of antibiotics for laryngitis but continues to experience persistent hoarseness. Which symptom would cause the nurse to suspect laryngeal cancer?

    a feeling of swelling at the back of the throat

    A surgeon completes a total laryngectomy. Postoperatively, the nurse explains to the patient's family that:

    A permanent tracheal stoma would be necessary.

    An obese male is being evaluated for OSA. The nurse asks the patient's wife to document the number and frequency of incidences of apnea while her husband is asleep. The nurse tells the wife that a characteristic indicator of OSA is a breathing cycle characterized by periods of breathing cessation for:

    10 seconds with 5 episodes/hour.

    The nurse is caring for a patient who had a total laryngectomy and has drains in place. When does the nurse understand that the drains will most likely be removed?

    When the patient has less than 30 mL for 2 consecutive days

    The nurse is caring for a client who is postoperative day 2 following a total laryngectomy for supraglottic cancer. The nurse should prioritize what assessment?

    Assessment of swallowing ability

    Which type of ventilator has a preset volume of air to be delivered with each inspiration?

    Volume cycled

    Which is a priority nursing intervention that the nurse should perform for a client who has undergone surgery for a nasal obstruction?

    Ensure mouth breathing

    A 60-year-old man has been diagnosed with obstructive sleep apnea (OSA) based on his clinical symptoms and polysomnographic findings. What intervention should the nurse perform to assist this patient in the management of his health problem?

    Encouraging the patient to avoid alcohol and hypnotic medications

    A first-line antibiotic used to treat acute bacterial rhinosinusitis (ABRS) is

    amoxicillin-clavulanic acid.

    A nurse practitioner has provided care for three different clients with chronic pharyngitis over the past several months. Which client is at greatest risk for developing chronic pharyngitis?

    A client who is a habitual user of alcohol and tobacco

    A nurse is suctioning the tracheostomy of a hospitalized client with laryngeal cancer. Which nursing action should be included in this client's plan of care?

    Use intermittent suctioning while slowly withdrawing and rotating the catheter.

    The health care provider has ordered continuous positive airway pressure (CPAP) with the delivery of oxygenation. The patient asks the nurse what the benefit of CPAP is. What would be the nurse's best response?

    CPAP prevents the collapse of the patient's airway

    What would the critical care nurse recognize as a condition that may indicate a client's need to have a tracheostomy?

    A client requires permanent ventilation.

    The nurse has noted the emergence of a significant amount of fresh blood at the drain site of a client who is postoperative day 1 following total laryngectomy. What is the nurse's best action?

    Rapidly assess the client and notify the surgeon about the client's bleeding.

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