Med surg2 exams
The nurse is providing client teaching to a young mother who has brought her 3-month-old infant to the clinic for a well-baby checkup. What action should the nurse recommend to the woman to prevent the transmission of organisms to her infant during the cold season?
Take prevent...
1). The nurse is providing client teaching to a young mother who has brought her 3-month-old
infant to the clinic for a well-baby checkup. what action should the nurse recommend to the
woman to prevent the transmission of organisms to her infant during the cold season?
take preventative antibiotics, as prescribed.
gargle with warm salt water regularly.
dress herself and her infant warmly.
wash her hands frequently.
Ans: Wash her hands frequently.
2). A 45-year-old obese man arrives in a clinic reporting daytime sleepiness, difficulty going to
sleep at night, and snoring. the nurse should recognize the manifestations of what health
problem?
Ans: Obstructive sleep apnea
Explanation:
Obstructive sleep apnea occurs in men, especially those who are older and overweight.
Symptoms include excessive daytime sleepiness, insomnia, and snoring. Daytime
sleepiness and difficulty going to sleep at night are not indications of tonsillitis or
adenoiditis. This client's symptoms are not suggestive of laryngeal cancer.
3). A mother calls the clinic asking for a prescription for amoxicillin for her 2-year-old son who
has what the nurse suspects to be viral rhinitis. what should the nurse explain to this
mother?
Ans: "I'll certainly inform the doctor, but if it is a cold, antibiotics won't be used because
they do not affect the virus."
Explanation:
Antimicrobial agents (antibiotics) should not be used because they do not affect the virus
or reduce the incidence of bacterial complications. In addition, their inappropriate use has
been implicated in development of organisms resistant to therapy. It would be
inappropriate to tell the client that the physician will not respond to her request.
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, 4). The nurse is caring for a client whose recent unexplained weight loss and history of
smoking have prompted diagnostic testing for cancer. what symptom is most closely
associated with the early stages of laryngeal cancer?
Ans: Hoarseness
Explanation:
Hoarseness is an early symptom of laryngeal cancer. Dyspnea, dysphagia, and lumps are
later signs of laryngeal cancer. Alopecia is not associated with a diagnosis of laryngeal
cancer.
5). The nurse is explaining the safe and effective administration of nasal spray to a client with
seasonal allergies. what information is most important to include in this teaching?
Ans: Overuse of nasal spray may cause rebound congestion.
Explanation:
The use of topical decongestants is controversial because of the potential for a rebound
effect. The client should hold his or her head back for maximal distribution of the spray.
Only the client should use the bottle.
6). The nurse is planning the care of a client who is scheduled for a laryngectomy. the nurse
should assign the highest priority to which postoperative nursing diagnosis?
Ans: Ineffective airway clearance related to airway alterations
7). A client visiting the clinic is diagnosed with acute sinusitis. to promote sinus drainage, the
nurse should instruct the client to perform what action?
Ans: Increase fluid intake.
8). The perioperative nurse has admitted a client who has just underwent a tonsillectomy. the
nurse's postoperative assessment should prioritize which of the following potential
complications of this surgery? hemorrhage
Ans: Hemorrhage
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