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Dewit's Medical-Surgical Nursing
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Dewit's Medical-Surgical Nursing
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TEST BANK For Dewit's Medical-Surgical Nursing, Conceptsand Practice, 4th Edition (Stromberg, 2023), Verified Chapters
1 - 49, Complete Newest Version
A patient develops epistaxis upon removal of a nasogastric tube. What action should
the nurse take?
a. Pinch the soft part of the nose.
b. Position the patient on the side.
c. Have the patient hyperextend the neck.
d. Apply an ice pack to the back of the neck. - ANSWER: a. Pinch the soft part of the
nose.
Bleeding from the nose. - ANSWER: Epistaxis
When the patient has epistaxis upon removal of a nasogastric tube, the nurse places
direct pressure on the entire soft lower portion of the nose against the nasal septum
for how long? - ANSWER: 10 to 15 minutes is indicated for epistaxis.
Which position should the patient assume with epistaxis? - ANSWER: Upright and
leaning forward to prevent swallowing blood.
Priority Decision: The nurse receives an evening report on a patient who underwent
posterior nasal packing for
epistaxis earlier in the day. What is the first patient assessment the nurse should
make?
a. Patient's temperature
b. Level of the patient's pain
c. Drainage on the nasal dressing
d. Oxygen saturation by pulse oximetry - ANSWER: d. Oxygen saturation by pulse
oximetry
Because of impaired respiration after the posterior nasopharynx is packed, some
patients, especially older adults, experience... - ANSWER: a decrease in PaO2 and an
increase in PaCO2
After the posterior nasopharynx is packed, the nurse should monitor the patient's -
ANSWER: respiratory rate and rhythm and SpO2.
What does the nurse teach the patient with intermittent allergic rhinitis is the most
effective way to decrease allergic symptoms?
a. Undergo weekly immunotherapy.
b. Identify and avoid triggers of the allergic reaction.
, c. Use cromolyn nasal spray prophylactically year-round.
d. Use over-the-counter antihistamines and decongestants during an acute attack. -
ANSWER: b. Identify and avoid triggers of the allergic reaction.
The most important factor in managing allergic rhinitis is - ANSWER: identification
and avoidance of triggers of the allergic reactions.
Immunotherapy may be indicated if - ANSWER: specific allergens are identified and
cannot be avoided.
Drug therapy is an alternative to avoidance of the allergens but - ANSWER: long-term
use of decongestants can cause rebound nasal congestion.
During assessment of the patient with a viral upper respiratory infection, the nurse
recognizes that antibiotics may be indicated based on what finding?
a. Cough and sore throat
b. Copious nasal discharge
c. Temperature of 100°F (38°C)
d. Dyspnea and severe sinus pain - ANSWER: d. Dyspnea and severe sinus pain
Dyspnea and severe sinus pain as well as tender swollen glands, severe ear pain, or
significantly worsening symptoms in a patient who has a viral upper respiratory
infection (URI) indicate - ANSWER: lower respiratory involvement and a possible
secondary bacterial infection.
Bacterial infections are indications for - ANSWER: antibiotic therapy
unless symptoms of complications are present, injudicious administration of
antibiotics may produce - ANSWER: resistant organisms.
Low-grade elevated temperature, cough, sore throat, myalgia, and purulent nasal
drainage at the end of a cold are common symptoms of - ANSWER: viral rhinitis and
influenza.
A 36-year-old patient with type 1 diabetes mellitus asks the nurse whether an
influenza vaccine is necessary every
year. What is the best response by the nurse?
a. "You should get the trivalent inactivated influenza vaccine that is injected every
year."
b. "Only health care workers in contact with high-risk patients should be immunized
each year."
c. "An annual vaccination is not necessary because previous immunity will protect
you for several years."
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