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Lewis's Medical Surgical Nursing (11th Edition by Harding) - Ch: 26 - Upper Respiratory Problems Exam Questions And Correct Answers $11.49
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Lewis's Medical Surgical Nursing (11th Edition by Harding) - Ch: 26 - Upper Respiratory Problems Exam Questions And Correct Answers
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Lewis's Medical Surgical Nursing (11th Edition by Harding) - Ch: 26 - Upper Respiratory Problems Exam Questions And Correct Answers The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful?...

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  • October 18, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewiss medical surgical nursing 11th edition by

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  • Medical Surgical nursing
  • Medical Surgical nursing

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©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Lewis's Medical Surgical Nursing (11th
Edition by Harding) - Ch: 26 - Upper
Respiratory Problems Exam Questions And
Correct Answers




The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if

made by the patient, indicates that the teaching was successful?




a. I can take 800 mg ibuprofen for pain control.

b. I will safely remove and reapply nasal packing daily.

c. My nose will look normal after 24 hours when the swelling goes away.


d. I will keep my head elevated for 48 hours to minimize swelling and pain. - answer✔d. I will

keep my head elevated for 48 hours to minimize swelling and pain.




Rationale:

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Maintaining the head in an elevated position will decrease the amount of nasal swelling.

NSAIDs, such as ibuprofen, increase the risk for postoperative bleeding and should not be used

postoperatively. The patient would not be taught to remove or reapply nasal packing, which is

usually removed by the surgeon on the day after surgery. Although return to a preinjury

appearance is the goal of the surgery, it is not always possible to achieve this result, especially in

the first few weeks after surgery

The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the

nurse include in the teaching plan?




a. Hand washing is the primary way to prevent spreading the condition to others.

b. Use of oral antihistamines for 2 weeks before the allergy season may prevent reactions.

c. Corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use.

d. Identification and avoidance of environmental triggers are the best way to avoid symptoms. -

answer✔d. Identification and avoidance of environmental triggers are the best way to avoid

symptoms.




Rationale:

The most important intervention is to assist the patient in identifying and avoiding potential

allergens. Intranasal corticosteroids (not oral antihistamines) should be started several weeks

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
before the allergy season. Corticosteroid nasal sprays have minimal systemic absorption. Acute

viral rhinitis (the common cold) can be prevented by washing hands.

The nurse discusses management of upper respiratory infections (URI) with a patient who has

acute sinusitis. Which statement by the patient indicates that additional teaching is needed?




a. I can take acetaminophen (Tylenol) to treat my discomfort. b. I will drink lots of juices and

other fluids to stay well hydrated.

c. I can use my nasal decongestant spray until the congestion is all gone.


d. I will watch for changes in nasal secretions or the sputum that I cough up. - answer✔c. I can

use my nasal decongestant spray until the congestion is all gone.




Rationale:

The nurse should clarify that nasal decongestant sprays should be used for no more than 3 days

to prevent rebound vasodilation and congestion. The other responses indicate that the teaching

has been effective.

A nurse who is caring for patient with a tracheostomy tube in place has just auscultated rhonchi

bilaterally. If the patient is unsuccessful in coughing up secretions, what action should the nurse

take?

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