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Lewis's Medical Surgical Nursing (11th Edition by Harding) - Ch: 26 - Upper Respiratory Problems Exam Questions and Answers $12.49   Add to cart

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

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Lewis's Medical Surgical Nursing (11th Edition by Harding) - Ch: 26 - Upper Respiratory Problems Exam Questions and 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 ca...

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  • October 23, 2024
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  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical Surgical Nursing
  • Lewis Medical Surgical Nursing
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Lewis's Medical Surgical Nursing (11th Edition by
Harding) - Ch: 26 - Upper Respiratory Problems
Exam Questions and 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. - Ans:✔✔-d. I will keep my

head elevated for 48 hours to minimize swelling and pain.




Rationale:


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
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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. - Ans:✔✔-

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 before the allergy

season. Corticosteroid nasal sprays have minimal systemic absorption. Acute viral rhinitis (the common

cold) can be prevented by washing hands.


Page 2/22

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

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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. - Ans:✔✔-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?




a. Encourage increased incentive spirometer use.
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