NRSG 312 Med/Surg Test #2
Questions And Answers Latest
Update
A life-threatening condition that is an interruption in airflow through the nose, mouth, pharynx, or
larynx is called:
Upper Airway Obstruction
What condition is where breathing pattern is disrupted during sleep caused by obstruction by the
soft palate/tongue, obesity, large uvula, short neck, smoking, large tonsils/adenoids, or
oropharyngeal edema?
Obstructive Sleep Apnea
Obstructive sleep apnea is diagnosed if the disruption lasts for at least 10 seconds in how many times
in an hour?
5
Three signs of obstructive sleep apnea includes persistent daytime sleepiness, snoring, and:
GERD
What test is done to diagnose obstructive sleep apnea?
Polysomnography
Abnormal cardiovascular, metabolic, and neural function may be caused by chronic, untreated sleep
apnea due to loss of restorative sleep and persistent:
Hypoxia
For treating sleep apnea, why is compliance with CPAP so low?
Uncomfortable
It is important to clean CPAP systems in order to prevent infection and to maintain:
Tissue integrity
Once patients treat sleep apnea, how soon will patients see improvements?
Should nasal packing be loosely packed or tightly?
Loosely
What is important to ensure when using nasal tampons?
Seeing the string
How long should patients with epistaxis no blow their nose after bleeding has stopped?
24 hours
In order to maintain the airway and to prevent aspiration, patients with epistaxis should be
positioned:
Upright and forward
After nasal packing or tubes is removed what two things should be used to help prevent more
bleeding?
1. Petroleum Jelly 2. Nasal saline spray
After a serous nose fracture, clear drainage with a yellow "halo" indicates what is draining?
Cerebral Spinal Fluid (CSF)
If CSF is suspected, the clear fluid may be tested and will be positive for what?
Glucose
When caring for a patient who has had a Rhinoplasty, patients should limit doing what?
Valsalva maneuver
What position should post-op Rhinoplasty patients be in to help with drainage and swelling?
Semi-Fowlers
Post-op Rhinoplasty patients should be assessed for continuous swallowing because that may mean
that what has occurred?
Posterior nasal bleeding
What is the number one concern for patients with facial trauma?
Maintaining the airway
, 2024/2025
What is crucial for optimizing the patient's recovery from a facial trauma?
Time
For extensive jaw fractions, wiring the jaw shut may be necessary, the patients should carry what
with them in order to maintain gas exchange in the event of vomiting?
Wire cutters
With severe facial trauma, if the airway is compromised, what two things may need to be used?
1. Trach tube 2. Endotracheal tube
Damage and swelling of the trachea and damage to the vocal cords are effects of what if left in for too
long?
ET tube
What are the ABC's?
Airway, Breathing, Circulation
What condition is the result from crushing or direct-blow injury the throat, fractures, or prolonged
endotracheal intubation?
Laryngeal Trauma
What type of tumor is most common cancer of the nose and sinuses?
Malignant
What are the two main causes of head and neck cancers?
Tobacco use and Alcohol
What procedure can be performed as a treatment to cancer in the neck?
Laryngectomy
What is most important to maintain post-operatively of a laryngectomy?
Airway
What can occur with a patient who has received a laryngectomy and did radiation therapy prior to
surgery?
Wound breakdown
What can be used to communicate after a laryngectomy?
Tracheoesophageal prosthesis (Electro-Larynx)
What is the most common symptom associated with throat cancers?
Hoarseness
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