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Test Bank for Concepts of Care for Patients With Non-infectious Upper Respiratory problems

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The Test Bank for Concepts of Care for Patients with Non-Infectious Upper Respiratory Problems is an essential resource designed to help nursing students and healthcare professionals review and assess their understanding of concepts related to the management and care of patients with upper respiratory conditions that are non-infectious in nature. This test bank aligns with clinical practice guidelines, evidence-based strategies, and key nursing concepts to ensure a comprehensive approach to patient care. Key Features of the Test Bank: 1. Comprehensive Coverage of Non-Infectious Upper Respiratory Conditions The test bank provides a thorough review of various non-infectious upper respiratory problems, including: Allergic Rhinitis: Understanding the pathophysiology, common triggers, symptoms, and management strategies, including pharmacological and non-pharmacological treatments. Sinusitis: The care concepts related to chronic and acute sinusitis, including assessment, diagnostic approaches, and therapeutic interventions. Nasal Polyps: Key concepts about the management of nasal polyps, including surgical and medical treatment options. Deviated Septum: Exploring nursing management for patients with a deviated septum and related complications. Environmental and Occupational Factors: Addressing respiratory problems caused by allergens, pollutants, or occupational hazards. The test bank covers a wide range of non-infectious conditions, allowing students to build a deep understanding of upper respiratory problems outside of infectious causes like viruses or bacteria. 2. Variety of Question Formats To engage students and promote active recall, the test bank includes a variety of question formats: Multiple-Choice Questions (MCQs): These questions assess knowledge of key concepts, pathophysiology, diagnostic criteria, and nursing interventions related to non-infectious upper respiratory problems. True/False Questions: Designed to evaluate your understanding of general principles, facts, and misperceptions in treating upper respiratory conditions. Short-Answer Questions: Focused on assessing the student’s ability to articulate key concepts, such as identifying clinical signs, symptoms, and the rationale behind specific treatments or interventions. Case Study Questions: These simulate real-world clinical scenarios, where students must apply their knowledge to assess patient situations, prioritize nursing interventions, and evaluate patient outcomes. 3. Focus on Clinical Decision-Making The test bank encourages students to think critically by presenting clinical decision-making scenarios. These questions: Challenge students to identify the most appropriate interventions for patients with non-infectious upper respiratory conditions based on clinical findings. Assess the ability to prioritize nursing actions, such as choosing between symptom management strategies (e.g., antihistamines, nasal sprays, corticosteroids). Promote problem-solving skills in terms of how to effectively manage patients with chronic conditions and prevent complications, such as managing chronic sinusitis or allergic rhinitis in a long-term care setting. 4. In-depth Pharmacological Knowledge This section of the test bank includes detailed questions on pharmacological treatments for non-infectious upper respiratory problems, covering medications such as: Antihistamines: Understanding their role in managing allergic reactions and the specific considerations for their use in upper respiratory conditions. Intranasal Corticosteroids: Questions regarding their indications, proper usage, side effects, and patient education on how to use these medications effectively. Decongestants: When and how to use decongestants, their side effects, and the considerations in managing patients with a history of hypertension. Leukotriene Modifiers: Assessing the use of leukotriene inhibitors in managing allergic rhinitis and asthma-like symptoms. 5. Focus on Patient Education A key component of nursing care for patients with upper respiratory issues is patient education. The test bank includes questions designed to assess your knowledge of: Teaching patients about triggers for their upper respiratory issues, such as allergens, environmental factors, and irritants. Lifestyle modifications and home care techniques, including tips on air quality, hydration, and avoiding triggers that may exacerbate symptoms. Instructions for proper medication administration, particularly for nasal sprays, inhalers, and allergy medications. Recognizing signs of worsening symptoms, such as the development of complications or the need to seek medical intervention. 6. Emphasis on Multidisciplinary Collaboration The test bank highlights the importance of collaboration with other healthcare professionals, such as respiratory therapists, allergists, and physicians. This includes: Recognizing when to refer patients for specialized care or for diagnostic testing (e.g., allergy testing, imaging for sinus issues). Understanding the role of the interdisciplinary team in providing holistic patient care and preventing complications in patients with non-infectious upper respiratory problems. 7. Focus on Chronic Disease Management Since many non-infectious upper respiratory conditions are chronic, the test bank includes questions that focus on long-term management strategies, such as: Chronic Sinusitis: The management of patients with recurrent or chronic sinus infections, including the use of long-term medications, lifestyle changes, and surgical interventions. Chronic Allergic Rhinitis: Questions that focus on the ongoing treatment plans for patients suffering from long-term allergies, emphasizing pharmacologic therapy, environmental control, and symptom management. 8. Integrates Evidence-Based Practice Aligned with contemporary nursing practices, the test bank emphasizes evidence-based interventions in managing non-infectious upper respiratory problems. Questions may cover: Recent advancements in treatment protocols, such as biologic therapies for chronic rhinitis. Guidelines for managing different non-infectious upper respiratory conditions, as published by organizations like the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the American College of Allergy, Asthma, and Immunology (ACAAI). 9. Patient-Centered Care This test bank stresses patient-centered care by encouraging students to think about the patient's experience of their condition, as well as addressing cultural, social, and emotional factors. Questions explore: Individualized care plans based on specific patient needs, preferences, and values. Addressing mental health concerns that may arise in patients with chronic respiratory issues, such as anxiety due to ongoing symptoms or the impact of long-term symptoms on quality of life. 10. Efficient Study and Review Tool The test bank is designed to help nursing students efficiently prepare for exams by allowing them to: Focus on key topics such as the pathophysiology, treatment, and nursing interventions for non-infectious upper respiratory conditions. Identify areas of weakness in knowledge and understanding so that students can focus their study efforts on the most challenging concepts. Improve their test-taking strategies by practicing with a variety of question types, including those commonly found on nursing exams. Conclusion The Test Bank for Concepts of Care for Patients with Non-infectious Upper Respiratory Problems is a comprehensive and valuable resource for nursing students and healthcare professionals working to enhance their understanding of non-infectious upper respiratory conditions. With a range of question formats, focus on clinical decision-making, patient education, pharmacological knowledge, and evidence-based practices, this test bank is a key study aid for preparing for exams, clinical practice, and certifications in nursing and respiratory care. Whether you are learning about allergic rhinitis, chronic sinusitis, or nasal polyps, this test bank provides the tools to master the core concepts necessary for providing optimal care to patients with these common conditions.

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Uploaded on
January 14, 2023
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2024/2025
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Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)


Chapter 26: Concepts of Care for Patients With Noninfectious Upper Respiratory
Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition


MULTIPLE CHOICE

1. A nurse is assessing a client who has suffered a nasal fracture. Which assessment would the
nurse perform first?
a. Facial pain
b. Vital signs
c. Bone displacement
d. Airway patency

ANS: D
A patent airway is the priority. The nurse first would make sure that the airway is patent and
then would determine whether the client is in pain and whether bone displacement or blood
loss has occurred.

DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Trauma, Medical emergencies
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care

2. A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a
headache, and difficulty with vision. What action would the nurse take next?
a. Collect the nasal drainage on a piece of filter paper.
b. Encourage the client to blow his or her nose.
GRADESLAB.COM
c. Perform a test focused on a neurologic examination.
d. Palpate the nose, face, and neck.

ANS: A
The client with nasal drainage after facial trauma could have a skull fracture resulting in
leakage of cerebrospinal fluid (CSF). CSF can be differentiated from regular drainage by the
fact that it forms a halo when dripped on filter paper and tests positive for glucose. The other
actions would be appropriate but are not as high a priority as assessing for CSF. A CSF leak
would increase the patient’s risk for infection.

DIF: Applying TOP: Integrated Process: Nursing Process: Implementation
KEY: Trauma, Medical emergencies
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential

3. A nurse teaches a client who had a supraglottic laryngectomy. Which technique would the
nurse teach the client to prevent aspiration?
a. Tilt the head back as far as possible when swallowing.
b. Swallow twice while bearing down.
c. Breathe slowly and deeply while swallowing.
d. Keep the head very still and straight while swallowing.

ANS: B




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, Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)

The client post supraglottic laryngectomy has a high risk for aspiration. The nurse or speech
language pathologist teaches the client the supraglottic method of swallowing. This includes
placing a small amount of food in the mouth, performing the Valsalva maneuver, then
swallowing twice. The client sits upright. The client holds the breath while swallowing twice.
Keeping the head still and straight will not decrease the risk of aspiration.

DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Aspiration Precautions
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential

4. A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for
development of obstructive sleep apnea?
a. A 26-year-old woman who is 8 months pregnant.
b. A 42-year-old man with gastroesophageal reflux disease.
c. A 55-year-old woman who is 50 lb (23 kg) overweight.
d. A 73-year-old man with type 2 diabetes mellitus.

ANS: C
The client at highest risk would be the one who is extremely overweight. None of the other
clients have risk factors for sleep apnea. Clients with sleep apnea may develop
gastroesophageal reflux.

DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Obstructive sleep apnea, Risk factors
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation

5. A nurse cares for a client who has hypertension that has not responded well to several
GRADESLisAnot
medications. The client states compliance B.C anOissue.
M What action would the nurse take
next?
a. Assess the client for obstructive sleep apnea.
b. Arrange a home sleep apnea test.
c. Encourage the client to begin exercising.
d. Schedule a polysomnography
ANS: A
Hypertension not responding to medications can be a sign of obstructive sleep apnea (OSA).
The nurse would assess the client using an evidence-based tool, such as the STOP-Bang Sleep
Apnea Questionnaire, the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index, and
the Multiple Sleep Latency Test. If the results of the assessment indicate OSA may be a
problem, the nurse would consult the primary health care provider for further testing. An
at-home sleep-study is often done prior to a polysomnography. Excessive weight can
contribute to OSA so exercising is always encouraged, but this is not specific to assessing for
OSA.

DIF: Applying TOP: Integrated Process: Nursing Process: Implementation
KEY: Obstructive sleep apnea, Nursing assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control

6. A nurse cares for a client after radiation therapy for neck cancer. The client reports extreme
dry mouth. What action by the nurse is most appropriate?
a. Ask the client to gargle with mouthwash containing lidocaine.



This study source was downloaded by 100000844744134 from CourseHero.com on 04-13-2022 05:38:42 GMT -05:00


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