, Lewis's Medical Surgical Nursing: Upper
Respiratory Problems 2024 Study
Questions and 100% Accurate 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:
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 before the allergy season. Corticosteroid nasal sprays have minimal
systemic absorption. Acute viral rhinitis (the common cold) can be prevented by
washing hands.
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