Test Bank NSG 210 Caring for Clients With Upper Respiratory Disorders Questions &Answers & Rationale,100% CORRECT
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NSG 210
Test Bank NSG 210 Caring for Clients With Upper Respiratory Disorders Questions &Answers & Rationale
1. You are caring for a client who is post–sinus surgery. When you assess this client, you ask him how many fingers you are holding up. Why do you assess postoperative visual acuity?
A) To asses...
test bank nsg 210 caring for clients with upper respiratory disorders questions ampanswers amp rationale
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Test Bank NSG 210 Caring for Clients With Upper Respiratory
Disorders Questions &Answers & Rationale
1. You are caring for a client who is post–sinus surgery. When you
assess this client, you ask him how many fingers you are holding up. Why
do you assess postoperative visual acuity?
A) To assess possible hemorrhage
B) To assess damage to the optic nerve
C) To assess postoperative infection
D) To assess impaired drainage
Ans: B
Feedback:
A client who has undergone a sinus surgery faces a serious risk of damage to
the optic nerve. Therefore, the nurse assesses postoperative visual acuity by
asking the client to identify the number of fingers displayed. To assess
possible hemorrhage, the nurse observes the client for repeated swallowing.
The nurse assesses for pain over the involved sinuses and not a postoperative
infection or an impaired drainage.
2. You are caring for a client diagnosed with enlarged adenoids. What
condition is produced by enlarged adenoids?
A) Incrusted mucous membranes
B) Hardened secretions
C) Erosion of the trachea
D) Noisy breathing
Ans: D
Feedback:
Enlarged adenoids may produce nasal obstruction, noisy breathing, snoring,
and a nasal quality to the voice. Incrustation of the mucous membranes in
the trachea and the main bronchus occurs during the postoperative period
following a tracheostomy. The long-term and short-term complications of
tracheostomy include airway obstruction. These are caused by hardened
secretions and erosion of the trachea.
3. You are performing a preoperative assessment on a client who is
scheduled for a tonsillectomy. Why would you ask the client about the
use of herbal supplements?
A) They produce anorexia.
B) They impair the immune system.
C) They prolong bleeding.
Page 1
,D) They lower high-density lipoprotein
levels. Ans: C
Feedback:
The nurse must find out the bleeding tendencies of clients scheduled for
tonsillectomy and adenoidectomy. Therefore, the nurse asks the clients about
any recent use of herbal supplements. The nurse must ask about the use of
these supplements because they may prolong bleeding. A client may
experience anorexia because of a diminished sense of taste and smell
following a laryngectomy. Similarly, excess zinc impairs the immune
system and lowers the levels of high-density lipoproteins. These symptoms
are not caused by herbal supplements.
Page 2
, 4.A client comes into the emergency department with epistaxis. What
intervention should you perform when caring for a client with epistaxis?
A) Apply a moustache dressing.
B) Provide a nasal splint.
C) Apply direct continuous pressure.
D) Place the client in a semi-Fowler's
position. Ans: C
Feedback:
The severity and location of bleeding determine the treatment of a client
with epistaxis. To manage this condition, the nurse should apply direct
continuous pressure to the nares for 5 to 10 minutes with the client's head
tilted slightly forward. Application of a moustache dressing or a drip pad to
absorb drainage, application of a nasal splint, and placement of the client in
a semi-Fowler's position are interventions related to the management of a
client with a nasal obstruction.
You are presenting about upper respiratory infections at an educational
5.
event for a local community group. What should you be sure to include
regarding cold tablets containing antihistamines?
A) They dilute the nasal secretions.
B) They lead to frequent sinus drainage.
C) They decrease discomfort temporarily.
D) They prolong bleeding.
Ans: C
Feedback:
Some cold tablets contain antihistamines that thicken the nasal secretions.
Although this action may temporarily decrease the discomfort of profuse
nasal secretions, thickened secretions can block the drainage openings of the
sinus cavity, leading to the failure of the sinuses to drain adequately. Aspirin
prolongs bleeding.
6. You are caring for a client who is status post nasal polypectomy. What
would you instruct this client to report?
A) Excessive swallowing
B) Nasal stuffiness
C) Diarrhea
D) Coughing
Page 3
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