Chapter 22 Management of Patients With Upper Respiratory Tract Disorders

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Chapter 22  Management of Patients With Upper Respiratory Tract Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. You are doing patient teaching with a young mother who has brought her 3-month-old to the clinic for a well-baby check. You know that it is cold season. What information should you provide to the mother to best prevent transmission of organisms?
A) Take prescribed antibiotics

B) Use warm salt-water gargles C) Dress warmly
D) Wash the hands frequently

Ans: D
Chapter: 22
Client Needs: A-2
Cognitive Level: Application
Difficulty: Easy
Integrated Process: Teaching/Learning
Objective: 2
Page and Header: 521, Viral Rhinitis (Common Cold)

Feedback: Hand washing remains the most effective preventive measure to reduce the transmission of organisms. Taking prescribed antibiotics, using warm salt-water gargles, and dressing warmly do not suppress transmission. Antibiotics are not prescribed for a cold.

2. A patient visits the clinic and is diagnosed with acute sinusitis. To promote sinus drainage, the nurse instructs the patient to
A) apply a cold pack to the affected area.
B) apply a mustard poultice to the forehead.

C) perform postural drainage. D) increase fluid intake.

Ans: D
Chapter: 22
Client Needs: D-1
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 1
Page and Header: 523, Rhinosinusitis

Feedback: For a patient diagnosed with acute sinusitis, the nurse should instruct the patient that hot packs, increasing fluid intake, and elevating the head of the bed can also promote drainage. Applying a mustard poultice and postural drainage will not promote sinus drainage.

3. You are a clinic nurse doing patient education for clinic patients. A patient visits the clinic and is diagnosed with acute laryngitis. What should you instruct the patient to do?
A) Place warm cloths on the throat
B) Inhale warm steam

C) Limit speech
D) Decrease fluid intake

Ans: C
Chapter: 22
Client Needs: D-1
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 3
Page and Header: 530, Laryngitis

Feedback: Management of acute laryngitis includes resting the voice, avoiding irritants (including smoking), resting, and inhaling cool steam or an aerosol. Fluid intake should be increased. Warm cloths on the throat will not help acute laryngitis.

4. A patient comes to the emergency department and is admitted with epistaxis. Pressure has been applied to the patient’s midline septum for 10 minutes, but the bleeding continues. What treatments may be used to control the bleeding?
A) Nasal plugs

B) Suction
C) Nasal spray
D) Silver nitrate applicators

Ans: D
Chapter: 22
Client Needs: D-4
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 4
Page and Header: 535, Epistaxis (Nosebleed)

Feedback: If pressure to the midline septum does not stop the bleeding for epistaxis, additional treatment of silver nitrate application, Gelfoam, electrocautery, or vasoconstrictors may be used. This makes options A, B, and C incorrect.

5. You are caring for a patient who is scheduled for a laryngectomy. You are preparing the patient’s care plan. Which nursing diagnoses should receive the highest priority for this surgery? A) Anxiety related to diagnosis of cancer
B) Altered nutrition related to swallowing difficulties
C) Ineffective airway clearance related to surgical alterations in the airway
D) Impaired verbal communication related to removal of the larynx

Ans: C
Chapter: 22
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Easy
Integrated Process: Nursing Process Objective: 5
Page and Header: 543, Cancer of the Larynx

Feedback: Each of the listed diagnoses is valid, but ineffective airway clearance is the priority nursing diagnosis for all conditions. Therefore, options A, B, and D are incorrect.

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