Chapter 23

Question 1

1. The nurse is providing patient teaching to a young mother who has brought her 3-month-old infant to the clinic for a well-baby checkup. What action should the nurse recommend to the woman to prevent the transmission of organisms to her infant during the cold season?
   A) Take preventative antibiotics, as ordered.
   B) Gargle with warm salt water regularly.
   C) Dress herself and her infant warmly.
   D) Wash her hands frequently.

Answer 1

D) Wash her hands frequently.

Question 2

2. A patient visiting the clinic is diagnosed with acute sinusitis. To promote sinus drainage, the nurse should instruct the patient to perform which of the following?
   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.

Answer 2

D) Increase fluid intake.

Question 3

3. The nurse is creating a plan of car for a patient diagnosed with acute laryngitis. What intervention should be included in the patients plan of care?
   A) Place warm cloths on the patients throat, as needed.
   B) Have the patient inhale warm steam three times daily.
   C) Encourage the patient to limit speech whenever possible.
   D) Limit the patients fluid intake to 1.5 L/day.

Answer 3

C) Encourage the patient to limit speech whenever possible.

Question 4

4. A patient comes to the ED and is admitted with epistaxis. Pressure has been applied to the patients midline septum for 10 minutes, but the bleeding continues. The nurse should anticipate using what treatment to control the bleeding?
   A) Irrigation with a hypertonic solution
   B) Nasopharyngeal suction
   C) Normal saline application
   D) Silver nitrate application

Answer 4

D) Silver nitrate application

Question 5

5. The nurse is planning the care of a patient who is scheduled for a laryngectomy. The nurse should assign the highest priority to which postoperative nursing diagnosis?
   A) Anxiety related to diagnosis of cancer
   B) Altered nutrition related to swallowing difficulties
   C) Ineffective airway clearance related to airway alterations
   D) Impaired verbal communication related to removal of the larynx

Answer 5

C) Ineffective airway clearance related to airway alterations

Question 6

6. The home care nurse is assessing the home environment of a patient who will be discharged from the hospital shortly after his laryngectomy. The nurse should inform the patient that he may need to arrange for the installation of which system in his home?
   A) A humidification system
   B) An air conditioning system
   C) A water purification system
   D) A radiant heating system

Answer 6

A) A humidification system

Question 7

7. The nurse is caring for a patient whose recent unexplained weight loss and history of smoking have prompted diagnostic testing for cancer. What symptom is most closely associated with the early stages of laryngeal cancer?
   A) Hoarseness
   B) Dyspnea
   C) Dysphagia
   D) Frequent nosebleeds

Answer 7

A) Hoarseness

Question 8

8. The nurse is caring for a patient who needs education on his medication therapy for allergic rhinitis. The patient is to take cromolyn (Nasalcrom) daily. In providing education for this patient, how should the nurse describe the action of the medication?
   A) It inhibits the release of histamine and other chemicals.
   B) It inhibits the action of proton pumps.
   C) It inhibits the action of the sodium-potassium pump in the nasal epithelium.
   D) It causes bronchodilation and relaxes smooth muscle in the bronchi.

Answer 8

A) It inhibits the release of histamine and other chemicals.

Question 9

9. The campus nurse at a university is assessing a 21-year-old student who presents with a severe nosebleed. The site of bleeding appears to be the anterior portion of the nasal septum. The nurse instructs the student to tilt her head forward and the nurse applies pressure to the nose, but the students nose continues to bleed. Which intervention should the nurse next implement?
   A) Apply ice to the bridge of her nose
   B) Lay the patient down on a cot
   C) Arrange for transfer to the local ED
   D) Insert a tampon in the affected nare

Answer 9

D) Insert a tampon in the affected nare

Question 10

10. The ED nurse is assessing a young gymnast who fell from a balance beam. The gymnast presents with a clear fluid leaking from her nose. What should the ED nurse suspect?
    A) Fracture of the cribriform plate
    B) Rupture of an ethmoid sinus
    C) Abrasion of the soft tissue
    D) Fracture of the nasal septum

Answer 10

A) Fracture of the cribriform plate

Question 11

11. A 42-year-old patient is admitted to the ED after an assault. The patient received blunt trauma to the face and has a suspected nasal fracture. Which of the following interventions should the nurse perform?
    A) Administer nasal spray and apply an occlusive dressing to the patients face.
    B) Position the patients head in a dependent position.
    C) Irrigate the patients nose with warm tap water.
    D) Apply ice and keep the patients head elevated.

Answer 11

D) Apply ice and keep the patients head elevated.

Question 12

The occupational health nurse is obtaining a patient history during a pre-employment physical. During the history, the patient states that he has hereditary angioedema. The nurse should identify what implication of this health condition?
A) It will result in increased loss of work days.
B) It may cause episodes of weakness due to reduced cardiac output.
C) It can cause life-threatening airway obstruction.
D) It is unlikely to interfere with the individuals health.

Answer 12

C) It can cause life-threatening airway obstruction.