1. A nurse is collecting data on a client with chronic sinusitis.The nurse interprets that which of

1. A nurse is collecting data on a client with chronic sinusitis.The nurse interprets that which of the following client manifestations is unrelated to this problems? A) Headache more pronounced in the evening B) Chronic cough C) Purulent nasal discharge D) Anosmia   2. A clinic nurse is providing instructions to a client with a diagnosis of pharyngitis. The nurse instructs the client to:  A) drink warm tea throughout the day. B) drink warm hot chocolate in place of coffee. C) avoid foods that are highly seasoned. D) restrict fluid intake to 1000 mL daily.   3. A nurse is reinforcing instructions to a client following a total laryngectomy about caring for the stoma. Which of the following instrutions should the nurse include? Select all that apply  A) Soaps should be avoided near the stoma. B) Apply a thin layer of petroleum jelly to the skin surrounding the stoma. C) Use diluted alcohol on the stoma to clean it. D) Protect the stoma from water. E) Wash the stoma daily using a washcloth.   4. A client with a suspected throat infection with Streptococcus needs to have a throat culture obtained. The nruse should do which of the following after obtaining the culture if the specimen cannot be delivered to the laboratory for at least an hour?   A) Obtain a second specimen immediately. B) Refrigerate the specimen. C) Keep the client nothing-per-mouth (NPO) for 30 minutes and obtain a second specimen. D) Discard the specimen and make the client wait an hour to get a new one.   5. The nurse is caring for a client with a new tracheostomy. Which of the following nursing diagnoses are priorities? Select all that apply.    A) Knowledge Deficit related to care of the tracheostomy tube and surrounding site B) Risk for Infection related to operative incision and tracheostomy tube placement C) Ineffective Airway Clearance related to increased secretions D) Disturbed Body Image E) Impaired Gas Exchange related to shallow breathing and anxiousness   6. The nurse is an occupational health nurse who is presenting a workshop on laryngeal cancer. What risk factors would the nurse be sure to include in the workshop? Select all that apply.    A) Industrial pollutants B) Age C) Tobacco D) Alcohol E) Region of country lived in   7. A client reports the chronic use of nasal sprays. The nurse provides instructions to this client about which piece of information related to chronic use of nasal sprays?    A) Fungal infections of the nose may occur due to container contamination. B) Nosebleeds are common. C) The protective mechanism of the nose may be damaged. D) It is acceptable to double the dose if one dose is ineffective.   8. A client is recovering form a tonsillectomy in the postanesthesia care unit. After an overnight stay in the hospital due to increased secretions and vomiting, the nurse delivers client education and accompanying paperwork. Which comment indicates that the client requires additional education?  A) “I promise I won’t blow my nose.” B) “If I’m vomiting, I’ll drink lemon-lime soda to keep myself hydrated.” C) “I’ll gargle with weak salt water three to four times a day.” D) “I’ll sleep on two to three pillows.”   9. A client has had four major nosebleeds in one day. The physician performs a physical exam and orders blood tests. The client has no history of hypertension, trauma, cocaine use or infection. What could be the cause of nosebleeds that are so difficult to control?     A) high humidity B) low blood pressure C) blood dyscrasias D) colds   10. The nurse is mentoring a new graduate nurse, caring for a client with a new tracheostomy. The new graduate nurse asks what the complications of tracheostomy are. What would the nurse respond? Select all that apply?    A) Infection B) Penetration of the anterior tracheal wall C) Injury to the laryngeal nerve D) Absence of secretions E) Aspiration   11. The nurse is caring for a client who is demonstrating signs of increased respiratory distress related to laryngeal obstruction. The nurse is calling the physician to report on the client’s condition. Which of the following will the nurse report? Select all that apply.    A) Lung sounds of wheezing B) Administration of a corticosteroid inhaler for quick relief C) Arterial blood gases reporting a PaCO2 of 48 and a PaO2 of 84 D) A decreased respiratory rate E) Nasal flaring with abdominal retractions   12. During the cold and flu season each winer, rhinoviruses run rampant infecting those susceptibe. What is the most important preventive factor to reduce the spread of this viral infection?     A) minimal intake of fluids B) frequent handwashing C) significant exercise D) covering mouth with hand when coughing or sneezing   13. A client who has laryngeal nodules is scheduled for outpatient surgery to have them removed. The nurse collects data on the client and expects the client to complain of which typical symptom associated with this condition?     A) Swollen glands B) Sore throat C) Hoarseness D) Aphonia   14. A client with a nasal tumor is being admitted to the hospital. The nurse collects data about which primary symptom that the client is expected to exhibit?     A) Headache B) Nasal obstruction C) Epistaxis D) Runny nose   15. A client is being seen by the physician because of an unrelenting headache, facial tenderness, low-grade fever, and dark yellow nasal discharge. The client reports seeming to develop sinus infections “all the time”. Which factor may predispose the client to sinusitis?    A) more than 8 hours of sleep per night B) excessive protein intake C) hanging around physicians’ offices D) interference with sinus drainage   16. Two months prior to a scheduled tonsillectomy, a client has a peritonsillar abscess related to a severe strep infection. After culturing the area and before receiving the results, the physician immediately prescribes a potent antibiotic. The physician is quick to prescribe a strong antibiotic to prevent:    A) hypertrophied turbinates. B) hemoptysis. C) the need for a tonsillectomy. D) the spread of microorganisms into the bloodstream.   17. A client presents to the urgent care center with epistaxis but no obvious facial injury. The nruse should take which action first?     A) Have the client sit down, lean forward, and apply pressure to the nose. B) Prepare a nasal balloon for insertion. C) Position the client in a sitting position and ask the client to bite on the tongue blade. D) Place the client in a semi-Fowler’s position and apply ice packs to the nose.   18. The nurse is providing discharge instructions to a client diagnosed with tonsillectomy and adenoidectomy. Which discharge instructions would the nurse include? Select all that apply.    A) Postoperative bleeding most frequently occurs in the hours after surgery. B) Avoid carbonated fluids. C) Apply an ice collar to the neck area. D) Gradually increase fluids then add soft foods. E) Gargle with warm saline water.   19. A client has had a laryngectomy as treatment for laryngeal cancer. Which postoperative instruction is of utmost importance to the client’s health and safety?     A) Avoid coughing B) Avoid sponge baths C) Avoid covering the stoma D) Avoid swimming   20. A nurse is assisting in preparing a list of instructions for an adult client who is being discharged following a tonsillectomy. Which of the following instructions should the nurse include in the list? Select all that apply.    A) Rest for the next 24 hours B) Avoid hot fluids C) Consume milk products D) Eat ice cream to soothe the throat E) Consume carbonated beverages   21. A client has had a laryngectomy as treatment for laryngeal cancer. Which nutritional interventions should be implemented for the client?     A) Season food to suit increased sense of taste and smell. B) Use enteral feedings after the procedure. C) Offer plenty of thin liquids when intake resumes. D) Recommend a long-term use of zinc lozenges.   22. A client has just undergone surgery for a nasal obstruction. Which intervention should the nurse perform to promote the client’s safety and recuperation?     A) Ensure mouth breathing. B) Apply pressure to the convex portion of the nose. C) Apply a warm pack postoperatively. D) Provide a splint postoperatively.   23. A client is seen in the health care clinic and a diagnosis of acute sinusitis is made. The nurse provides home care instructions to the client regarding measures that will promote sinus drainage and comfort. Which statement by the client indicates a need for further education?  A) “I should drink large amounts of fluids.” B) “I should apply heat such as a wet pack over the sinuses.” C) “I should try to sleep with the head of the bed elevated.” D) “I will need surgery to drain the sinuses.”   24. A young client presents with symptoms of sniffling, nasal discharge, coughing, and sneezing. The symptoms are keeping the client awake at night and interrupting feedings. The nurse prepares a plan of care knowing that there are how many strains of this virus that cause coryza?  A) 12 B) more than 100 C) 25 D) 50   25. A client arrives in the emergency department with a bloody nose. The initial nursing action is to:   A) assist the client to a sitting position with the head tilted forward. B) place the client in a supine position. C) instruct the client to swallow the blood until the bleeding can be controlled. D) apply an ice collar around the client’s neck Health ScienceScienceNursingShare QuestionEmailCopy linkComments (0)

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