Upper Respiratory Problems Paper

Upper Respiratory Problems Paper
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. A patient was seen in the clinic for an episode of epistaxis, which
was controlled by the placement of anterior nasal packing. During discharge teaching, the nurse instructs the patient to
a. use aspirin for pain relief.
b. remove the packing later that day.
c. skip the next dose of antihypertensive medication.
d. avoid vigorous nose blowing and strenuous activity.
2. A patient with allergic rhinitis reports severe nasal congestion;
sneezing; and watery, itchy eyes and nose at various times of the
year. To teach the patient to control these symptoms, the nurse
advises the patient to
a. avoid all intranasal sprays and oral antihistamines.
b. limit the usage of nasal decongestant spray to 10 days.
c. use oral decongestants at bedtime to prevent symptoms during
the night.
d. keep a diary of when the allergic reaction occurs and what precipitates it.
3. A patient is seen at the clinic with fever, muscle aches, sore throat
with yellowish exudate, and headache. The nurse anticipates that
the collaborative management will include (select all that apply)
a. antiviral agents to treat influenza.
b. treatment with antibiotics starting ASAP.
c. a throat culture or rapid strep antigen test.
d. supportive care, including cool, bland liquids.
e. comprehensive history to determine possible etiology
4. The best method for determining the risk of aspiration in a patient
with a tracheostomy is to
a. consult a speech therapist for swallowing assessment.
b. have the patient drink plain water and assess for coughing.
c. assess for change of sputum color 48 hours after the patient drinks
the small amount of blue dye.
d. suction above the cuff after the patient eats or drinks to determine the presence of food in the trachea