Question 1 of 6
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Which action would the nurse take after observing that, during lunch, a patient’s face has suddenly contorted and the patient is grasping her throat with her hand?
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- Offer the patient a drink of water.The patient would not need water because the patient is choking.
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- Advise the patient to stop eating.The nurse would not waste time asking the patient to stop eating; the nurse would immediately start the rescue process.
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- Perform abdominal thrusts on the patient.When a patient is grasping the throat with the hand, it indicates that the patient is choking. The nurse would immediately perform abdominal thrusts to dislodge the obstruction in the airway.
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- Quickly report the patient’s actions to the primary health care provider.It is not necessary to report the patient’s actions to the primary health care provider because the nurse is trained to perform abdominal thrusts and taking time to contact the provider would endanger the patient.
Question 2 of 6
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Which nursing intervention would help prevent nasal and facial swelling for a patient after a rhinoplasty surgery?
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- Placing the patient in the prone positionThe patient would be positioned in the semi-Fowler position, not the prone position.
- Correct
- Placing cool compresses on the nasal areaThe application of cool compresses decreases nose and facial swelling.
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- Encouraging vigorous coughing and deep breathingVigorous coughing and deep breathing are avoided to prevent bleeding.
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- Administering nonsteroidal anti-inflammatory drugs (NSAIDs)NSAIDs are avoided to prevent bleeding.
Question 3 of 6
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Which issue would a patient who had a partial laryngectomy and is experiencing difficulty swallowing be at an increased risk for?
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- AspirationThe patient with difficulty swallowing is most at risk for aspiration of food or fluids, which often leads to aspiration pneumonia.
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- EpiglottitisEpiglottitis is a childhood infection that can be fatal. The patient is not at risk for epiglottitis.
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- Esophageal varicositiesEsophageal varicosities are abnormal dilation of the blood vessels, and the patient who had a partial laryngectomy and is experiencing difficulty swallowing is not at risk for esophageal varicosities.
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- Paralysis of the vocal cordsThe patient is not at risk for paralysis of the vocal cords.
Question 4 of 6
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Which prescription would the nurse anticipate receiving for a patient complaining of snoring, morning headaches, fatigue, and trouble concentrating?
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- Administer nasal continuous positive airway pressure (CPAP).CPAP is the first-line therapy for sleep apnea.
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- Prepare for mechanical intubation.Oral appliances may be used, but mechanical intubation would not be necessary to treat sleep apnea.
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- Start 2 liters of oxygen via nasal cannula.CPAP would be the first choice over a low-flow nasal cannula. Occasionally, high-flow nasal cannulas can be used.
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- Administer zolpidem (Ambien) orally.Zolpidem (Ambien) is a sleep aid, but the underlying cause should be treated first.
Question 5 of 6
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Which intervention would be taken after repair of a nasal fracture? Select all that apply. One, some, or all responses may be correct.
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- Place the patient in the prone position.The patient should be placed in a semi-Fowler position.
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- Monitor the amount of drainage on the dressing.Vital signs and the amount of drainage should be monitored postoperatively.
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- Apply warm compresses.Cool compresses should be used to decrease nose and facial swelling.
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- Observe the patient for frequent swallowing.Frequent swallowing could indicate posterior nasal bleeding.
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- Administer intranasal saline spray per the prescription.An intranasal saline spray helps remove dried blood and clots.
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- Advise patient to avoid forceful coughing.The patient should avoid forceful coughing and straining during bowel movements.
Question 6 of 6
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Which risk factor is associated with the development of laryngeal cancer? Select all that apply. One, some, or all responses may be correct.
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- ImmunosuppressionImmunosuppression is linked with an increased incidence of laryngeal cancer.
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- Infection with staphylococciInfection with human papillomavirus, not staphylococci, is linked with an increased incidence of laryngeal cancer.
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- Gastroesophageal reflux disease (GERD)GERD can have an increased incidence of laryngeal cancer.
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- Helicobacter pyloriH. pylori infection has been linked to laryngeal cancer.
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- Exposure to coal dustIndividuals exposed to environmental pollutants have an increased risk of developing laryngeal cancer.
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- Excessive alcohol useIndividuals who use an excessive amount of alcohol are at high risk for developing laryngeal cancer.
