Author Question: The nurse is performing discharge teaching for a patient who underwent a microlaryngoscopy with ... (Read 61 times)

krzymel · **on:** Jun 25, 2018

The nurse is performing discharge teaching for a patient who underwent a microlaryngoscopy with laser removal of polyps. Which instruction(s) should the nurse include? (Select all that ap-ply.)

a. Be alert for massive swelling.
b. You can return to work in 3 days.
c. Cough gently to expectorate blood.
d. Observe 2 days of voice rest.
e. Take opioids as needed for pain control.

Question 2

The nurse is caring for a child suspected of having acute glomerulonephritis. When reviewing the health history, which finding is most concerning to the nurse?

a. Recent upper respiratory infection
b. Recent outpatient surgery
c. History of asthma
d. Recent history of gastroenteritis

dawsa925 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B, D
Observation of voice rest for 2 days and return to work in 3 days are the basic instructions. There is minimal swelling or bleeding, and NSAIDs (not opioids) are used for pain control.

Answer to Question 2

A
Glomerulonephritis is primarily seen in children and young adults, and affects males more than females. It most commonly occurs about 2 to 3 weeks after a group A beta-hemolytic strepto-coccal infection, such as strep throat or impetigo; however, it can occur in response to bacterial, viral, or parasitic infections elsewhere in the body. Outpatient surgery, asthma, and gastroenteritis are not risk factors for glomerulonephritis.