« previous next »

Author Question: The clinic nurse is teaching a patient with acute sinusitis. Which interventions should the nurse ... (Read 196 times)

urbanoutfitters

  • Hero Member
  • *****
  • Posts: 530
on: Jun 25, 2018
The clinic nurse is teaching a patient with acute sinusitis. Which interventions should the nurse plan to include in the teaching session (select all that apply)?
 
  a. Decongestants can be used to relieve swelling.
  b. Blowing the nose should be avoided to decrease the nosebleed risk.
  c. Taking a hot shower will increase sinus drainage and decrease pain.
  d. Saline nasal spray can be made at home and used to wash out secretions.
  e. You will be more comfortable if you keep your head in an upright position.

Question 2

When assessing a patient with a sore throat, the nurse notes anterior cervical lymph node swelling, a temperature of 101.6 F (38.7 C), and yellow patches on the tonsils. Which action will the nurse anticipate taking?
 
  a. Teach the patient about the use of expectorants.
  b. Use a swab to obtain a sample for a rapid strep antigen test.
  c. Discuss the need to rinse the mouth out after using any inhalers.
  d. Teach the patient to avoid use of nonsteroidal antiinflammatory drugs (NSAIDs).


efwsefaw

  • Sr. Member
  • ****
  • Posts: 351
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A, C, D, E
The steam and heat from a shower will help thin secretions and improve drainage. Decongestants can be used to relieve swelling. Patients can use either over-the-counter (OTC) sterile saline solutions or home-prepared saline solutions to thin and remove secretions. Maintaining an upright posture decreases sinus pressure and the resulting pain. Blowing the nose after a hot shower or using the saline spray is recommended to expel secretions.

Answer to Question 2

ANS: B
The patient's clinical manifestations are consistent with streptococcal pharyngitis and the nurse will anticipate the need for a rapid strep antigen test and/or cultures. Because patients with streptococcal pharyngitis usually do not have a cough, use of expectorants will not be anticipated. Rinsing the mouth out after inhaler use may prevent fungal oral infections, but the patient's assessment data are not consistent with a fungal infection. NSAIDs are frequently prescribed for pain and fever relief with pharyngitis.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Patient receiving ultrasound treatment to the left elbow. Patient receiving ultrasound treatment to the left elbow.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume. The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Symptoms of a patient in shock Symptoms of a patient in shock
Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
Sample Teaching Plan for Hypertension Sample Teaching Plan for Hypertension
Examples of endocrine disorders. (C) A patient with congenital hypothyroidism. Examples of endocrine disorders. (C) A patient with congenital hypothyroidism.
Video: Major Elements in Biological Molecules: Proteins

For a complete list of videos, visit our video library