The nurse provides discharge instructions to a patient recovering ...

[asmith134]

The nurse provides discharge instructions to a patient recovering from endoscopic sinus surgery. Which patient statements indicate that teaching has been effective?
 
  Select all that apply.
 
  1. I need to sneeze with my mouth open.
  2. I should avoid heavy lifting for a week.
  3. I am to avoid blowing my nose for a week.
  4. I am to irrigate the sinuses with normal saline.
  5. The nasal packing will be removed in 2 days.

Question 2

A patient with a penicillin allergy is diagnosed with scarlet fever. Which medications should the nurse anticipate being prescribed for this patient?
 
  Select all that apply.
 
  1. amoxicillin
  2. cefuroxime
  3. erythromycin
  4. dexamethasone
  5. pseudoephedrine

[Kedrick2014]

Answer to Question 1

Correct Answer: 1, 2, 3, 4
Patients who have endoscopic sinus surgery need to irrigate the sinuses with normal saline. They are instructed to sneeze with the mouth open and avoid blowing the nose, lifting, or straining for a week following surgery. Patients usually do not require nasal packing postoperatively.

Answer to Question 2

Correct Answer: 1, 2, 3
Scarlet fever is caused by the streptococcus bacteria, and penicillin is the medication of choice. In the event of a penicillin allergy, erythromycin, amoxicillin, or cefuroxime may be used. Dexamethasone, a steroid, and pseudoephedrine, an antihistamine, are not indicated in the treatment of a streptococcus infection.