A client who has been unable to drain the sinuses with a ...

[robinn137]

A client who has been unable to drain the sinuses with a decongestant is to undergo endoscopic sinus surgery. The nurse should plan home care instructions for this client to include:
 
  1. refraining from using nasal drops.
  2. trying to sneeze with the mouth closed.
  3. avoiding strenuous lifting for 1 week.
  4. avoiding drinking excess amounts of fluids.

Question 2

The nurse is caring for a client with a nursing diagnosis of Ineffective Breathing Pattern. Which intervention should the nurse plan for this client?
 
  1. Pace activities to allow the client to rest.
  2. Force fluids.
  3. Teach the client how to cough effectively.
  4. Lower the head of the bed.

[jessofishing]

Answer to Question 1

Answer: 3

1. The client should be instructed that a humidifier and saline nose drops are appropriate.
2. The client should be encouraged to sneeze with the mouth open to avoid pressure on the sinuses.
3. The client should avoid nose blowing and strenuous activity for one week to avoid pressure and damage to the sinuses.
4. The client should be encouraged to increase fluid intake to help thin secretions.

Answer to Question 2

Answer: 1

1. The client with Ineffective Breathing Pattern fatigues easily. The nurse should plan care around periods of rest to help the client conserve strength.
2. Forcing fluids and hydration addresses ineffective airway clearance.
3. Teaching the client how to cough effectively is an intervention for the client who cannot clear the airway.
4. The head of the bed is raised to promote lung expansion and to ease respirations.

[robinn137]

Correct answers!

[jessofishing]

Great! Please up vote