NSG 201H Chapter 25: Coordinating Care for Patients With Upper Airway Disorders, Questions And Answers.Multiple Choice
Identify the choice that best
... [Show More] completes the statement or answers the question.
____ 1. An adult patient diagnosed with sleep apnea has been prescribed a continuous positive airway pressure
(CPAP) machine as treatment. The nurse is instructing the patient on how to use the machine. Which
instruction should the nurse include?
1) Any size mask will work
2) Straps can be loose, if that feels more comfortable
3) Use relaxation exercises to reduce uncomfortable feelings from the mask
4) Do not use a humidifier at the same time
____ 2. The nurse is caring for a patient being weaned from the ventilator, and wants to improve the patient’s ability
to communicate. Which item will the nurse request an order for from the health-care provider?
1) Cuffed tracheostomy tube
2) Uncuffed tracheostomy tube
3) Fenestrated tracheostomy tube
4) Obturator
____ 3. The nurse is performing tracheostomy care. Which portion of the trach will the nurse use when tying the new
trach ties?
1) Inner cannula
2) Outer cannula
3) Obturator
4) Flange
____ 4. The nurse is caring for a patient with a longstanding permanent tracheostomy that has been in place for
several years in order to provide mechanical ventilation. Which type of tracheostomy does the nurse
anticipate this patient may have based on the health history?
1) Uncuffed tracheostomy
2) Cuffed tracheostomy
3) Fenestrated tracheostomy
4) Uncuffed or fenestrated tracheostomy
____ 5. The nurse is caring for a patient with a tracheostomy tube in place connected to a mechanical ventilator. When
facilitating communication, which strategy is inappropriate?
1) Using a fenestrated tracheostomy tube
2) Using writing materials
3) Using a communication board
4) Using a Passy-Muir valve
____ 6. When preparing to cap the patient’s tracheostomy tube with a speaking valve, which nursing action is
inappropriate before placing the valve?
1) Suctioning the oropharynx if there are any secretions present
2) Asking the patient to cough
3) Suctioning the tracheostomy tube
4) Deflating the cuffed tracheostomy tube
____ 7. When capping the patient’s tracheostomy tube with a speaking valve, the nurse assesses the patient’s breath
sounds around the tube and hears no air leak. Which nursing action is the most appropriate based on this
assessment finding?
1) Allowing the cap to remain in place as long as the patient tolerates it
2) Documenting the placement of the cap and relevant data regarding patient assessment
3) Removing the valve and notifying the health-care provider
4) Assisting the patient out of bed
____ 8. The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a first generation
antihistamine. Which drug should the nurse educate the patient about based on this data?
1) Loratadine
2) Fluticasone
3) Guaifenesin
4) Diphenhydramine
____ 9. The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a second generation
antihistamine. Which drug should the nurse educate the patient about based on this data?
1) Loratadine
2) Fluticasone
3) Guaifenesin
4) Diphenhydramine
____ 10. The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a decongestant. Which
drug should the nurse educate the patient about based on this data?
1) Loratadine
2) Fluticasone
3) Guaifenesin
4) Diphenhydramine
____ 11. The nurse is providing care to a patient who is diagnosed with rhinitis and prescribed a corticosteroid nasal
spray. Which drug should the nurse educate the patient about based on this data?
1) Loratadine
2) Fluticasone
3) Guaifenesin
4) Diphenhydramine
____ 12. The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.
Which drug should the nurse include for a patient who requires a corticosteroid?
1) Saline
2) Azelastine
3) Fluticasone
4) Oxymetazonline
____ 13. The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.
Which drug should the nurse include for a patient who requires an antihistamine?
1) Saline
2) Azelastine
3) Fluticasone
4) Oxymetazonline
____ 14. The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.
Which drug should the nurse include for a patient who requires a decongestant?
1) Saline
2) Azelastine
3) Fluticasone
4) Oxymetazonline
____ 15. The nurse is providing education to the patient regarding nasal sprays that can be used to treat congestion.
Which should the nurse recommend when the patient wants a natural?
1) Saline
2) Azelastine
3) Fluticasone
4) Oxymetazonline
____ 16. The nurse is providing care to a patient receiving radiation in the treatment of laryngeal cancer. Which patient
statement indicates the need for further education regarding radiation treatments?
1) “My skin may become red, tender, and peel.”
2) “I should avoid the sun while I am receiving this therapy.”
3) “I will wear soft, loose fitting clothing made of cotton to limit irritation.”
4) “My therapy includes washing my skin with a harsh soap and applying lotion.”
____ 17. The nurse is providing education to a patient receiving radiation therapy for the treatment of laryngeal cancer.
Which patient statement indicates the need for further education regarding oral care?
1) “I should increase my oral intake of water.”
2) “I will avoid spicy foods to decrease my discomfort.”
3) “I can chew gum to decrease the dry mouth that may occur.”
4) “I should use a firm-bristle toothbrush to ensure food particles are removed.”
____ 18. The nurse is providing education to a patient who is receiving chemotherapy in the treatment of laryngeal
cancer. Which medication should the nurse include to decrease the risk for nausea and vomiting?
1) Antiemetic
2) Decongestant
3) Antihistamine
4) Corticosteroid
____ 19. The nurse is providing care to a patient receiving chemotherapy for the treatment of laryngeal cancer. Which
laboratory test should the nurse anticipate to monitor the patient for neutropenia?
1) Platelet count
2) Serum potassium
3) Red blood cell count
4) White blood cell count
____ 20. The nurse is providing education to the patient who is receiving treatment for laryngeal cancer. Which patient
statement regarding nutrition requires further education from the nurse?
1) “I will eat small, frequent meals to ensure I get enough calories each day.”
2) “Even though I don’t like tomatoes, I will eat them since they are not acidic.”
3) “Liquid supplements are easy to swallow and will increase my caloric intake.”
4) “I will eat foods that taste good and are easy to eat and swallow to get enough calories each
day.” [Show Less]