Lewis's Medical Surgical Nursing (11th
Edition by Harding) - Ch: 26 - Upper
Respiratory Problems Questions And
Answers
The nurse teaches a patient about discharge instructions after a
rhinoplasty. Which statement, if made by the patient, indicates that
the teaching was successful?
a. I can take 800 mg ibuprofen for pain control.
b. I will safely remove and reapply nasal packing daily.
c. My nose will look normal after 24 hours when the swelling goes
away.
d. I will keep my head elevated for 48 hours to minimize swelling
and pain. - - - correct answer ✅d. I will keep my head elevated for
48 hours to minimize swelling and pain.
Rationale:
Maintaining the head in an elevated position will decrease the
amount of nasal swelling. NSAIDs, such as ibuprofen, increase the
risk for postoperative bleeding and should not be used
postoperatively. The patient would not be taught to remove or
reapply nasal packing, which is usually removed by the surgeon on
the day after surgery. Although return to a preinjury appearance is
the goal of the surgery, it is not always possible to achieve this
result, especially in the first few weeks after surgery
,Lewis's Medical Surgical Nursing (11th
Edition by Harding) - Ch: 26 - Upper
Respiratory Problems Questions And
Answers
The nurse plans to teach a patient how to manage allergic rhinitis.
Which information should the nurse include in the teaching plan?
a. Hand washing is the primary way to prevent spreading the
condition to others.
b. Use of oral antihistamines for 2 weeks before the allergy season
may prevent reactions.
c. Corticosteroid nasal sprays will reduce inflammation, but
systemic effects limit their use.
d. Identification and avoidance of environmental triggers are the
best way to avoid symptoms. - - - correct answer ✅d.
Identification and avoidance of environmental triggers are the best
way to avoid symptoms.
Rationale:
The most important intervention is to assist the patient in
identifying and avoiding potential allergens. Intranasal
corticosteroids (not oral antihistamines) should be started several
weeks before the allergy season. Corticosteroid nasal sprays have
, Lewis's Medical Surgical Nursing (11th
Edition by Harding) - Ch: 26 - Upper
Respiratory Problems Questions And
Answers
minimal systemic absorption. Acute viral rhinitis (the common cold)
can be prevented by washing hands.
The nurse discusses management of upper respiratory infections
(URI) with a patient who has acute sinusitis. Which statement by
the patient indicates that additional teaching is needed?
a. I can take acetaminophen (Tylenol) to treat my discomfort. b. I
will drink lots of juices and other fluids to stay well hydrated.
c. I can use my nasal decongestant spray until the congestion is all
gone.
d. I will watch for changes in nasal secretions or the sputum that I
cough up. - - - correct answer ✅c. I can use my nasal decongestant
spray until the congestion is all gone.
Rationale:
The nurse should clarify that nasal decongestant sprays should be
used for no more than 3 days to prevent rebound vasodilation and
congestion. The other responses indicate that the teaching has
been effective.
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