Exam 6 Ch26 | 暗記メーカー

暗記メーカー

Exam 6 Ch26

12問 • 2年前

問題一覧

1

1. A nurse is assessing a client who has suffered a nasal fracture. Which assessment would the nurse perform first?

d. Airway patency

2

2. A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a headache, and difficulty with vision. What action would the nurse take next?

a. Collect the nasal drainage on a piece of filter paper.

3

3. A nurse teaches a client who had a supraglottic laryngectomy. Which technique would the nurse teach the client to prevent aspiration?

b. Swallow twice while bearing down.

4

4. A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?

c. A 55-year-old woman who is 50 lb (23 kg) overweight.

5

5. A nurse cares for a client who has hypertension that has not responded well to several medications. The client states compliance is not an issue. What action would the nurse take next?

a. Assess the client for obstructive sleep apnea.

6

6. A nurse cares for a client after radiation therapy for neck cancer. The client reports extreme dry mouth. What action by the nurse is most appropriate?

c. Explain that xerostomia may be a permanent side effect.

7

7. A nurse cares for a client who had a partial laryngectomy 10 days ago. The client states that all food tastes bland. How would the nurse respond?

b. “This is normal after surgery. What types of food do you like to eat?”

8

8. A nurse cares for a client who is scheduled for a total laryngectomy. What action would the nurse take prior to surgery?

c. Assist the client to choose a communication method.

9

9. While assessing a client who has facial trauma, the nurse auscultates stridor. The client is anxious and restless. What action would the nurse take first?

a. Contact the primary health care provider and prepare for intubation.

10

10. A nurse cares for a client who has packing inserted for posterior nasal bleeding. What action would the nurse take first?

d. Assess the client’s airway.

11

11. A nurse teaches a client to use a room humidifier after a laryngectomy. Which statement would the nurse include in this patient’s teaching?

b. “Make sure you clean the humidifier to prevent infection.”

12

12. A nurse is caring for a client who had a modified uvulopalatopharyngoplasty (modUPPP) earlier in the day for obstructive sleep apnea. Which assessment finding indicates that a priority goal has been met?

c. Client is able to swallow own secretions without drooling.

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問題一覧

1

1. A nurse is assessing a client who has suffered a nasal fracture. Which assessment would the nurse perform first?

d. Airway patency

2

2. A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a headache, and difficulty with vision. What action would the nurse take next?

a. Collect the nasal drainage on a piece of filter paper.

3

3. A nurse teaches a client who had a supraglottic laryngectomy. Which technique would the nurse teach the client to prevent aspiration?

b. Swallow twice while bearing down.

4

4. A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?

c. A 55-year-old woman who is 50 lb (23 kg) overweight.

5

5. A nurse cares for a client who has hypertension that has not responded well to several medications. The client states compliance is not an issue. What action would the nurse take next?

a. Assess the client for obstructive sleep apnea.

6

6. A nurse cares for a client after radiation therapy for neck cancer. The client reports extreme dry mouth. What action by the nurse is most appropriate?

c. Explain that xerostomia may be a permanent side effect.

7

7. A nurse cares for a client who had a partial laryngectomy 10 days ago. The client states that all food tastes bland. How would the nurse respond?

b. “This is normal after surgery. What types of food do you like to eat?”

8

8. A nurse cares for a client who is scheduled for a total laryngectomy. What action would the nurse take prior to surgery?

c. Assist the client to choose a communication method.

9

9. While assessing a client who has facial trauma, the nurse auscultates stridor. The client is anxious and restless. What action would the nurse take first?

a. Contact the primary health care provider and prepare for intubation.

10

10. A nurse cares for a client who has packing inserted for posterior nasal bleeding. What action would the nurse take first?

d. Assess the client’s airway.

11

11. A nurse teaches a client to use a room humidifier after a laryngectomy. Which statement would the nurse include in this patient’s teaching?

b. “Make sure you clean the humidifier to prevent infection.”

12

12. A nurse is caring for a client who had a modified uvulopalatopharyngoplasty (modUPPP) earlier in the day for obstructive sleep apnea. Which assessment finding indicates that a priority goal has been met?

c. Client is able to swallow own secretions without drooling.