Med Surge 2 Midterm

The nurse is preparing to reinforce teaching to a patient scheduled for a laryngectomy due to cancer. Which preoperative teaching review is least necessary for the immediate postoperative period?

• The loss of the ability to breathe through the nose and mouth.

• The process of performing tracheostomy care and suctioning

• The initial feelings associated with the inability to speak

• The reason for performing a dietary consult prior to surgery.

The nurse auscultates the lung sounds of a patient with a pneumothorax every 4 hours. Which finding indicates to the nurse that the patient's condition is improving?

• Patient's anxiety is decreasing

• Crackles or wheezes are heard

• Bilateral lung sounds are present

• Symmetry of the chest is noted

The nurse is providing care for a patient immediately after tonsillectomy. Which action by the nurse should be avoided?

• Maintain the patient in a semi-fowler's position

• Monitor the patient for bleeding and airway maintenance

• Provide the patient with warm tea sweetened with honey

• place a humidifier and suction equipment in the patient's room

A summer camp worker reports shortness of breath and audible wheezing to the camp nurse. Which inhaled medication will the nurse provide?

• Albuterol

• Cromolyn sodium

• Triamcinolone

• Nedocromil sodium

A patient is admitted to a respiratory unit with a diagnosis of pneumonia. Assessment data reveals the patient to be febrile and experiencing a weak, congested-sounding cough, with moist crackles throughout the lung fields. Based on the data provided, the nurse will focus care on which issue?

• confusion from fever

• Inadequate oxygen level

• Difficulty with breathing

• Inability to clear the airway

The nurse is providing care for a patient diagnosed with influenza. The patient has a fever, chills, sore throat, and a cough. Breath sounds include crackles and wheezes. For which reason will the nurse contact the physician.

• The antiviral medication appears to be ineffective

• The patient needs IV fluids to loosen lung secretions

• The breath sounds indicate development of pneumonia

• The patient is experiencing bronchial irritation from coughing.

The nurse is taking care of a patient who is hospitalized for complications of West Nile Virus. Which data is most indicative that the patient is improving?

• The patient is alert and oriented

• Patient states skin itching has subsided

• The patient has completed IV antibiotics

• Patient shows no mosquito allergy symptoms

The family of a patient is awaiting a laryngectomy for cancer asks how the patient will communicate. Which explanation will the nurse provide to the family?

• "Classes on sign language will be provided for the patient and family."

• "A special valve that diverts air into the trachea allows patients to talk."

• "Patients can be taught to swallow air and talk as air is let out of the esophagus."

• "I'm sorry, but unfortunately, patients with laryngectomies cannot communicate."

The nurse is providing care for a patient admitted with an acute lower respiratory infection. The nurse notices that the patient is stifling the cough reflex and exhibiting shallow respirations due to pain. The nurse will focus nursing care on the prevention of which condition?

• Atelectasis

• Pulmonary emboli

• Chronic air obstruction

• Respiratory failure

A patient sees a health care provider for symptoms of viral rhinitis. Which treatment does the nurse expect to be prescribed for this patient? (Select all that apply-3.)

• Rest

• Fluids

• Decongestants

• Bronchodilators

• Antibacterial agents