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63 Cards in this Set

  • Front
  • Back
Which of the following signs and symptoms should the nurse monitor during a pulmonary angiography:

dyspnea
Which of the following signs and symptoms should the nurse monitor after a pulmonary angiography
absent distal pulses
hematoma
Before a pulmonary angiography the nurse should assess for history of:
Allergies to contrast medium,shellfish or iodine
During and after a pulmonary angiography the nurse monitor for allergic reaction which are:
itching
hives
difficulty breathing
When contrast medium is infused the client experiences sensation of the urge to:
cough
Viral pneumonia differs from bacterial pneumonia in that :
results of blood cultures are sterile
In viral pneumonia,sputum is :
more copious
In viral pneumonia, chills are ___,pulse and respiratory rate are ___
*less common
*slow
Which of the following results in decreased gas exchange is older adults:
the alveolar walls are thinner and contain less capillaries
The elascity of the lungs DOES NOT______ with age.
increase
In older adults, the lungs lose their _____ and become ____
*elasticity
*stiffer
Obesed client with emphysema are encouraged to ____ ____ to improve _____
lose weight
breathing
the surgical removal of the adenoids.
adenoidectomy
the inflammation of the adenoid tissue
adenoiditis
inability to speak.
aphonia
a head cold
Coryza
It is most frequently caused by impact trauma, such as by a blow to the face.[1] It can also be a congenital disorder, caused by compression of the nose during childbirth
deviated septum
Rhinitis is inflammation of the nasal mucous membranes. It also is referred to as the common cold, or
coryza.
clear nasal discharge
rhinorrhea
important preventive factor is ___________, which greatly reduces the spread of infection
frequent handwashing
with rhinitis, Blow nose with mouth open slightly to equalize _____
pressure
Use a vaporizer to help liquefy _____
nasal secretions
The _______ is affected most often
in sinusitis
maxillary sinus
Sinusitis can lead to serious complications, such as infection of the
middle ear or brain
Interference with sinus drainage predisposes a client to _______ because trapped secretions readily become infected.
sinusitis
Allergies frequently cause _____ of the nasal mucous
edema
edema of the nasal mucous membranes, leads to ________
obstruction of sinus drainage and sinusitis
Nasal polyps or a deviated septum may also _________
impair sinus drainage
if a cold persists longer than 10 days or nasal discharge is green or dark yellow and foul smelling.
this condition is sinusitis
The maxillary sinuses normally drain through the openings that lie under the
middle turbinates
Edema, which commonly accompanies upper respiratory infections, can obstruct the openings and prevent normal
sinus drainage
headache, fever, pain over the affected sinus, nasal congestion and discharge, pain and pressure around the eyes, and malaise
sinusitis
____ of the sinuses may show a change in the shape of or fluid in the sinus cavity
Transillumination and radiographs
________of the maxillary sinus may be done to remove accumulated exudate and promote drainage
Saline irrigation
the Caldwell-Luc procedure and external sphenoethmoidectomy, are done to
remove diseased tissue
observes the client for repeated swallowing, a finding that suggests possible
hemorrhage
One risk of sinus surgery is damage to the optic nerve. Thus, the nurse assesses postoperative visual acuity by asking the client to identify the number of
fingers displayed
assesses for pain over the involved sinuses, a finding that may indicate postoperative
infection or impaired drainage
The nurse administers analgesics as indicated and applies ice compresses to involved sinuses to reduce
pain and edema
nasal packing forces the client to breathe through the
mouth
the nurse encourages oral hygiene and gives ______ as it relieves dryness of the mouth
ice chips or small sips of fluids frequently
The nurse changes the drip pad as needed and reports
excessive drainage
Postoperative client and family teaching includes telling the client not to blow the nose, lift objects more than 5 to 10 lbs, or do the Valsalva maneuver for 10 to 14 days with what procedure
If the pt. has sinus surgery
the client to remain in a warm environment and to avoid smoky or poorly ventilated areas after
sinus surgery
inflammation of the throat, is often associated with rhinitis and other URIs
Pharyngitis
The most serious bacteria are the group A streptococci, which cause a condition commonly referred to as
strep throat
Strep throat can lead to dangerous cardiac complications_____ and harmful renal complications _____
endocarditis and rheumatic fever
glomerulonephritis
The incubation period for pharyngitis is
2 to 4 days
The first symptom of ______ is a sore throat, sometimes severe, with accompanying dysphagia (difficulty swallowing), fever, chills, headache, and malaise
Pharyngitis
With ________, some pts. exhibit a white or exudate patch over the tonsillar area and swollen glands
Pharyngitis
identification methods, such as__________ are available to diagnose group A streptococcal infections
Biostar or the Strep A optical immunoassay (OIA),
Chronic adenoidal infection can result in acute or chronic infection in the _______
middle ear (otitis media).
_______ may produce nasal obstruction, noisy breathing, snoring, and a nasal quality to the voice.
Enlarged adenoids
________ reveals enlarged and reddened tonsils. White patches may appear on the _____ if group A streptococci are the cause.
Visual examination
tonsils
Chronic tonsillitis and adenoiditis may require
tonsillectomy
With a T&A, the need to pay special attention to____________ emphasizes the high risk for postoperative hemorrhage
hematocrit, platelet count, and clotting time
The nurse asks the client about bleeding tendencies and recent use of _______that prolong bleeding time.
aspirin, nonsteroidal antiinflammatory drugs (NSAIDs), or other medications
Risk for Aspiration related to _______ secondary to throat surgery
impaired swallowing
Risk for Aspiration related to ________secondary to anesthesia
reduced gag reflex
After surgery, position client, until alert, ______ with emesis basin to catch drainage or vomitus
on either side
________can obstruct airway and cause aspiration
Retained secretions/
vomitus
A depressed gag reflex and inability to swallow increase the _______.
risk for aspiration
This position decreases surgical edema and increases lung expansion.
Elevate head of bed 45° when client is fully awake