front 1 A nurse is assessing a client who has suffered a nasal fracture. Which assessment should the nurse perform first? | back 1 Airway patency |
front 2 A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a headache, and difficulty with vision. Which action should the nurse take next? | back 2 Collect the nasal drainage on a piece of filter paper. |
front 3 A nurse assesses a client who reports waking up feeling very tired, even after 8 hours of good sleep. Which action should the nurse take first? | back 3 Ask the client if he or she has ever been evaluated for sleep apnea. |
front 4 A nurse teaches a client who has open vocal cord paralysis. Which technique should the nurse teach the client to prevent aspiration? | back 4 Tuck the chin down when swallowing. |
front 5 A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea? | back 5 A 55-year-old woman who is 50 pounds overweight |
front 6 After teaching a client who is prescribed voice rest therapy for vocal cord polyps, a nurse assesses the clients understanding. Which statement indicates the client needs further teaching? | back 6 When I speak, I will whisper rather than use a normal tone of voice. |
front 7 A nurse cares for a client who is experiencing epistaxis. Which action should the nurse take first? | back 7 Initiate Standard Precautions. |
front 8 A nurse cares for a client after radiation therapy for lung cancer. The client reports a sore throat. Which action should the nurse take first? | back 8 Ask the client to gargle with mouthwash containing lidocaine. |
front 9 A nurse cares for a client who had a partial laryngectomy 10 days ago. The client states that all food tastes bland. How should the nurse respond? | back 9 This is normal after surgery. What types of food do you like to eat? |
front 10 A nurse cares for a client who is scheduled for a total laryngectomy. Which action should the nurse take prior to surgery? | back 10 Assist the client to choose a communication method. |
front 11 While assessing a client who has facial trauma, the nurse auscultates stridor. The client is anxious and restless. Which action should the nurse take first? | back 11 Contact the provider and prepare for intubation. |
front 12 A nurse is caring for a client who has sleep apnea and is prescribed modafinil (Provigil). The client asks, How will this medication help me? How should the nurse respond? | back 12 This medication will promote daytime wakefulness. |
front 13 A nurse cares for a client who has packing inserted for posterior nasal bleeding. Which action should the nurse take first? | back 13 Make sure the string is taped to the clients cheek. |
front 14 A nurse teaches a client to use a room humidifier after a laryngectomy. Which statement should the nurse include in this clients teaching? | back 14 Make sure you clean the humidifier to prevent infection. |
front 15 A nurse assesses a client who is 6 hours post-surgery for a nasal fracture and has nasal packing in place. Which actions should the nurse take? (Select all that apply.) | back 15 Observe for clear drainage. Watch the client for frequent swallowing. |
front 16 A nurse assesses a client who has developed epistaxis. Which conditions in the clients history should the nurse identify as potential contributors to this problem? (Select all that apply.) | back 16 Hypertension Leukemia |
front 17 A nurse assesses a client who has facial trauma. Which assessment findings require immediate intervention? (Select all that apply.) | back 17 Stridor Ecchymosis behind the ear |
front 18 A registered nurse (RN) cares for clients on a surgical unit. Which clients should the RN delegate to a licensed practical nurse (LPN)? (Select all that apply.) | back 18 A 43-year-old diagnosed with cancer after a lung biopsy 2 days ago An 88-year-old with esophageal cancer who is awaiting gastric tube placement |
front 19 A nurse teaches a client who is being discharged after a fixed centric occlusion for a mandibular fracture. Which statements should the nurse include in this clients teaching? (Select all that apply.) | back 19 You will need to cut the wires if you start vomiting. Irrigate your mouth every 2 hours to prevent infection. |
front 20 A nurse is assessing clients on a rehabilitation unit. Which clients are at greatest risk for asphyxiation related to inspissated oral and nasopharyngeal secretions? (Select all that apply.) | back 20 A 24-year-old with a traumatic brain injury A 58-year-old at risk for aspiration following radiation therapy A 66-year-old who is a quadriplegic and has a sacral ulcer |