Test Hightlights part 2
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| True or false: Nose bleeds are common in elderly | show 🗑
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| Immediate nursing interventions for epistaxis | show 🗑
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| show | blowing nose for several hours
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| show | use topical constrictors or electric cautery.
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| show | silver nitrate
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| If cautery is used, the pt is given what before the procedure? | show 🗑
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| show | Direct pressure to the nasal cavity
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| show | nasal balloon catheter and nasal packing
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| Nasal ballon cath: Is passed into ____. What applies the pressure? What anchors the catheter | show 🗑
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| show | evidence of uncontrolled bleeding and excessive blood loss
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| during emergency nose bleeds, the nurse should inspect what immediate areas. What subtle behavior is indicative of more blood loss? | show 🗑
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| show | consciousness; hypovolemia
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| show | restlessness, tachycardia, tachypnea, hypotension
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| show | nose, pharynx, ears
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| show | hypovolemia secondary to hemorrhage;monitor vital signs for hypovolemia, hemorrhage
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| Interventions for epistaxis:anxiety-name the cause. | show 🗑
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| show | Posterior; mild sedative ordered
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| show | injury due to packing and possible airway obstruction; infection due to presence of packing
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| when a patient has a nasal catheter, why must you check the respiratory status frequently? | show 🗑
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| show | At least every four hours
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| when do you deflate anchor cuffs for a nasal balloon? | show 🗑
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| why is frequent mouth care needed for nasal packing patients? | show 🗑
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| if packing slips out of place and blocked airway, what should be done? | show 🗑
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| when packing is being removed, put patient in what position? provide what equipment to receive packing?___the patient to protect clothing. What hygiene care is given? | show 🗑
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| show | lymphatic
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| show | adenoids
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| tonsillitis: Which is the most common cause, bacteria or virus? | show 🗑
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| show | streptococci, staphylococci, H. Influenza," pneumococi: by food or airborne routes
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| what symptom is found with patients with chronic tonsillitis? | show 🗑
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| patient w/ tonsillitis complains of pain in the ears. What does this indicate? | show 🗑
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| show | large; red
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| show | Purulent; yellow or whitish patches
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| show | CBC, throat culture, test for mononucleosis, chest x-ray
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| Elevated WBC suggests what type of infection? | show 🗑
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| Medical treament for tonsillitis: how many days of antibiotic therapy? What is prescribed for pain and sore throats? | show 🗑
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| tonsillitis medical treatment: what 2 things may be ordered to decrease swelling and remove drainage? | show 🗑
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| show | Temperature
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| show | adenoids are almost always infected and the councils
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| Care for Tonsillectomy (handout): what two positions should the patient be in? Name if position is done before or after they are awake. | show 🗑
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| after undergoing a tonsillectomy, the patient is frequently swallowing. What is the first nursing intervention that should be done? And what disrepair swallowing indicate? | show 🗑
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| other symptoms of hemorrhage after tonsillectomy are___vomitus, rapid___, and restleness. | show 🗑
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| tonsillectomy comfort measures: give how many percent of cool mist via collar? what can be applied to the neck? Do you give aspirin? | show 🗑
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| show | Ice cold fluids, bland foods: none sutures and noncarbonated fluids
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| show | Red purple; colors appear like blood
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| show | Increases mucous and cause the patient to clear throat
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| show | 1 to 2 weeks
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| patient is recovering from tonsillectomy. She wants to clear her throat despite being told not to. What can a nurse teach her as to why she should avoid clearing her throat after surgery? | show 🗑
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| show | 2 to 3 L a day until mouth odor disappears
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| show | no; patient must avoid hard scratchy foods
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| Care for Tonsillectomy (handout): after a tonsillectomy the patient reports more throat discomfort between the fourth and eighth day. What is the explanation for this? | show 🗑
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| Care for Tonsillectomy (handout): patient is recovering from a tonsillectomy and is worried when he saw his stool was black. What what explanation can you give to the patient? | show 🗑
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| Care for Tonsillectomy (handout): patient asks when they can resume normal activity after a tonsillectomy. What is the appropriate answer? | show 🗑
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| after a tonsillectomy the patient wanted to take a sip of water through a straw. What can you tell the patient to make him understand that sipping a glass is better than using a straw. | show 🗑
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| show | suction equipment
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| What did Mrs. M say is a main symptom/sign of Laryngitis? | show 🗑
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| what may be a permanent effect after long periods of chronic laryngitis? | show 🗑
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| show | Cancer is suspected
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| what is the best care for patients have acute laryngitis? | show 🗑
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| show | Removal of the irritant
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| show | a sign advising staff and visitors that patient should not speak
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| a nurse complains that Mr.L is not answering back when she talks w/ the intercom. Because she just started, she was unaware that the pt has laryngitis. What can you do to avoid this in the future? | show 🗑
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| why is it important for laryngitis pts to know that they should keep the temperature constant? | show 🗑
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| show | Alcohol, combined with tobacco or smoking
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| show | chronic laryngitis
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| show | squamous cell carcinoma
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| what did Mrs. M. say are the large factors causing cancer the larynx? | show 🗑
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| show | Confined to the vocal cords
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| show | lungs
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| what did Mrs. M. say is the best intervention for cancer of the larynx? Why? | show 🗑
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| early symptoms of cancer of the letter include persistent___, sore___, and___pain. | show 🗑
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| a patient comes to you and says that he feels there's a lump in his throat. This may be a sign of what condition? | show 🗑
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| later signs and symptoms of laryngeal cancer are blood in ____, difficulty___, or difficulty___. | show 🗑
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| show | hemoptysis
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| what did Mrs. M. say are very late signs of laryngeal cancer? | show 🗑
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| Name two categories of laryngectomy | show 🗑
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| name two types of partial laryngectomy (handout) | show 🗑
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| hemilaryngectomy: what is the voice result (handout) | show 🗑
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| Hemilaryngectomy: what is the intervention regarding swallowing ability after the procedure? | show 🗑
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| show | normal voice
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| surpraglottic partial laryngectomy: swallowing ability | show 🗑
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| show | no voice; no swallowing problem
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| Total Laryngecomty teaching: Before teaching a pt. what should you do? | show 🗑
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| Total Laryngecomty teaching: A pt. can lose the ability to speak. You should provide ____ about alternative means of communication, refer to ___ therapist, provide ____ support, ___ pts feelings of anger and despair. | show 🗑
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| Total Laryngecomty teaching: some patients benefit from meeting a volunteer from an organization for people who have had laryngectomies. What should you do before inviting a volunteer to meet the patient? | show 🗑
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| Total Laryngecomty teaching: patients undergoing laryngectomies go to the ICU for several days. ____ the pt that this is routine. | show 🗑
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| Total Laryngecomty teaching: inform the patient to expect 4 other things. | show 🗑
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| show | routine procedure; allows close monitoring and maintenance of airway
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| a total laryngectomty involves removal of what 4 things? what is closed? A ____ is created by bringing the trachea to the opening of the neck | show 🗑
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| show | a radical neck dissection is often done because of the high risk of metastatsis to the neck
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| Name 3 complications of total laryngectomy w/ a radical neck dissection | show 🗑
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| show | salivary fistula
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| show | NG tube
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| show | had radiation therapy before surgery and had a salivary fistula after surgery
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| show | tracheal stenosis
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| Total Laryngectomy assessment: Assessment focuses on what three things | show 🗑
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| show | consciousness; pain; discomfort
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| show | continuous EKG, pulse ox
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| show | yes
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| Total Laryngectomy Ineffective airway: wife of a pt. who just had a total laryngectomy asks how long will he be on a ventilator. The correct answer is: | show 🗑
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| Total Laryngectomy Ineffective airway: What data indicates need for suctioning | show 🗑
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| Total Laryngectomy Ineffective airway: What position helps lungs expand? What prevents pooling of secretions in the lungs | show 🗑
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| Total Laryngectomy Ineffective airway: What two things help w/ hydration and nutrition? | show 🗑
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| Total Laryngectomy Anxiety: What did Mrs. M say is important to do? Why? | show 🗑
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| show | hemorrhage; vital signs frequently and inspecting secretions for excessive bleeding
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| Total Laryngectomy Decreased Cardiac output: over the first few postoperative days, the color of drainage should change from what 3 color/characteristics. | show 🗑
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| show | fearful; hand
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| Total Laryngectomy risk for injury: tracheostomy is open to the environment, so you must teach the pt. to avoid ___places and ___ tracheostomy when shaving or having haircuts | show 🗑
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| Total Laryngectomy risk for injury: What can you teach regarding baths? | show 🗑
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| Mrs. M primary concern/care for Laryngectomy pt. | show 🗑
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| show | assess tools needed to communicate
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