Pack-Years
Ouch! My nose
Nursing Care
Therapeutic Measures
Go Figure
100
Calculate pack-years. The client smoked three packs a day for 25 years.
What is 75 pack-years?
Pack-years = (Packs per day) x (Years of smoking)
100
Name this benign condition that may obstruct the nasal passages, and in some instances may be associated with cystic fibrosis in some patients.
What are nasal polyps?
100
Name the most important assessment finding to note when caring for a patient with epistaxis.
What is monitor for bleeding (amount and color of drainage)?
100
Name the therapeutic measure if the deviated septum is causing chronic problems.
What is a septoplasty?
100
Calculate:
A physician orders 0.5 mg of alprazolam. The medication available is 1 mg tablets. How many tablets should the nurse administer?
= 0.5 tablet
200
Calculate pack-years. The client smoked 2 packs a day for 50 years.
What is 100 pack-years?
Pack-years = (Packs per day) x (Years of smoking)
200
Name this condition in which there may or may not be trauma involved in the septa interfering with sinus drainage and breathing.
What is a deviated septum?
200
Post-septoplasty surgery, you note your patient is excessively swallowing. List your next actions.
What is place the patient in high Fowler's with Yankeurs connected to wall suction, and notify the physician?
200
Name the therapeutic measure for reconstruction of the nose primarily for cosmetic purposes or to correct a deformity caused by trauma.
What is rhinoplasty?
200
Calculate:
The doctor orders 250 mg of amoxicillin. The pharmacy provides you with a bottle containing 250 mg capsules. How many capsules will you give?
= 1 capsule
300
Calculate pack-years. The client smoked 1 pack a day for 11 years.
What is 11 pack-years?
Pack-years = (Packs per day) x (Years of smoking)
300
Name this condition that may present with acute or chronic symptoms, causing inflammation of the mucosal lining, and may be either viral or bacterial.
What is sinusitis?
300
Sinusitis causes inflammation in the mucosa name a nursing intervention to help relieve their symptoms.
What is instruct the patient to drink 8 to 10 glasses of water per day, unless contraindicated?
300
Name the three therapeutic measures that are recommended as evidence-based treatment guidelines for sleep apnea.
What are: 1.) weight loss, 2.) continuous positive airway pressure CPAP, and 3.) use of a mandibular advancement device?
300
Calculate:
An order is for 1,000 mL of 0.9% Normal Saline to be infused over 8 hours. The IV tubing has a drop factor of 10 gtts/mL.
= 20.83 gtts/min
= 20.8 gtts/min
400
Calculate pack-years. The client smoked 1.5 packs a day for 33 years.
What is 50 pack-years?
Pack-years = (Packs per day) x (Years of smoking)
1.5 pack = 30 cigarettes
400
Name this condition that develops in the squamous cells of the mucosal epithelium.
What is cancer of the larynx?
400
List the four things needed for preoperative nursing care of total laryngectomy patients before their procedure.
What are: 1.) preop pt teaching, 2.) initial communication techniques, 3.) variety of speaking techniques/devices available, 4.) CONSULT a speech therapist and nutritionist?
400
Name the therapeutic measures for both viral and bacterial infections.
What are: viral - symptomatic management (e.g. acetaminophen, decongestants, cough drops, vitamin C, chicken noodle soup care); bacterial - antibiotics?
400
Calculate:
An order is for 500 mL of Lactated Ringer's to be infused over 5 hours. The IV tubing has a drop factor of 15 gtts/mL.
= 25 gtts/mL
500
Calculate pack-years. The client smoked 2.5 packs a day for 46 years.
What is 115 pack-years?
Pack-years = (Packs per day) x (Years of smoking)
2.5 pack = 50 cigarettes
500
Name this condition that occurs when the filtering function becomes overwhelmed with a virus or bacteria, and infection results.
What is tonsillitis?
500
List the priority data collection on assessment for the postoperative total laryngectomy patient.
What are monitoring airway patency and respiratory function?
500
Name the therapeutic measure that will help preserve a laryngeal cancer patient's voice if caught in the early stage.
What is chemotherapy with radiation or surgery?
500
Calculate:
An order is for 1500 mL of D5W to be infused over 10 hours. The IV tubing has a drop factor of 20 gtts/mL.
= 50 gtts/mL