Surgical & Nursing Management
Immediate post-thoracentesis, the client is placed on what side?
The unaffected side.
Lymph tissue found in the pharynx that protects against infection are...
Tonsils and adenoids
This is one intervention is used for epistaxis.
Apply direct continuous pressure to the nares for 5 to 10 minutes.
My patient presents with laryngitis. What are some causes of laryngitis?
Excessive use of the voice
Allergies
Smoking
Spread of infection from the upper respiratory tract
At which point does the nurse expect a client to experience coughing during suctioning of respiratory secretions?
When the suction catheter reaches the point of the carina.
What finding indicates current bleeding following nasal surgery?
Frequent swallowing.
A diagnostic test to best provide data on the function of ventilation. (adequate or impaired)
ABGs
(Arterial Blood Gases)
Instructions for a patient to produce sputum for a sputum sample include..
Take deep breaths and cough forcefully.
What are some risk factors associated with laryngeal cancer?
Alcohol use
Tobacco use
Smokeless Tobacco use
Secondhand smoke
Industrial pollutants
Chronic laryngitis
HPV virus
The FIRST action a nurse should take with a client having an asthma attack is
Administer a bronchodilator.
What discharge instructions will the nurse include for a patent following a tonsillectomy and adenoidectomy?
Avoid carbonated fluids.
Gradually increase fluids then add soft foods.
Apply an ice collar to the neck area.
Gargle with warm saline water.
Best practice indicates this diagnostic test should be obtained prior to beginning antibiotics.
A sputum culture.
During a thoracentesis, purulent fluid was removed. What is this an indication of?
Infection
A barrel shaped chest and a rigid chest cage, along with difficulty inhaling air are an indication of this lower respiratory disorder.
Emphysema
What is the primary nursing intervention for a client with a deep vein thrombosis (DVT) that is now complaining of chest pain and dyspnea?
Apply oxygen via face mask.
Complications associated with a newly placed tracheostomy include...
Aspiration
Infection
Injury to the laryngeal nerve
This test is done to determine the presence of cerebrospinal fluid when clear drainage comes out of the nose of a person following facial fractures.
A Dextrostix.
Prior to a lung scan, what allergy should the nurse assess for?
Iodine allergy
(Shell fish or contrast dye)
Fluctuation of the fluid in the water-seal chamber is initially present with each respiration.
True or False
True
A patient comes to the ER with a penetrating stab wound and has dyspnea, tachypnea, and a sucking noise can be heard on inspiration and expiration. What intervention will the nurse provide?
Apply an airtight pressure dressing over the wound.
A nurse should monitor this frequently following a new tracheostomy placement.
Airway patency
Following the removal of an endotracheal tube, which nursing intervention is MOST important to ensure the respiratory system is not compromised?
Auscultate for lung sounds
When monitoring clients after pulmonary angiography, what condition should you notify the physician about? Name a 2 of these conditions.
Diminished or absent distal pulses
Cool Skin temperature in the affected limb
Poor Capillary refill in the affected limb
Complains of numbness or tingling
Bleeding or hematoma
Mucopurulent or blood-streaked sputum is a cardinal sign of what disorder/disease?
Lung Cancer
Fever, chills, malaise, headache, dry, irritating, and nonproductive cough are signs and symptoms of bronchitis. Later, the cough produces mucopurulent sputum, which can be blood streaked.
True or False
True