lOMoARcPSD|3013804
Chapter 28 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 28: Concepts of Care for Patients With Infectious Respiratory Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse working in a geriatric clinic sees clients with “cold” symptoms and rhinitis. The
primary health care provider (PHCP) often leaves a prescription for diphenhydramine. What
action by the nurse is best?
a.
Teach the client about possible drowsiness.
b.
Instruct the client to drink plenty of water.
c.
Consult with the PHCP about the medication.
d.
Encourage the client to take the medication with food.
ANS: C
First-generation antihistamines are not appropriate for use in the older population. These
drugs include chlorpheniramine, diphenhydramine, and hydroxyzine. The nurse would consult
with the PHCP and request a different medication. Diphenhydramine does cause drowsiness,
but the nurse would request a different medication. Drinking plenty of fluids is appropriate for
the condition and is not related to the medication. Antihistamines can be taken without regard
to food.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Antihistamines, Older adults
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
G Rdischarge
2. A nurse in a family practice clinic is preparing A D Einstructions
S L A Bfor .a client
CO M
reporting facial pain that is worse when b e nd i ng o v er , te nd e rn ess
across the cheeks, and postnasal
discharge. What instruction will be most helpful?
a.
“Ice packs may help with the facial pain.”
b.
“Limit fluids to dry out your sinuses.”
c.
“Try warm, moist heat packs on your face.”
d.
“We will schedule a computed tomography scan this week.”
ANS: C
This client has rhinosinusitis. Comfort measures for this condition include humidification, hot
packs, nasal saline irrigations, sleeping with the head elevated, increased fluids, and avoiding
cigarette smoke. The client does not need a CT scan.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Infectious respiratory problems, Nonpharmacologic comfort interventions
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
3. Which teaching point is most important for the client with a peritonsillar abscess?
a.
Gargle with warm salt water.
b.
Take all antibiotics as directed.
c.
Let us know if you want liquid medications.
d.
Wash hands frequently.
ANS: B
Chapter 28 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 28: Concepts of Care for Patients With Infectious Respiratory Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse working in a geriatric clinic sees clients with “cold” symptoms and rhinitis. The
primary health care provider (PHCP) often leaves a prescription for diphenhydramine. What
action by the nurse is best?
a.
Teach the client about possible drowsiness.
b.
Instruct the client to drink plenty of water.
c.
Consult with the PHCP about the medication.
d.
Encourage the client to take the medication with food.
ANS: C
First-generation antihistamines are not appropriate for use in the older population. These
drugs include chlorpheniramine, diphenhydramine, and hydroxyzine. The nurse would consult
with the PHCP and request a different medication. Diphenhydramine does cause drowsiness,
but the nurse would request a different medication. Drinking plenty of fluids is appropriate for
the condition and is not related to the medication. Antihistamines can be taken without regard
to food.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Antihistamines, Older adults
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
G Rdischarge
2. A nurse in a family practice clinic is preparing A D Einstructions
S L A Bfor .a client
CO M
reporting facial pain that is worse when b e nd i ng o v er , te nd e rn ess
across the cheeks, and postnasal
discharge. What instruction will be most helpful?
a.
“Ice packs may help with the facial pain.”
b.
“Limit fluids to dry out your sinuses.”
c.
“Try warm, moist heat packs on your face.”
d.
“We will schedule a computed tomography scan this week.”
ANS: C
This client has rhinosinusitis. Comfort measures for this condition include humidification, hot
packs, nasal saline irrigations, sleeping with the head elevated, increased fluids, and avoiding
cigarette smoke. The client does not need a CT scan.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Infectious respiratory problems, Nonpharmacologic comfort interventions
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
3. Which teaching point is most important for the client with a peritonsillar abscess?
a.
Gargle with warm salt water.
b.
Take all antibiotics as directed.
c.
Let us know if you want liquid medications.
d.
Wash hands frequently.
ANS: B
