Final Exam: NSG 124/ NSG124 (NEW 2024/ 2025 Update)
Pharmacology | Review with Questions and Verified
Answers| 100% Correct| Graded A- Herzing
Upper respiratory disorders refer to those affecting the..... - ANSWER Nose, sinuses,
pharynx, and larynx
Deviated septum - ANSWER is a deflection of the "normally" straight nasal septum
What is the most common cause of deviated septum - ANSWER Trauma to the nose
Minor septal deviations may be - ANSWER asymptomatic
Clinical manifestations of septal deviation - ANSWER obstruction to nasal breathing,
nasal congestion, frequent sinus infections, epistaxis(nosebleeds), and facial pain
Medical management of a deviated septum is focused on..... - ANSWER Symptom
control of nasal inflammation and congestion
Corticosteroids - ANSWER Inhibit inflammatory response of allergic rhinitis
Types of corticosteroids - ANSWER Beconase
Rhinocort
Omnaris
Nasalide
Flonase
Veramyst
Nasonex
Nasacort
Mast cell stabilizer - ANSWER Suppress the release of histamine and other
inflammatory mediators from mast cells.
Types of mast cell stabilizer - ANSWER NasalCorm
Leukotriene Receptor Antagonists and Inhibitors (LTRA's) - ANSWER Suppress
leukotriene activity, thereby inhibiting airway edema, bronchoconstriction, mucous
production, and inflammation
Types of LTRA's (antagonists) - ANSWER Accolate
Singulair
Types of LTRA's (inhibitors) - ANSWER Zyflo
,Anticholinergic - ANSWER Blocks nasal cholinergic receptors, reducing nasal
secretions in the common cold and nonallergic rhinitis (decongestant)
Types of Anticholinergic - ANSWER Atrovent
Antihistamines - ANSWER Blocks histamine binding, relieves acute symptoms of
allergic response (itching, sneezing, rhinorrhea)
Second generation antihistamines are preferred over first generation because of their
__________________ effects - ANSWER non sedating
Teach patients to do what when taking antihistamines to reduce adverse symptoms -
ANSWER Have adequate fluid intake
Types of antihistamines - ANSWER Optimine
Dimetane
Chlor-Trimeton
Tavist
Polaramine
Benadryl
Xyzal
Claritin
zytrec
allegra
clarinex
xyzal
astelin
Patanase
Due to recurrent or severe symptoms a _______________________ is performed -
ANSWER Nasal septoplasty
Nasal septoplasty - ANSWER reconstructs and properly aligns the deviated septum
Nasal facture - ANSWER most common facial fracture, 3rd most common fracture of
any bone
Fracture of the nose occurs as a result of - ANSWER Blunt Trauma
Types of trauma causing nasal fractures - ANSWER Fights,automobile accidents, falls,
and sports injuries
Complications associated with nasal fractures - ANSWER Airway obstruction, epistaxis,
meningeal tears causing CSF leak, septal hematoma, cosmetic deformity
Nasal fractures can be classified as - ANSWER Simple or complex
,Simple fracture can be - ANSWER unilateral or bilateral
Simple fractures - ANSWER produce little or no displacement
Powerful frontal blows can cause - ANSWER Complex fractures
Complex fractures may also involve - ANSWER damage to adajcent facial structures
such as teeth, eyes, or facial bones
Orbital fractures may be seen with - ANSWER mid facial trauma
Clinical manifestations of a nasal fracture - ANSWER Localized pain
crepitus on palpation
swelling
ecchymosis
cosmetic deformity
epistaxis
difficulty breathing out of the nostrils
Facial deformity with a nasal fracture is - ANSWER common
Epistaxis may be the only __________ sign - ANSWER initial
On inspection of a nasal fracture assess the patient for - ANSWER ability to breath
through each nostril
Edema
bleeding
hematoma
Ecchymosis may be present under - ANSWER one or both eyes
Ecchymosis involving both eyes is called - ANSWER Racoon eyes
Racoon eyes(ecchymosis under both eyes) may be indicative of - ANSWER orbital or
basilar skull fracture
Inspect the nose internally for evidence of - ANSWER septal deviation, hemorrhage, or
clear drainage
Clear pink-tinged drainage or persistent drainage after control of epistaxis may suggest
a leak of - ANSWER CSF
How would you check to see if clear drainage is CSF - ANSWER Glucose testing
, May be necessary to wait to repair a nasal fracture for 5-10 days due to.... - ANSWER
inflammation
Nursing management for a nasal fracture is to - ANSWER Maintain airway by placing
patient in upright position
Reduce edema/pain (apply ice) (analgesics) (acetaminophen)
Prevent complications
provide emotional support
Do not give _____________ for the first 48 hours to avoid prolonging clotting time and
increasing the risk for bleeding - ANSWER Aspirin or NSAIDS
Nasal stuffiness related to nasal fracture can be relieved by - ANSWER nasal
decongestants
saline nasal sprays
humidifiers
Patients with nasal fractures so avoid __________________ and
_______________________ for the first 48 hours to prevent an increase in swelling -
ANSWER Alcohol and hot showers
Rhinoplasty - ANSWER surgical reconstruction of the nose, performed for cosmetic
reasons or to improve airway function due to trauma or deformity
After a rhinoplasty ____________ __________________ may be inserted to apply
pressure, prevent bleeding or septal hematoma formation - ANSWER Nasal packing
External plastics splints _____________ and ____________ the new shape of the nose
during the healing process - ANSWER Protects and supports
Nasal packing is removed when? - ANSWER Day after surgery
Splints are removed when? - ANSWER 1 week after surgery
Before a nasal surgery the patient should not take what medications? - ANSWER
NSAIDS/ aspirin containing drugs
(may cause bleeding)
Nurses should teach smoking cessation to promote postoperative ___________
________________. - ANSWER Wound healing
After a nasal procedure the nurse should - ANSWER Maintain the airway
assess the respiratory status
pain management
observation of the surgical site for bleeding/infection/edema
Pharmacology | Review with Questions and Verified
Answers| 100% Correct| Graded A- Herzing
Upper respiratory disorders refer to those affecting the..... - ANSWER Nose, sinuses,
pharynx, and larynx
Deviated septum - ANSWER is a deflection of the "normally" straight nasal septum
What is the most common cause of deviated septum - ANSWER Trauma to the nose
Minor septal deviations may be - ANSWER asymptomatic
Clinical manifestations of septal deviation - ANSWER obstruction to nasal breathing,
nasal congestion, frequent sinus infections, epistaxis(nosebleeds), and facial pain
Medical management of a deviated septum is focused on..... - ANSWER Symptom
control of nasal inflammation and congestion
Corticosteroids - ANSWER Inhibit inflammatory response of allergic rhinitis
Types of corticosteroids - ANSWER Beconase
Rhinocort
Omnaris
Nasalide
Flonase
Veramyst
Nasonex
Nasacort
Mast cell stabilizer - ANSWER Suppress the release of histamine and other
inflammatory mediators from mast cells.
Types of mast cell stabilizer - ANSWER NasalCorm
Leukotriene Receptor Antagonists and Inhibitors (LTRA's) - ANSWER Suppress
leukotriene activity, thereby inhibiting airway edema, bronchoconstriction, mucous
production, and inflammation
Types of LTRA's (antagonists) - ANSWER Accolate
Singulair
Types of LTRA's (inhibitors) - ANSWER Zyflo
,Anticholinergic - ANSWER Blocks nasal cholinergic receptors, reducing nasal
secretions in the common cold and nonallergic rhinitis (decongestant)
Types of Anticholinergic - ANSWER Atrovent
Antihistamines - ANSWER Blocks histamine binding, relieves acute symptoms of
allergic response (itching, sneezing, rhinorrhea)
Second generation antihistamines are preferred over first generation because of their
__________________ effects - ANSWER non sedating
Teach patients to do what when taking antihistamines to reduce adverse symptoms -
ANSWER Have adequate fluid intake
Types of antihistamines - ANSWER Optimine
Dimetane
Chlor-Trimeton
Tavist
Polaramine
Benadryl
Xyzal
Claritin
zytrec
allegra
clarinex
xyzal
astelin
Patanase
Due to recurrent or severe symptoms a _______________________ is performed -
ANSWER Nasal septoplasty
Nasal septoplasty - ANSWER reconstructs and properly aligns the deviated septum
Nasal facture - ANSWER most common facial fracture, 3rd most common fracture of
any bone
Fracture of the nose occurs as a result of - ANSWER Blunt Trauma
Types of trauma causing nasal fractures - ANSWER Fights,automobile accidents, falls,
and sports injuries
Complications associated with nasal fractures - ANSWER Airway obstruction, epistaxis,
meningeal tears causing CSF leak, septal hematoma, cosmetic deformity
Nasal fractures can be classified as - ANSWER Simple or complex
,Simple fracture can be - ANSWER unilateral or bilateral
Simple fractures - ANSWER produce little or no displacement
Powerful frontal blows can cause - ANSWER Complex fractures
Complex fractures may also involve - ANSWER damage to adajcent facial structures
such as teeth, eyes, or facial bones
Orbital fractures may be seen with - ANSWER mid facial trauma
Clinical manifestations of a nasal fracture - ANSWER Localized pain
crepitus on palpation
swelling
ecchymosis
cosmetic deformity
epistaxis
difficulty breathing out of the nostrils
Facial deformity with a nasal fracture is - ANSWER common
Epistaxis may be the only __________ sign - ANSWER initial
On inspection of a nasal fracture assess the patient for - ANSWER ability to breath
through each nostril
Edema
bleeding
hematoma
Ecchymosis may be present under - ANSWER one or both eyes
Ecchymosis involving both eyes is called - ANSWER Racoon eyes
Racoon eyes(ecchymosis under both eyes) may be indicative of - ANSWER orbital or
basilar skull fracture
Inspect the nose internally for evidence of - ANSWER septal deviation, hemorrhage, or
clear drainage
Clear pink-tinged drainage or persistent drainage after control of epistaxis may suggest
a leak of - ANSWER CSF
How would you check to see if clear drainage is CSF - ANSWER Glucose testing
, May be necessary to wait to repair a nasal fracture for 5-10 days due to.... - ANSWER
inflammation
Nursing management for a nasal fracture is to - ANSWER Maintain airway by placing
patient in upright position
Reduce edema/pain (apply ice) (analgesics) (acetaminophen)
Prevent complications
provide emotional support
Do not give _____________ for the first 48 hours to avoid prolonging clotting time and
increasing the risk for bleeding - ANSWER Aspirin or NSAIDS
Nasal stuffiness related to nasal fracture can be relieved by - ANSWER nasal
decongestants
saline nasal sprays
humidifiers
Patients with nasal fractures so avoid __________________ and
_______________________ for the first 48 hours to prevent an increase in swelling -
ANSWER Alcohol and hot showers
Rhinoplasty - ANSWER surgical reconstruction of the nose, performed for cosmetic
reasons or to improve airway function due to trauma or deformity
After a rhinoplasty ____________ __________________ may be inserted to apply
pressure, prevent bleeding or septal hematoma formation - ANSWER Nasal packing
External plastics splints _____________ and ____________ the new shape of the nose
during the healing process - ANSWER Protects and supports
Nasal packing is removed when? - ANSWER Day after surgery
Splints are removed when? - ANSWER 1 week after surgery
Before a nasal surgery the patient should not take what medications? - ANSWER
NSAIDS/ aspirin containing drugs
(may cause bleeding)
Nurses should teach smoking cessation to promote postoperative ___________
________________. - ANSWER Wound healing
After a nasal procedure the nurse should - ANSWER Maintain the airway
assess the respiratory status
pain management
observation of the surgical site for bleeding/infection/edema
