BY JEAN GIDDENS 2024 STUVIA CORRECTLY ANSWERED
QUESTIONS AND CORRECT ANSWERS //
Epistaxis: If the physician does a local application of a vasoconstrictor, and uses gauze and string, what is
the therapeutic care of the patient? - CORRECT ANSWERS-- petroleum jelly on packing,
prevents gauze from sticking to nasal mucosa
- Antibiotic used if packing placed fro a long time; 623
Epistaxis: Nursing Care - CORRECT ANSWERS-- monitor amount and color of bleeding
- vital signs, Hgb (excess blood loss)
- repetitive swallowing
- if bleeding continues after 10-15 minutes, contact RN or MD; 624
Epistaxis: Nursing Care: posterior packing - CORRECT ANSWERS-- monitor for airway
obstruction (packaging may slip)
- know how to remove packaging, in emergency situation
- packaging to be removed by MD; 624
Epistaxis: Nursing Care: Patient Education - CORRECT ANSWERS-- do not blow nose for up to
48 hours
- avoid picking nose
- avoid bending over
- dryness is cause of bleed: use nasal saline spray or room humidifier; 624
Nasal Polyps: Pathophysiology - CORRECT ANSWERS-- grapelike clusters of mucosa
- usually benign
- blockage of airway; 624
, Nasal Polyps: Etiology - CORRECT ANSWERS-- unknown
- r/t chronic inflammation; 624
Nasal Polyps: Therapeutic Measures - CORRECT ANSWERS-- Meds: PO antihistamines, nasal
corticosteroid sprays
- Medical: remove polyps under local anesthesia, and laser or endoscopic surgery
- Post surgery: avoid aspirin; 624
Deviated Septum: Pathophysiology and Etiology - CORRECT ANSWERS-- nasal trauma where
septa may be deviated enough to block sinus drainage or interrupt breathing; 624
Deviated Septum: S/S - CORRECT ANSWERS-- stuffy nose
- discomfort
- H/A
- nosebleeds; 624
Deviated Septum: Therapeutic interventions - CORRECT ANSWERS-- decongestants,
antihistamines, intranasal corticosone sprays
- if chronic: nasoseptoplasty, and then packing is put in place; 624
Deviated Septum: Nursing Care - CORRECT ANSWERS-- monitor V/S, bleeding, excessive
swallowing
- semi-fowler's positioning
- meds: stool softeners, cough suppressants; 624
Deviated Septum: Nursing Care: Patient Education - CORRECT ANSWERS-- avoid sneezing,
coughing, or straining during bowel movement
- avoid aspirin
- take complete prescribed anitbiotic