Nokea
The occupational health nurse is obtaining a patient history during a pre-employment physical. During the history, the patient states that he has hereditary angioedema. The nurse should identify what implication of this health condition?
- A. It will result in increased loss of work days.
- B. It may cause episodes of weakness due to reduced cardiac output.
- C. It can cause life-threatening airway obstruction.
- D. It is unlikely to interfere with the individuals health.
Correct Answer: C
Rationale: Hereditary angioedema is an inherited condition that is characterized by episodes of life-threatening laryngeal edema. No information supports lost days of work or reduced cardiac function.
You may also like to solve these questions
A nursing student is discussing a patient with viral pharyngitis with the preceptor at the walk-in clinic. What should the preceptor tell the student about nursing care for patients with viral pharyngitis?
- A. Teaching focuses on safe and effective use of antibiotics.
- B. The patient should be preliminarily screened for surgery.
- C. Symptom management is the main focus of medical and nursing care.
- D. The focus of care is resting the voice to prevent chronic hoarseness.
Correct Answer: C
Rationale: Nursing care for patients with viral pharyngitis focuses on symptomatic management. Antibiotics are not prescribed for viral etiologies. Surgery is not indicated in the treatment of viral pharyngitis. Chronic hoarseness is not a common sequela of viral pharyngitis, so teaching ways to prevent it would be of no use in this instance.
The nurse is providing patient teaching to a young mother who has brought her 3-month-old infant to the clinic for a well-baby checkup. What action should the nurse recommend to the woman to prevent the transmission of organisms to her infant during the cold season?
- A. Take preventative antibiotics, as ordered.
- B. Gargle with warm salt water regularly.
- C. Dress herself and her infant warmly.
- D. Wash her hands frequently.
Correct Answer: D
Rationale: Handwashing remains the most effective preventive measure to reduce the transmission of organisms. Taking prescribed antibiotics, using warm salt-water gargles, and dressing warmly do not suppress transmission. Antibiotics are not prescribed for a cold.
The home care nurse is assessing the home environment of a patient who will be discharged from the hospital shortly after his laryngectomy. The nurse should inform the patient that he may need to arrange for the installation of which system in his home?
- A. A humidification system
- B. An air conditioning system
- C. A water purification system
- D. A radiant heating system
Correct Answer: A
Rationale: The nurse stresses the importance of humidification at home and instructs the family to obtain and set up a humidification system before the patient returns home. Air-conditioning may be too cool and too drying for the patient. A water purification system or a radiant heating system is not necessary.
The nurse is conducting a presurgical interview for a patient with laryngeal cancer. The patient states that he drinks approximately six to eight shots of vodka per day. It is imperative that the nurse inform the surgical team so the patient can be assessed for what?
- A. Increased risk for infection
- B. Delirium tremens
- C. Depression
- D. Nonadherence to postoperative care
Correct Answer: B
Rationale: Considering the known risk factors for cancer of the larynx, it is essential to assess the patients history of alcohol intake. Infection is a risk in the postoperative period, but not an appropriate answer based on the patients history. Depression and nonadherence are risks in the postoperative phase, but would not be critical short-term assessments.
As a clinic nurse, you are caring for a patient who has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. When you do a follow-up call with this patient, you are informed that the patient is feeling better and is stopping the medication after taking it for 4 days. What information should you provide to this patient?
- A. Keep the remaining tablets for an infection at a later time.
- B. Discontinue the medications if the fever is gone.
- C. Dispose of the remaining medication in a biohazard receptacle.
- D. Finish all the antibiotics to eliminate the organism completely.
Correct Answer: D
Rationale: The nurse informs the patient about the need to take the full course of any prescribed antibiotic. Antibiotics should be taken for the entire 10-day period to eliminate the microorganisms. A patient should never be instructed to keep leftover antibiotics for use at a later time. Even if the fever or other symptoms are gone, the medications should be continued. Antibiotics do not need to be disposed of in a biohazard receptacle, though they should be discarded appropriately.