1st (PRELIM) Flashcards
Is an inflammation and irritation of the mucous membrane of the nose
Rhinitis
(Rhinitis) Subjective data
History of indoor allergens (molds, dust mite)
outdoor allergens (trees, weeds, grasses, molds)
(Rhinitis) Objective data
A. Physical assessment
- Rhinorrhea (runny nose)
- Nasal congestion
- Nasal discharge
- Sneezing
- Pruritus of the nose
- Roof of the mouth
- Throat
- Eyes
- Ears
(Rhinitis) Objective Data
B. Diagnostic studies / procedures
Allergy test may be perform
(Rhinitis) D. Implementation of care of clients
MEDICAL MANAGEMENT
- Desensitizing immunizations and corticosteroids may be required, antimicrobial agent
- Pharmacologic therapy
- Antihistamine
- Nasal spray
- Oral decongestant agents
- Intranasal ipratropium
(Rhinitis) NURSING MANAGEMENT
- Instruct the patient to avoid or reduce exposure to allergens and irritants such as dusts, molds, animals, fumes, odors, powders, sprays, and tobacco smoke
- Instruct patient to read drug labels before taking any OTC medication
Painful inflammation of the pharynx. Also referred to as sore throat
Pharyngitis
(Pharyngitis)
SUBJECTIVE DATA
A. History of environmental exposure to viral agents and poorly ventilated rooms
B. Peaks in cold and warm seasons
(pharyngitis)
OBJECTIVE DATA
A. Physical assessment
Inflammation of the pharynx, the back portion of the throat, that includes posterior portion of the tongue, soft palate, and tonsils
(Pharyngitis) OBJECTIVE DATA
B. Diagnostic studies/procedures
Rapid antigen detection test (RADT) to ensure viral or bacterial infection
(Pharyngitis)
B. Mode of transmission
Droplet in coughs and sneezes, as well as clean hands that have been exposed to the contaminated fluids
(Pharyngitis)
D. Implementation of care of clients
MEDICAL MANAGEMENT
- Antibiotic (Penicillin)
Cephalosporins (cefpodoxime and cefuroxime) and macrolides (clarithromycin and azithromycin) - Analgesics, benzocaine (gurgle)
(Pharyngitis)
E. Client education/Nursing management
Nutrition-liquid or soft diet, cool beverages, warm liquids, and flavored frozen dessert such as ice pops
Is inflammation of the tonsils, two oval-shaped pads of tissue at the back of the throat - one tonsil on each side
Tonsillitis and Adenoiditis
Is an inflammation of the adenoids caused by infection
Adenoiditis
Adenoids are found in the throat, also called the ____ , just behind the nose
Pharynx
Are the first line of defense against bacteria and viruses.
Adenoids
(TONSILLITIS)
A. Assessment
Subjective data
A. History - rule out related or systematic conditions
(TONSILLITIS)
A. Assessment
Objective data
a. Physical assessment
Sore throat, fever, snoring, and difficulty swallowing, a scratchy muffled or throaty voice, bad breath, stomachache, neck pain or stiff neck, headache
May cause mouth breathing, earache, draining ears, frequent head colds, bronchitis, foul smelling breath, voice impairment, and noisy respiration
Enlarged adenoids
Infection can extend to the middle ear and cause ___
Mastoiditis
Infection may reside in the middle ear as chronic that may cause___
Permanent deafness
(TONSILLITIS)
A. Assessment
Objective data
b. DIAGNOSTIC STUDIES/ PROCEDURES
RADT, throat swab culture, comprehensive audiometric assessment is warranted
(TONSILLITIS)
B. Analysis/Nursing Diagnosis
Impaired airway clearance, risk for impaired nutritional status, risk for constipation, anxiety associated with surgical procedure, acute pain associated with surgical incision.
(TONSILLITIS)
C. Planning
MEDICAL MANAGEMENT
- Increased fluid intake
- Antispasmodic agent
- Salt water gargles and rest
(TONSILLITIS)
E. Client Education/ Nursing Management
Post operative management:
- Continuous nursing observation post operatively and recovery periods due to risk of hemorrhage and compromise airway
- avoid spicy, hot, acidic, or rough food
