part 2

Question 1

is a common occurrence and usually resulting from crusting, cracking, or irritation of the mucous membrane of the nasal septum

what is the only sign of nosebleed

Answer 1

epistaxis (nose bleed)

bleeding

Question 2

what are the most common type of nose bleed

how many % require medical attention

Answer 2

anterior bleed 90% to 95%

about 6%

Question 3

nosebleed can also result in what

Answer 3

trauma
hypertension
blood disorder like leukemia

Question 4

When epitaxis (nose bleed) occurs, how should patient sit and how should pressure be applied?

Answer 4

the patient should sit forward and apply direct pressure by pinching the nose just below the bone, close to the face, for 10 to 15 minutes.

Question 5

When epitaxis occurs, placing them in the forward position prevents ________?

How does cold compresses help with epitaxis?

the pt should avoid doing what ?

Answer 5

Prevents blood from running down the back of the throat

Cold compresses/ ice will constrict blood vessels

bending over or pick at for 24 hrs

Question 6

once. the bleeding stop the pt should

Answer 6

Minimal bleeding
Persistent bleeding
Rest
Patient teaching

Question 7

pt on anticoagulant and anti-platelet med and when nasal cannula are increased of what

Answer 7

nose bleed

Question 8

usually called a sore throat

what may be caused by ?

Answer 8

Pharyngitis

virus, bacteria, or fungus but usually by viral

Question 9

Acute follicular pharyngitis (“strep throat”) is caused by

Answer 9

caused by beta-hemolytic streptococcal infection.

Question 10

Fungal pharyngitis occurs with long-term use of

Answer 10

antibiotics or inhaled corticosteroids,

or in patients with immunosuppression, such as occurs with HIV or AIDS

during cancer treatment.

Question 11

Laryngitis (inflammation of the larynx with diminished voice or hoarseness) may occur

Answer 11

if the infection progresses into the larynx.

Question 12

If the inflammation extends to the epiglottis what occur which more common in ?

what can it cause

Answer 12

epiglottitis occurs.
More common in children

acute airway obstruction and should be monitored

Question 13

Symptoms of pharyngitis include
what may also be involved

is also present with discomfort when swallowing one’s own saliva.

Answer 13

Dry, “scratchy” feeling in the back of the throat
Mild fever
Headache
Malaise
Throat, tonsils, palate, and uvula may be involved and will be reddened

Dysphagia

Question 14

What is a common symptom of Laryngitis that does not usually inhibit the ability to take adequate fluids and nourishment?

Answer 14

Discomfort when swallowing one’s saliva

Question 15

The voice may become absent or hoarse with this condition

Answer 15

Laryngitis

Question 16

How long does uncomplicated pharyngitis or laryngitis usually last?

Answer 16

3-10 days

Question 17

The diagnosis of pharyngitis is confirmed

A throat culture is often done to confirm or rule out

Answer 17

by clinical signs and symptoms.

streptococcal infection.

Question 18

How is uncomplicated viral pharyngitis treated? It responds to these measures..

Answer 18

usually responds to conservative measures,:

rest,

warm saline gargles (image to 1 tsp of table salt to a glass of warm water),

throat lozenges (small medicinal tablets that dissolve in the mouth),

antiseptic sprays,

plenty of fluids,

and a mild analgesic for aches and pains.

Question 19

Antiseptic sprays and lozenges help provide relief from

Answer 19

discomfort.

Question 20

Bacterial pharyngitis requires what… for what type of organism

Answer 20

antibiotic therapy, particularly if the infecting organism is Streptococcus.

Question 21

Chronic pharyngitis may require diagnostic procedures to determine what ?

Answer 21

the underlying cause and therapeutic measures such as humidification and filtering of environmental air

Question 22

Fungal pharyngitis is treated with what ? how can it be difficult

Answer 22

an agent effective against fungi but may be difficult to control in immunocompromised individuals.

Question 23

An infection with inflammation of the tonsils is usually caused by viruses such as those common cold

Answer 23

Tonsilitis

Question 24

is the most common organism causing bacterial infection

Answer 24

Group A streptococcus

Question 25

tonsillitis caused by the Epstein-barr virus is called

Answer 25

glandular fever or infectious mononucleosis

Question 26

Acute tonsillitis is more common

in

Answer 26

young children.

Question 27

Symptoms of tonsillitis

Answer 27

high fever,

sore throat,

general malaise,

pain referred to the ears, and chills,

white blood cell count elevated

, redness and swelling of the tonsils and surrounding tissues with patches of yellow exudate.

Question 28

usually produces an enlargement of tonsillar tissue and adenoidal tissue.

Answer 28

Chronic tonsillitis

Question 29

how is tonsillitis DX

if streptococcal infection is suspected what should be done

Answer 29

by physical examination and history

throat culture or rapid strep test

Question 30

A throat culture is performed before treatment to check for the presence of

Answer 30

Streptococcus, which can cause rheumatic fever or glomerulonephritis if not treated promptly

Question 31

Acute tonsillitis is treated with..

treated with

Answer 31

warm saline throat gargles and the administration of specific antibiotics (usually penicillin) to destroy the pathogen.

Question 32

what are some nursing measure for tonsillitis

Answer 32

bed rest
fever management
liquid dt

Question 33

surgery is used to treat tonsillitis when it is what

Answer 33

recurrent or enlarge of the tonsil and adenoids

or if the pt has more than six episode

Question 34

tonsillectomy and adenoidectomy are done when

what should be administered to the pt

the should be a restriction of

and what should you check foe after surgery

Answer 34

the same say surgery

aspirin and anti-inflammatory medication
restricting the pt dt for 6 to 8 hrs b4 surgery

for hemorrhage

Question 35

what is another clue to excessive bleeding
what should you watching after surgery frequently

what can cause bleeding

Answer 35

restlessness

VS and swallowing or clearing if throat

sneezing, coughing, vomiting

Question 36

After tonsillectomy & Adenoidectomy, place pt. in this position when DROWSY
when FULLY AWAKE

what should be placed on their neck

Answer 36

Side-lying position
semi fowler

ice collar or ice pack

Question 37

These types of food should be avoided until throat is completely healed

Answer 37

RED food

Ctrus fruits,
hot fluids,
rough foods should be avoided until the throat has completely healed.

Straws are not used because sucking may cause bleeding

Question 38

what is the most common airway obstruction is the

Answer 38

tongue