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Flashcards in Respiratory 2 Deck (220)
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1

What are the five top priorities of a patient with a broken nose?

Airway, halo test, vision test, facial xray, and crepitus

2

Why are fractured noses so dangerous?

The airway could be obstructed and it can be a potential source of infection

3

Which type of epistaxis is more serious?

Posterior bleed

4

Which patient populations are more likely to develop epistaxis?

Patients with hypertension, leukemia, and those who snort cocaine

5

Why are sinus infections so painful?

Sinus infections are accompanied by pressure because they are very small spaces to begin with

6

What is battle's sign?

A bruise behind the ear

7

Benign, grapelike clusters of mucous membranes and connective tissue

Nasal Polyps

8

How is CSF identified?

Glucose and halo tests

9

After a rhinoplasty, how often should vitals be taken?

Every 4 hours

10

What is the treatment of choice for nasal polyps?

Polypectomy

11

What is the nursing priority for patients with non-infectious URI?

Promote oxygenation by ensuring a patent airway

12

What would a posterior epistaxis look like?

Frank blood emesis

13

What interventions should be done for a patient with a broken nose?

Closed reduction, rhinoplasty, and nasosetoplasty

14

If giving two units of blood, what should also be administered?

FFP

15

What does CSF dripping from a broken nose indicate?

A skull fracture

16

What are carcinogens for nose and sinus cancer?

Wood dust, textiles, leather, flour, nickel, chromium, mustard gas and radium

17

What is dangerous about large nasal polyps?

They may obstruct the patient's airway

18

What can a bruise behand the ear signify?

A fractured skull

19

What are cancers of the nose and sinuses so rare?

Because their cells are very fast growing

20

After a rhinoplasty, what should be observed?

Edema and bleeding

21

How are cancers of the nose and sinuses usually diagnosed?

Local lymph node enlargement on the side of the tumor often alerts doctors to the problem

22

What is done for a patient with epitaxis?

Pack the nose and possible cauterization of the affected capillaries

23

What is the priority action for a patient with facial trauma?

Airway assessment

24

What are cancers of the sinuses and nose so hard to diagnose?

Because they have a slow onset and their manifestations resemble sinusitis

25

How much fluid should a patient who has just had a rhinoplasy drink?

2500 mL/day

26

If giving blood rapidly, what extra step must be taken?

Warm the blood

27

What are the priority nursing intervention for patients with epistaxis?

Make sure the airway is patent, assess for respiratory distress and tolerance of packing or tubes, humidification, oxygen, bedrest, antibiotics, and pain medication

28

What are the clinical manifestations of nasal polyps?

Obstructed nasal breathing, increased nasal discharge, and a change in voice quality

29

How should a patient who has had a rhinoplasty be positioned?

WIth the head elevated

30

How are nasal polyps managed?

Inhaled steroids