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nctc med surg ch20

med surg summer

QuestionAnswer
what are the three primary conditions that leaad to nasal obstruction? Deviated septum,nasal plyps, and hypertrophied turbinates
What is the inflammation of the nasal mucous membranes, also referred to as the common cold? Rhinitis
What symptoms are associated with rhinitis? It includes sneezing, nasal congestion, rhinorrhea(clear nasal discharge), sore throat, watery eyes, cough, low-grade fever.
How long could the symptoms last for the common cold? Could last up to 5 to 14 days
What should you tell your clients with these diseases who are taking prescription drugs? To consult a physician befor using nonprescription drugs to treat a cold
What do Antitussives do? Act on the central nervous system to raise the cough threshold and dampen cough reflex.
What are side effects of Antitussives? Drowsiness, constipation, GI upset, and headache
What are Decongestant used for? Affect the autonomic nervous system to relieve nasal congestion
What are the side effects of decongestants? Nervousness, insomnia, headache, and dry mouth
What teaching considerations should you take for clients on decongestants? Encourage increased fluid intake and follow the proper manufacturer's directions for administration.
What nursing considerations for antitussives? For use with nonproductive coughs.
What are Antihistamines used for? Block the actions of histamine at the h1 receptor.
What are side effects on antihistamines? Dry mouth, drowsiness, dizziness, urinary retention, hypotension.
What should nurses take into consideration when teaching a patient taking antihistamines? Contraindicated in slients with certain heart conditions, Encourage clients to increase fluid intake, may cause drowsiness:advise caution when driving if unaware of individual reactions.
What is the purpose of an Anti-Inflammatory? When sprayed on local tissures in the nasal mucosa, decrease the secretions of inflammatory mediators and reduce tissue edema.
What are the side effects of Anti-Inflammatory? Transient nasal irritation,burning,sneezing, or dryness
Nursing Considerations for Anti-Inflammatories? Avoid swallowing medication, and instruct to rinse mouth after use. May take 2 to 4 weeks to reach therapuetic effect.
The common cold may be potentially serious for older adults, especially when they have other diseases such as a chronic respiratory disorder or heart diseas. Advise older clients to see a healthcare provider if cold symptoms are sever or breathing is difficult.
What is inflammation of the sinuses? Sinusitis, which is mainly caused by the spread of an infection from the nasal passage to the sinuses.
Client and family teaching for treating Rhinitis. Rest as much as possible, Increase fluid intake, Wash hands frequently
What are signs and symptoms of sinusitis? pain over the affected sinus, nasal congestion and discharge, pain and pressure around the eyes.
What are the things a nurse can teach a client with sinusitis? If receiving medical treatment, the nurse informs them that use of mouthwashes and humidification, as well as increased fluid intake, may loosen secretions and increase comfort.
what are the s/s of pharyngitis? sore throat, dysphagia, some clients exhibit a white or exudate patch over the tonsillar area and swollen glands.
what is a nursing diagnosis for a client having a tonsillectomy and adenoidectomy? Risk for Aspiration r/t impaired swallowing secondary to throat surgery and reduced gag reflex secondary to anesthesia.
risk for impaired tissue integrity cause of tonsillectomy? instruct patient not to cough,clear throat,blow nose, or use a straw in the first few postop days.
If a patient has epistaxis, or nosebleed the nurse teaches them to... apply continuous pressure to the nare for 5-10 min with the head tilted slightly forward
Epistaxis can be treated by... applying ice packs to the nose
Created by: jlsmith