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Upper Respiratory ProblemsMedical Surgical Nursing

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What measures can a patient take to reduce the discomforts of sinusitis?
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-Keep well hydrated (6-8 glasses of water a day) -Take hot showers twice daily, use a steam inhaler, bedside humidifier or nasal saline spray to promit secretion drainage -don't smoke or be around smokers -take analgesics, decongestants, medications an
What is the recipe for a home solution of saline for nasal irrigation?
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1/4 tsp. salt dissolved in 8 oz. of water with an optional pinch of baking soda
What causes nasal polyps to develop?
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Chronic inflammation of the sinus or nasal mucosa
______ are benign mucus membrane masses that form slowly and appear bluish and glossy; they can exceed the size of a grape.
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Nasal Polyps
_________, whether topical or systemic, can slow to growth/redevelopment of nasal polyps.
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Corticosteroids
Which type of foreign body often produces no symptoms?
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Inorganic ones like a marble, button or bead.
A worried mother brings her child into your clinic stating she thinks her son has something stuck up his nose. The child's snot is purulent and has an obvious odor. Based on this alone, is the foreign body something like a toy soldier, or is it something like a bean?
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A bean...purulent discharge, foul smelling nasal discharge are signs of an organic foreign body like beans, peas, wood, cotton, paper, etc.
T/F Sneezing with the opposite nostril occluded or irrigation are effective methods for removing a foreign body.
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False. Irrigation may move the object backward and cause aspiration or airway obstruction
When should a Dr. be involved in the removal of a foreign object from a nostril?
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If attempts to sneeze and/or blow it out are unsuccessful
Acute inflammation of the tonsils, palate and uvula is referred to as __________.
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Pharyngitis
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Which type of pharyngitis is the most common: viral, fungal or bacterial?
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Viral
Strep throat is another name for __________ pharyngitis.
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Acute follicular pharyngitis
What organism is responsible for strep throat?
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Beta Hemolytic streptococcus
________ pharyngitis can develop from prolonged use of antibiotics or inhaled corticosteroids, or in immunosuppressed patients like those with HIV.
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Fungal (usually candidiasis)
Yellow patchy exudates on the pharynx suggests... White, irregular patches on the pharynx suggests... Gray-white membrane covering the nasopharynx, oropharynx and laryngopharnx (& sometimes the trachea) suggests...
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Yellow-strep White-Fungal.Candida Albicans Gray membrane-diptheria
T/F Strep throat can't always be diagnosed by the appearance of a reddened pharynx and yellow exudate. In some cases strep throat is present with no accompanying symptoms.
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True, this is why a rapid strep antigen test is done if a child/adult complains of a sore throat
What are potential sequelae from untreated strep infections?
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Rheumatic heart disease or glomerulonephritis
How is a fungal strep infection typically treated?
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With nystatin (Mycostatin), the patient swishes it in their mouth as long as they can and then swallow it
What suggestions should a nurse make to a patient who is on inhaled corticosteroid therapy to prevent a fungal strep infection?
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Thoroughly rinse the mouth out with water after using the steroid treatment
_________ can be an irritating beverage for patients with pharyngitis.
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Citrus juices
What conditions can cause a peritonsillar abscess?
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A complication from acute pharyngitis or acute tonsillitus where bacteria invades one or both tonsils
  
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