Nurse Mary needs to decide on nursing management for patients with different conditions. Match each patient's condition to the best nursing management strategy
Oscar, 24: Pharyngitis
Sophie, 33: Tonsillectomy
George, 29: Adenoiditis
Samantha, 45: Tonsils and Adenoiditis
Administer medication as prescribed, clear or full liquid diet for 48 to 72 hours postoperatively
The Correct Answer is A, B, C, D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While an increasing respiratory rate may indicate respiratory distress, in the context of a closed head injury, decreasing level of consciousness (LOC) is a more concerning trend as it suggests worsening neurological status.
B. A rising heart rate may indicate pain, anxiety, or physiological stress, but it's not as directly related to the severity of a closed head injury.
C. While decreasing blood pressure can be concerning, especially if it indicates hypovolemic shock, in the context of a closed head injury, the primary concern is neurological status.
D. A decreasing LOC suggests worsening neurological function, which can indicate increased intracranial pressure (ICP) or neurological deterioration.
Correct Answer is C
Explanation
A. Tonsillitis typically presents with sore throat, difficulty swallowing, and inflamed tonsils, but it does not involve ear pain or tympanic membrane abnormalities.
B. Laryngitis presents with hoarseness or loss of voice due to inflammation of the larynx, not ear pain or tympanic membrane abnormalities.
C. Acute otitis media commonly presents with ear pain, dull tympanic membrane, and may be preceded by an upper respiratory tract infection. Tender, enlarged postauricular lymph nodes can also be present.
D. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but not with ear pain or tympanic membrane abnormalities.
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