The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful?

Correct Answer: D

Rationale: In this multiple-choice question on oxygen therapy, option D, "I will elevate my head for 48 hours to minimize swelling," is the correct answer. This statement indicates successful teaching because elevation of the head post-rhinoplasty helps reduce swelling by promoting better drainage of fluids. It is a crucial instruction for post-operative care in rhinoplasty to enhance healing and optimize outcomes. Option A, "My nose will look normal after 24 to 48 hours," is incorrect as the immediate post-operative appearance after rhinoplasty includes swelling and bruising, and it takes time for the nose to heal and for swelling to subside. Option B, "I can take 800 mg ibuprofen every 6 hours for pain," is incorrect because ibuprofen can increase the risk of bleeding post-operatively, and alternative pain management strategies are usually recommended after rhinoplasty. Option C, "I will remove and reapply the nasal packing every day," is incorrect as nasal packing is typically removed by healthcare providers during a follow-up visit and should not be manipulated by the patient at home to prevent complications. In an educational context, it's essential for nurses to provide accurate and clear discharge instructions to patients undergoing rhinoplasty to ensure optimal recovery and outcomes. Teaching patients about proper post-operative care, including instructions like head elevation, can help prevent complications and promote successful healing.

Correct Answer: C

Rationale: In this scenario, the most appropriate intervention is option C: Provide a prescribed cough suppressant for nighttime use. Rationale: 1. Option A: Administering a bronchodilator may help with bronchodilation and improve airflow, but it may not directly address the nighttime cough, which is likely due to irritation and inflammation in the airways caused by acute bronchitis. 2. Option B: Drinking milk before bedtime is unlikely to have a significant impact on reducing nighttime coughing associated with acute bronchitis. It does not address the underlying cause of the cough. 3. Option D: Deep breathing exercises are beneficial for respiratory health, but they may not provide immediate relief from nighttime coughing due to acute bronchitis. Educational Context: Understanding the underlying cause of symptoms is crucial in selecting the appropriate intervention. In the case of acute bronchitis, a prescribed cough suppressant can help alleviate nighttime coughing, allowing the patient to sleep better and promote healing of the airways. It is essential to differentiate between interventions that address symptoms directly and those that may have a more indirect or delayed effect in clinical practice.

Correct Answer: B

Rationale: The correct answer is B) Monitor vital signs and oxygen saturation during the procedure. During a thoracentesis, it is crucial for the nurse to closely monitor the patient's vital signs, including blood pressure, heart rate, and oxygen saturation levels, to detect any signs of complications such as hypoxemia or hypotension promptly. This monitoring ensures the patient's safety and allows for immediate intervention if needed. Option A) Encouraging the patient to lie flat is not recommended during a thoracentesis procedure as it may cause discomfort and increase the risk of complications such as respiratory distress. Option C) Asking the patient to hold their breath as the needle is inserted is incorrect as it can lead to increased tension and anxiety, making the procedure more challenging for the patient and healthcare provider. Option D) Administering sedatives to keep the patient calm and still is not the most appropriate intervention during a thoracentesis as sedation can impact the patient's ability to communicate any discomfort or complications during the procedure. In an educational context, understanding the importance of close monitoring and assessment during invasive procedures like thoracentesis is essential for nurses to provide safe and effective care to patients. Emphasizing the significance of vigilant monitoring helps nurses develop critical thinking skills and clinical judgment in managing patients undergoing such procedures.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) A patient with asthma whose peak flow is 50% of their personal best. This patient should be assessed first because a peak flow of 50% indicates a significant decline in respiratory function and potential impending respiratory distress or exacerbation. As asthma is a condition characterized by reversible airway obstruction, prompt assessment and intervention are crucial to prevent severe complications like respiratory failure. Option A) is incorrect because mild fatigue in a patient with emphysema, while concerning, does not indicate an immediate decline in respiratory status. Option B) is also incorrect as thick, yellow sputum in a patient with bronchitis suggests a bacterial infection but does not necessarily require immediate assessment compared to compromised respiratory function in an asthmatic patient. Option D) is incorrect as occasional dizziness in a patient with COPD, while important to monitor, does not pose an immediate threat to respiratory function as a significant drop in peak flow does in asthma. In an educational context, this question highlights the importance of prioritizing patient assessments based on the urgency of the situation and the potential impact on the patient's health. Understanding the specific indicators of respiratory distress in different chronic respiratory illnesses is crucial for nurses to provide timely and effective care to their patients.

Correct Answer: A

Rationale: In the context of oxygen therapy, understanding the side effects of medications commonly prescribed to patients receiving this treatment is crucial for nurses. In this scenario, the correct answer is A) Peripheral neuropathy. Isoniazid (INH) is a medication used to treat tuberculosis but is known to cause peripheral neuropathy as a side effect. This condition is characterized by damage to the peripheral nerves, leading to symptoms like numbness, tingling, and weakness in the extremities. Option B) Orange discoloration of body fluids is not a known side effect of isoniazid and is more commonly associated with medications like rifampin. Option C) Visual changes are not typically linked to isoniazid use but can occur with other medications or conditions. Option D) Hearing loss is not a recognized side effect of isoniazid but may be seen with certain antibiotics like aminoglycosides. Educationally, this question highlights the importance of monitoring for specific side effects of medications, especially in patients with tuberculosis who are already vulnerable. Nurses need to be vigilant in assessing for potential adverse reactions to provide safe and effective care to their patients undergoing treatment with isoniazid.