Guided Lecture Notes
Chapter 20,Caring for Clients With Upper Respiratory Disorders
Learning Objective 1.Describe nursing care for clients experiencing infectious or inflammatory upper respiratory disorders.
- Describe the pathophysiology, assessment, medical management, and nursing care of a client with rhinitis.(Refer to PowerPoint slide 02.)
- Discuss the pathophysiology and assessment of a client with sinusitis.(Refer to PowerPoint slide 03.)
- Compare the medical and surgical options for a client diagnosed with sinusitis and the nursing management of the client. (Refer to PowerPoint slide 03.)
- Explain the nursing postoperative care of a client having sinus surgery. (Refer to PowerPoint slide 04.)
- Discuss the causes of pharyngitis and the complications associated with this infection.(Refer to PowerPoint slide07.)
- Identify the nursing assessment and the medical management of a client with pharyngitis. (Refer to PowerPoint slide08.)
- Describe the pathophysiology, assessment, medical management, and nursing care of a client with tonsillitis and adenoiditis.(Refer to PowerPoint slide 09.)
- Explain the etiology, assessment, and diagnostic findings related to peritonsillar abscess.(Refer to PowerPoint slide 12.)
- Discuss the medical and surgical management of a client with a peritonsillar abscess and the nursing interventions related to the postoperative care of the client.(Refer to PowerPoint slide 13.)
- Discuss the causes of laryngitis, assessment, and medical management of this infection.(Refer to PowerPoint slide 14.)
Learning Objective 2.Discuss assessment data required to provide nursing care to clients with structural disorders of the upper airway.
- Describe the etiology of epistaxis and the methods of assessing a client experiencing nasal bleedings.(Refer to PowerPoint slide 15.)
- Explain the medical care of a client with epistaxis and the surgical options for unrelieved or reoccurring nasal bleeding. (Refer to PowerPoint slide 16.)
- Discuss the immediate nursing care related to epistaxis and the preventative measures to avoid acute nasal bleeding. (Refer to PowerPoint slide 16.)
Learning Objective 3.Describe airway problems a client may experience following trauma or obstruction to the upper airway.
- Describe the pathophysiology, assessment, medical management, and nursing care of a client with nasal obstructions such as deviated septum or nasal polyps.(Refer to PowerPoint slide 19.)
- Discuss the assessment parameters related to a nasal fracture and the importance of diagnostic testing to rule out cranial trauma.(Refer to PowerPoint slide 20.)
- Explain the medical and postsurgical management of a client with nasal fracture and the nursing plan of care related to facial trauma.(Refer to PowerPoint slide 20.)
- Describe the common causes, assessment findings, medical management, and nursing care of a client with laryngeal traumaand obstruction.(Refer to PowerPoint slide 21.)
- Review the procedure of the Heimlich maneuver for dislodging an airway obstruction. (Refer to PowerPoint slide 21.)
- Compare the classifications of sleep apnea and the primary assessment findings related to obstructive sleep apnea.(Refer to PowerPoint slide 22.)
- Explain the medical and surgical treatment options for clients with sleep apnea and the nursing support implemented for clients with this condition. (Refer to PowerPoint slide 23.)
Learning Objective 4.Identify risk factors that contribute to the development of laryngeal cancer.
- Identify the causes and risk factors associated with laryngeal cancer. (Refer to PowerPoint slide 24.)
Learning Objective 5.Identify the earliest symptom of laryngeal cancer.
- Discuss the generalized assessment findings related to laryngeal cancer and the symptoms associated with advanced stages of laryngeal cancer. (Refer to PowerPoint slide 24.)
Learning Objective 6.Discuss treatments for laryngeal cancer.
- Explain the medical and surgical treatment options and physiologic and psychological nursing care for clients with laryngeal cancer. (Refer to PowerPoint slide24.)
Learning Objective 7.Describe measures used to promote alternative methods of communication for clients with a laryngectomy.
- Identify alternative measures of communication available for clients after a laryngectomy.(Refer to PowerPoint slide 25.)
Learning Objective 8.Discuss psychosocial issues that clients may experience following a laryngectomy.
- Discuss the psychosocial issues clients may experience related to alterations in communication and the nursing interventions to prevent social isolation. (Refer to PowerPoint slide 25.)
Learning Objective 9.Relate treatment modalities for clients experiencing short-term or long-term problems with airway management.
- Explain tracheotomy and tracheostomy as temporary or permanent methods of airway management. (Refer to PowerPoint slide 26.)
Learning Objective 10.Identify possible reasons for and the nursing management of a tracheostomy.
- Discuss the priority nursing diagnoses related to the care of a client with a tracheostomy and the primary nursing interventions to maintain patent airway. (Refer to PowerPoint slide 27.)
Learning Objective 11.Explain why a client may require endotracheal intubation.
- Describe the reasons for endotracheal intubation and mechanical ventilation. (Refer to PowerPoint slide 28.)
- Explain the nursing management associated with caring for clientsrequiring endotracheal intubation or mechanical ventilation for maintenance of upper airway. (Refer to PowerPoint slide 28.)