1. A 25-year-old client is brought to the emergency department after having sustained a facial injury. Examination reveals a major deviation in the nasal septum and significant nasal disfigurement. A septoplasty and rhinoplasty are suggested to correct the internal and external defects. The client and his family are questioning the benefits of the surgery, concerned about the disfigurement, and requesting more information about the treatment. How would the nurse assist in helping to clarify the client’s and the family’s questions and concerns about the treatment?
1. A 25-year-old client is brought to the emergency department after having sustained a facial injury. Examination reveals a major deviation in the nasal septum and significant nasal disfigurement. A septoplasty and rhinoplasty are suggested to correct the internal and external defects. The client and his family are questioning the benefits of the surgery, concerned about the disfigurement, and requesting more information about the treatment. How would the nurse assist in helping to clarify the client’s and the family’s questions and concerns about the treatment?
2. A 50-year-old male client comes to the clinic complaining of a scratchy throat and excessive sneezing. He states, “My nose is so stuffed up and my eyes are tearing so much that I feel like I’m crying.” Further evaluation reveals acute allergic rhinitis.
a. What questions should the nurse ask the client to aid in determining the cause of the client’s symptoms?
b. What instructions should the nurse provide the client to help him reduce future episodes of allergic rhinitis?
3. A client is undergoing treatment for chronic obstructive pulmonary disease (COPD) at a healthcare facility. He has acquired pneumonia and has increased cough and sputum production and intense dyspnea. Pleural effusion is detected in the lungs. The healthcare provider orders a thoracentesis be performed on the client. What points should a nurse keep in mind before and after a thoracentesis is performed on a client?
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