25-years-old, presents to the health clinic complaining of a "sinus headache." She states that there is a "feeling of heaviness" behind her nose and eyes. Minimal clear nasal discharge is also noted. The following questions will assist the nursing stu

25-years-old, presents to the health clinic complaining of a "sinus headache." She states that there is a "feeling of heaviness" behind her nose and eyes. Minimal clear nasal discharge is also noted. The following questions will assist the nursing stu

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter22: Chest Tubes

Section: Chapter Questions

Problem 1SEPT

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Question

Liza Perez, 25-years-old, presents to the health clinic complaining of a "sinus headache." She states that there is a "feeling of heaviness" behind her nose and eyes. Minimal clear nasal discharge is also noted. The following questions will assist the nursing student in the assessment of this client suspected for sinusitis.

1. How do you check for nasal patency?

2. Describe the methods Of transilluminating the frontal and maxillary sinuses

3. What are common or usual findings in transillumination tests of the frontal and maxillary sinuses?

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OPERATIONS:1. Flexible bronchoscopy2. Cervical mediastinoscopy with biopsy and thyroid isthmusectomy PROCEDURE: This otherwise normally healthy patient was brought to the operative suite and placed in supine position. After satisfactory induction of general endotracheal anesthesia, a flexible Olympus bronchoscope was passed through the endotracheal tube visualizing the distal trachea, carina, and right and left main stem bronchi of the primary and secondary divisions. No evidence of any endobronchial tumor was noted. The scope was then withdrawn. The patient was then prepped and draped in the usual sterile fashion. A shoulder roll was placed. A curvilinear incision was made above the suprasternal notch in the line of a skin crease. Dissection was carried down through the subcutaneous tissue down through the platysma muscle. The strap muscles were next identified and laterally retracted. We continued our dissection down to the pretracheal space. A partial left thyroid lobectomy…