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A nurse is caring for a patient who is 9 days postoperative following a total laryngectomy. The nurse removes the patient’s NG tube and initiates oral feedings.
Which of the following statements should the nurse make?

“You should have no trouble swallowing fluids.”.

“It is no longer possible for you to choke on or aspirate food.”.

“I will add a thickener to your liquids to prevent aspiration.”.

“Tuck your chin when you swallow so you won’t choke.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

After a total laryngectomy, patients may have difficulty swallowing fluids due to changes in the anatomy of the throat.

Choice B rationale

It is not accurate to say that it is no longer possible for the patient to choke on or aspirate food after a total laryngectomy. While the risk of aspiration is reduced because the airway and digestive tract are separated, the patient can still experience choking on food if it is not properly swallowed.

Choice C rationale

Adding a thickener to liquids can help prevent aspiration, but this is typically more relevant for patients with dysphagia or other swallowing disorders, not specifically for patients post- laryngectomy.

Choice D rationale

Tucking the chin when swallowing, also known as the chin-tuck maneuver, can help prevent aspiration by narrowing the entrance to the airway. This can be a useful technique for patients after a laryngectomy.

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Correct Answer is C

Explanation

Choice A rationale

Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.

Choice B rationale

Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.

Choice C rationale

Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.

Choice D rationale

Hypothermia is not a common adverse effect of a platelet transfusion.

A. Monitor the toddler’s vital signs closely. B. Administer supplemental oxygen. C. Notify the healthcare provider. D. Reassess the toddler in 15 minutes.

Correct Answer is A

Explanation

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A nurse is caring for a patient who is 9 days postoperative following a total laryngectomy. The nurse removes the patient’s NG tube and initiates oral feedings. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

Correct Answer is C

Explanation

A nurse is caring for a toddler.The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?

Correct Answer is A

Explanation

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A nurse is caring for a patient who is 9 days postoperative following a total laryngectomy. The nurse removes the patient’s NG tube and initiates oral feedings.
Which of the following statements should the nurse make?