A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?

Show the client how to use an artificial larynx.

Arrange a support session for the client.

Demonstrate the use of esophageal speech.

Determine the client's reading ability.

Answer and Explanation

The Correct Answer is D

A.   Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care, but determining the client's reading ability takes precedence as it will significantly impact communication options.
B.   Arranging a support session is important for emotional support, but assessing the client's reading ability is more immediate in addressing communication needs.
C.   Demonstrating the use of esophageal speech is relevant, but understanding the client's reading ability is a priority before exploring communication alternatives.

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Correct Answer is D

Explanation

A. Decreased hematocrit may be seen in fluid volume excess, not deficit.

B. Decreased specific gravity of urine is more indicative of dilution rather than fluid volume deficit.
C. Increased skin turgor is a clinical manifestation of fluid volume deficit.

D. Increased pulse rate is a compensatory response to fluid volume deficit, reflecting the body's attempt to maintain perfusion in the setting of reduced blood volume.

A. "Put the cap on the syringe before placing it in a trash can." B. Place the syringe in a metal coffee can with a lid. C. "Use a resealable bag when disposing of the syringe." D. "Break the needle off the syringe before disposal."

Correct Answer is A

Explanation

A. Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries.
B. Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal.
C. Using a resealable bag may not provide sufficient protection, and it may pose risks to individuals handling the trash.
D. Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.

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A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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