Emily, a 63-year-old woman with a history of smoking and hypertension, presents with hoarseness that has persisted for two months, weight loss, and dysphagia. She is taking Lisinopril for her hypertension. A biopsy confirms squamous cell carcinoma of the larynx. Which of the following steps are appropriate? Select all that apply

Schedule her for a radical neck dissection.

Initiate radiation therapy.

Discontinue Lisinopril and initiate a diuretic.

Administer a PET scan.

Provide dietary counseling for weight management.

Answer and Explanation

Correct Answer : B,D,E

A.   Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B.   Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C.   Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D.   A PET scan can help determine the extent of cancer spread and guide treatment planning.

E.   Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.

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Free Nursing Study Resources

Correct Answer is A ,B,C,D

No explanation

A. Educate him on stoma care. B. Arrange for him to meet with a support group. C. Administer preoperative antibiotics. D. Ensure a method for postoperative communication. E. Assess for signs of infection or hemorrhage

Correct Answer is ["A","D"]

Explanation

A. As Jack will likely have a stoma after the partial laryngectomy, educating him on stoma care is crucial preoperatively.
B. While support groups may be beneficial for Jack postoperatively, they are not immediate preoperative interventions.

C. Preoperative antibiotics are not routinely indicated for a partial laryngectomy unless there are specific risk factors present.
D. Given the nature of the surgery, ensuring Jack has a method for postoperative communication is important.
E. While assessment for signs of infection or hemorrhage is important, it's more of a perioperative and postoperative nursing intervention.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nurse Linda has to educate patients on various lifestyle and hygiene interventions. Match each patient's condition to the most relevant intervention.

Correct Answer is A ,B,C,D

Jack, a 60-year-old man with a history of smoking and alcohol consumption, has been diagnosed with squamous cell carcinoma of the larynx. He is scheduled for a partial laryngectomy. What are the preoperative nursing interventions? Select all that apply.

Correct Answer is ["A","D"]

Explanation

Nurse Olivia is discussing postoperative care with family members of patients who have undergone different surgeries. Match each patient's surgery to the appropriate postoperative care advice.

James, 35, who is undergoing chemotherapy, has white lesions resembling milk curds in the back of his throat. His CBC shows reduced counts across the board. What question should the nurse ask?

Karen, 35, comes in with recurring skin rashes and joint pain. The physician suspects an autoimmune disorder and orders an ELISA test to detect specific antibodies.

Olivia, a 27-year-old patient, needs to undergo tests for suspected allergies. What methods are typically employed to identify allergens in Olivia's case? (Select all that apply.)

A 62-year-old man named John with a history of COPD is admitted for worsening shortness of breath. John's recent arterial blood gas (ABG) Indicates a PaCO2 level of 55 mmHg. Which of the following mechanisms is most compromised In John's respiratory system?

Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

Henry, a 65-year-old man, is in the clinic for a routine check-up. During the assessment of his male genitalia, which position can Henry choose for the examination?