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.

Educate him on stoma care.

Arrange for him to meet with a support group.

Administer preoperative antibiotics.

Ensure a method for postoperative communication.

Assess for signs of infection or hemorrhage

Answer and Explanation

Correct Answer : A,D

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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Correct Answer is B

Explanation

A. This position can lead to increased intracranial pressure (ICP) and is not recommended for patients with head injuries.
B. Elevating the head of the bed helps promote venous drainage from the brain, reducing intracranial pressure.
C. This position is not typically used for patients with head injuries, as it may not provide optimal cerebral perfusion.
D. This position can compromise venous drainage from the brain and is not recommended for patients with head injuries.

A. The body produces new antibodies against the virus. B. The patient will experience systemic symptoms like fever and malaise. C. Sensitized T lymphocytes specifically target and eliminate the invading viral cells. D. Cell-mediated response doesn't kick in until the WBC count rises. E. Eating food

Correct Answer is C

Explanation

A. This describes the humoral immune response, where B lymphocytes produce antibodies against the virus.
B. This describes the systemic effects of inflammation, which can occur in both humoral and cell-mediated responses.
C. This accurately describes the cell-mediated immune response, where T lymphocytes directly target and kill infected cells.
D. The cell-mediated immune response can occur independently of changes in white blood cell (WBC) count.

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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.

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Naxlex Comprehensive Predictor Exams

Brian, 22, has a right-sided closed head injury and is unconscious. Which position would be best for him?

Correct Answer is B

Explanation

While caring for a patient undergoing treatment for a viral infection, the nurse explains the differences between humoral and cell-mediated immune responses. Which statement accurately describes the cell-mediated immune response?

Correct Answer is C

Explanation

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.

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

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Nurse Lisa is reading the history of incoming patients. Match the causes or events leading to their injuries with the most likely thoracic conditions.

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.