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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased lung compliance doesn't directly enhance gas diffusion; it may impair it due to decreased lung expansion.
B. Decreased lung compliance doesn't necessarily indicate compromised pulmonary blood supply; it's more related to the lung's ability to expand and contract.
C. Decreased lung compliance suggests that ventilation may be impaired because the lungs are less able to expand and contract effectively.
D. Decreased lung compliance means the lungs are stiffer, requiring more effort to breathe, thus increasing the work of breathing.
Correct Answer is D
Explanation
A. Elevated C-reactive protein levels are not directly associated with an increased risk of hemorrhage.
B. C-reactive protein elevation is not indicative of an allergic response to medication.
C. C-reactive protein levels do not directly correlate with dehydration or fluid imbalance.
D. Elevated C-reactive protein levels are often seen in response to inflammation, including that caused by infection. In a post-operative patient, this elevation could indicate the early stages of an infection, and thus should be a priority concern for the nurse.
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