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 D

Explanation

A. Dry and scaling skin may occur as a side effect of topical corticosteroids, but thinning of the skin is a more concerning adverse effect.
B. While systemic corticosteroids can exacerbate asthma, topical corticosteroids are less likely to worsen asthma symptoms unless used excessively on the face or in high quantities.
C. Reddish-brown discoloration of the skin (hyperpigmentation) is a potential adverse effect of topical corticosteroids but is less common compared to skin thinning.
D. Thinning of the skin (skin atrophy) is a common adverse effect of high-potency topical corticosteroids, especially with prolonged use. This is of particular concern for David given his asthma history, as it may increase the risk of systemic absorption.

A. Patient A: Tracheal deviation to the unaffected side B. Patient B: Air gathers in the pleural space without an external C. Patient C: Blood collection in the pleural space D. Patient D: Open chest wound with sucking sounds

Correct Answer is A,B,C,D

No explanation

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

David, 22, has been using a high-potency topical corticosteroid for his atopic dermatitis for several weeks. He has a past medical history of asthma and mild seasonal allergies. What should the nurse assess for as an adverse effect?

Correct Answer is D

Explanation

Nurse Emily is reviewing the chart of four patients. Match each patient's symptoms to the most likely type of pneumothorax they are experiencing.

Correct Answer is A,B,C,D

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