Nurse Mary needs to decide on nursing management for patients with different conditions. Match each patient's condition to the best nursing management strategy

Oscar, 24: Pharyngitis

Sophie, 33: Tonsillectomy

George, 29: Adenoiditis

Samantha, 45: Tonsils and Adenoiditis

Administer medication as prescribed, clear or full liquid diet for 48 to 72 hours postoperatively

Answer and Explanation

The Correct Answer is A, B, C, D

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

Explanation

A. Initiation of IV antibiotics is appropriate to treat the infection.

B. Preparation for incision and drainage (I&D) is the immediate nursing intervention to relieve pressure, decrease the risk of airway compromise, and promote resolution of the abscess.
C. Administering acetaminophen for fever is appropriate for symptomatic relief but is not the most immediate intervention for a suspected peritonsillar abscess.
D. Continuous monitoring of airway patency is crucial due to the risk of airway compromise from the abscess.
E. While obtaining blood for culture and sensitivity is important for determining appropriate antibiotic

A. Lithotomy position B. Left lateral (Sims) position C. Bent forward with hips flexed D. Standing position

Correct Answer is B

Explanation

A. Lithotomy position requires the patient to lie on his back with his legs raised and spread apart, which may be difficult for a nonambulatory patient and may cause pressure on his lower back and pelvis.
B. This position allows for easy access to the rectum and prostate without causing discomfort or strain to the patient or examiner. The patient lies on his left side with his right leg flexed at the hip and knee and his left leg slightly flexed at the hip and straight at the knee.
C. Bent forward with hips flexed requires the patient to stand up and lean over a table or chair, which may also be challenging for a nonambulatory patient and may cause dizziness or loss of balance.

D. Standing position requires the patient to stand up straight with his feet apart, which may not provide adequate exposure or comfort for the examination.

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Nurse Mary needs to decide on nursing management for patients with different conditions. Match each patient's condition to the best nursing management strategy

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

John, a 65-year-old man, is nonambulatory and presents with complaints of rectal pain and problems with urination. What is the best position to examine John's rectum and prostate?

Correct Answer is B

Explanation

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