Robert, a 52-year-old male, comes to the ED with difficulty swallowing, a muffled voice, and facial swelling. His temperature is 102°F, and his WBC count is elevated. Past medical history includes recurrent strep throat infections, for which he's been noncompliant with antibiotics. What are the immediate nursing interventions for Robert who is suspected to have a peritonsillar abscess?

Initiate IV antibiotics.

Prepare the patient for incision and drainage (I&D)

Administer acetaminophen for fever.

Monitor airway patency continuously.

Answer and Explanation

Correct Answer : A,B,D

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

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Free Nursing Study Resources

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

Explanation

A. Steroid creams can suppress the immune response and alter the results of patch testing, so it's important for Sarah to avoid using them before undergoing the test.

B. Antihistamines can interfere with skin reactions and affect the accuracy of patch test results, so Sarah should avoid taking them before the test.
C. Drinking water does not interfere with patch testing, and Sarah should stay hydrated before the procedure.
D. Eating food does not interfere with patch testing, and Sarah can eat normally before the procedure.

A. Left-sided hemiparesis and dilated right pupil B. Right-sided hemiparesis and dilated right pupil C. Bilateral handgrip strength is equal and reactive pupils D. Pupils are pinpoint but reactive

Correct Answer is A

Explanation

A. Right intracerebral hemorrhage typically causes symptoms on the opposite side of the body (left-sided hemiparesis) and a dilated ipsilateral (right) pupil due to pressure on the oculomotor nerve.
B. Right intracerebral hemorrhage typically results in left-sided hemiparesis due to damage to the motor pathways on the right side of the brain, along with a dilated right pupil due to compression of the ipsilateral (right) oculomotor nerve.
C. Bilateral handgrip strength being equal suggests no focal motor deficits, which would be unusual in the context of an intracerebral hemorrhage. Reactive pupils would not be expected in this scenario.
D. Pinpoint pupils are typically associated with opioid overdose or pontine lesions, not intracerebral hemorrhage.

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Naxlex Comprehensive Predictor Exams

Sarah, 20, has a history of atopic dermatitis and complains of worsening skin irritation. The physician orders a patch test. What should Sarah avoid before undergoing patch testing?

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

Explanation

Susan, 55, presents with a right Intracerebral hemorrhage. Lab results show an elevated ICP. What would you expect to find in your neurological assessment?

Correct Answer is A

Explanation

Henry, an 80-year-old man, has had a closed head injury and was unconscious for 5 minutes. Which vital sign trend is most concerning?

Sophia, a 44-year-old woman with COPD, has an arterial blood gas showing a PaO2 of 60 mmHg and a Sa02 of 90%. What monitoring technique can be used to continuously assess her oxygenation status?

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

Martha, 70, complains of fatigue and anemia. She has a family history of Waldenstrom's macroglobulinemia. The healthcare provider orders Immunofixation Electrophoresis. Why is Immunofixation Electrophoresis important for Martha's case?

Sarah, a 42 year old woman, complains of rectal pain that worsens during bowel movements. She has no history of rectal or colon problems but has been taking profen regularly for chronic back pain. What could be a potential reason for her symptoms?

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?

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?

Nurse Andrew is reading the patient histories for four new cases. Match each patient's symptoms to the most likely upper respiratory disorder they are experiencing.