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

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. While dietary consultation may be beneficial for overall health, colorectal cancer screening is more relevant given Robert's family history.
B. Colorectal cancer screening is recommended for individuals with a family history of colorectal cancer, regardless of symptoms.
C. A rectal examination alone is not sufficient for colorectal cancer screening; additional screening modalities such as colonoscopy or fecal occult blood testing are needed.
D. Colorectal cancer screening is recommended for individuals with a family history of colorectal cancer, starting at an earlier age and possibly with more frequent intervals than for those without a family history.

A. Alveolar macrophages B. Mucociliary clearance system C. Reflex bronchoconstriction D. Filtration of air

Correct Answer is C

Explanation

A. Alveolar macrophages are involved in immune defense within the lungs but are not directly responsible for bronchospasm.
B. This system helps remove mucus and trapped particles from the airways but does not directly cause bronchospasm.

C. Exposure to cold air can trigger reflex bronchoconstriction as a protective mechanism to prevent the entry of cold air into the lungs.
D. Filtration of air occurs primarily in the upper airways and does not directly relate to bronchospasm triggered by cold air inhalation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Robert, a 55-year-old man with a family history of colorectal cancer, reports no symptoms during his routine check-up. What should the healthcare provider recommend based on his family history?

Correct Answer is D

Explanation

Sarah, a 32-year-old non-smoker, presents with bronchospasm due to inhaling cold air during her morning run. Which reflex mechanism is being triggered?

Correct Answer is C

Explanation

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.

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?

Sara, a 27-year-old woman with no significant past medical history, presents with confusion and a brief loss of consciousness following a minor car accident. What is the most definitive indication that Sara has suffered a concussion?

Nurse Alex is assigned to care for Paul, a patient with severely reduced neutrophil counts. Which considerations should be included in Paul's care plan? (Select all that apply.)

Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

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?

Sarah, a 30-year-old with a family history of eczema, presents with a scaly, erythematous plaque on her right cheek. Blood tests reveal normal inflammatory markers. What should the nurse do?

Olivia, a 27-year-old patient, needs to undergo tests for suspected allergies. What methods are typically employed to identify allergens in Olivia's case? (Select all that apply.)