Sarah, a 68-year-old female, has recently undergone a Trabeculectomy by Traditional Surgery. She is now in the post-operative phase. Her past medical history includes hypertension and osteoarthritis. She's currently on a regimen of antihypertensive medication. Which nursing Intervention should the RN prioritize for Sarah based on her medical history and surgical procedure?
Monitor Sarah's dressing for excessive bleeding.
Provide Sarah with a detailed diet plan.
Assist Sarah with activities of daily living (ADLs) as needed.
Administer antiemetics, analgesics, corticosteroids, and antibiotics as ordered.
The Correct Answer is A
A. After Trabeculectomy surgery, it's crucial to monitor for bleeding at the surgical site to ensure proper wound healing and to prevent complications such as infection or hematoma.
B. While diet may be important for overall health, it is not the priority immediately following Trabeculectomy surgery.
C. ADL assistance may be required postoperatively, but it is not the priority in this case.
D. These medications may be prescribed postoperatively, but monitoring for excessive bleeding takes precedence to prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Immunofixation electrophoresis is not primarily used to assess kidney function.
B. Immunofixation electrophoresis is not used to assess lung function.
C. Immunofixation electrophoresis is a laboratory technique used to identify and characterize abnormal proteins in the blood, which is essential in diagnosing conditions like Waldenstrom's macroglobulinemia.
D. Immunofixation electrophoresis is not used to quantify white blood cells (WBCs).
Correct Answer is B
Explanation
A. Mannitol is an osmotic diuretic used to reduce intracranial pressure. While maintaining an appropriate infusion rate helps prevent fluid overload, it's not the primary reason for the slow infusion rate.
B. Mannitol can crystallize at lower temperatures or higher concentrations, leading to occlusion of the IV line. Maintaining a slow infusion rate reduces the risk of crystallization.
C. Mannitol itself does not typically cause hyperglycemia. Its primary concern regarding infusion is related to crystallization rather than glucose metabolism.
D. Mannitol's impact on electrolyte balance is more related to its osmotic diuretic effect rather than the infusion rate.
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