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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Avoid giving Paul a diet rich in fresh fruits, as they may contain harmful microorganisms that could cause infections. Instead, give him cooked or canned fruits that are safe to eat.
B. Strict adherence to Standard Precautions, which include hand hygiene, wearing gloves, gowns, and masks when necessary, is crucial to prevent infections in immunocompromised patients.
C. Do not place live plants in Paul's room, as they may harbor mold spores that could cause respiratory problems for Paul. Instead, use artificial plants or flowers that are easy to clean and disinfect.
D. Protective isolation measures, such as placing the patient in a private room and using appropriate barriers, can help minimize the risk of exposure to infectious agents.
E. Installing high-efficiency particulate air filters can help reduce airborne pathogens and allergens, which is important for patients with compromised immune systems.
Correct Answer is D
Explanation
A. Colorectal cancer could be a concern but is not the immediate concern when a patient presents with black, tarry stools, which typically indicate upper gastrointestinal bleeding.
B. Antacids do not typically cause black, tarry stools.
C. Consuming too much fiber may cause changes in stool consistency but is not typically associated with black, tarry stools.
D. Black, tarry stools are often indicative of upper gastrointestinal bleeding, which can be serious and requires immediate medical attention.
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