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.

Answer and Explanation

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

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. While coughing may be a symptom of certain conditions, it's not directly related to the presence of white lesions in the throat.
B. Chemotherapy can suppress the immune system and predispose patients to oral candidiasis (thrush). It's important to inquire about other medications that may contribute to this condition or interact with chemotherapy.
C. Oral herpes typically presents as cold sores or fever blisters and may not be directly related to the white lesions observed.

D. While oral hygiene is important, the presence of white lesions in James's throat is more likely related to his medical condition and treatment than to dental hygiene habits.

A. Administer nebulized albuterol. B. Perform arterial blood gas analysis. C. Prepare for immediate incision and drainage (I&D). D. Initiate IV antibiotics targeting group A B-hemolytic Streptococcus E. Order a chest X-ray.

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

Explanation

A. Albuterol is used for bronchodilation and is not indicated for Sandra's presentation.

B. She needs arterial blood gas analysis to monitor her acid-base status, as she has a low pH indicating acidosis.
C. Sandra is a patient who has signs and symptoms of peritonsillar abscess, a complication of recurrent tonsillitis. She needs urgent treatment to prevent airway obstruction and sepsis.
D. Given Sandra's history of tonsillitis and elevated WBC count, initiating antibiotics targeting streptococcal infection is crucial.
E. While a chest X-ray may be indicated for respiratory symptoms, it's not the most immediate action needed for Sandra's management.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Explanation

Linda, a 70-year-old woman with COPD, has arterial blood gases that show a pH of 7.35, PaCO2 of 55, and Pa02 of 60. She is currently on 2 liters of oxygen via a nasal -cannula. Which of the following interventions are appropriate for Linda? Select all that apply

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?

Emily, a 50-year-old woman with a past medical history of asthma and GERD, reports irritation and a burning sensation in her airway. Which of the following defense mechanisms is likely compromised?

Emily, a 32-year-old woman, mentioned during her routine check-up that she has been having black, tarry stools for the past week. Which of the following should be the - healthcare provider's immediate concern?

Lisa, 49, has actinic keratosis on her left cheek and opts for treatment with topical 5-FU. She is generally healthy with no other significant past medical history. What should the nurse instruct her?

Nurse Linda has to educate patients on various lifestyle and hygiene interventions. Match each patient's condition to the most relevant intervention.

Mike, a 17-year-old wrestler, comes in for a routine check-up. The nurse observes wheal- like lesions with white deposits at the base of the hair shaft. What should the nurse teach Mike?

George, a 15-year-old man, is brought to the ESL with multiple rib fractures following a motor vehicle accident. How could this injury affect his respiratory system?