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 A
Explanation
A. Immunoglobulin containing antibodies against Hepatitis A can provide immediate, short-term protection when administered after exposure to the virus.
B. While vaccination is the primary method for long-term protection against Hepatitis A, it does not provide immediate protection.
C. Antiviral medication is not typically used for post-exposure prophylaxis against Hepatitis A.
D. Diet does not provide immediate protection against Hepatitis A.
Correct Answer is D
Explanation
A. While an increasing respiratory rate may indicate respiratory distress, in the context of a closed head injury, decreasing level of consciousness (LOC) is a more concerning trend as it suggests worsening neurological status.
B. A rising heart rate may indicate pain, anxiety, or physiological stress, but it's not as directly related to the severity of a closed head injury.
C. While decreasing blood pressure can be concerning, especially if it indicates hypovolemic shock, in the context of a closed head injury, the primary concern is neurological status.
D. A decreasing LOC suggests worsening neurological function, which can indicate increased intracranial pressure (ICP) or neurological deterioration.
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