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.

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Free Nursing Study Resources

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.

A. Lithotomy position B. Prone position C. Standing or lying down D. Left lateral (Sims) position

Correct Answer is C

Explanation

A. Lithotomy position is typically used for gynecological examinations and procedures, not for male genitalia examination.
B. Prone position is lying face down and is not suitable for a genitalia examination.

C. Henry can choose to stand or lie down for the examination, depending on his preference and comfort.
D. Sims position is lying on the left side with the upper knee flexed. It's not appropriate for a male genitalia examination.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

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

Explanation

Henry, a 65-year-old man, is in the clinic for a routine check-up. During the assessment of his male genitalia, which position can Henry choose for the examination?

Correct Answer is C

Explanation

David, a 30-year-old man, is examined for potential hernias. The healthcare provider asks him to bear down during the examination. What is the primary reason for this instruction?

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