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 D

Explanation

A. While cardiac rehabilitation may be necessary for Timothy in the future due to his cardiomyopathy, his current symptoms and elevated creatine kinase levels warrant immediate attention to other potential complications.

B. While scoliosis screening may be necessary given Timothy's symptoms, it is not the most urgent priority.
C. Pain management may be necessary for Timothy, but his respiratory status should be assessed first to ensure adequate oxygenation.
D. Given Timothy's symptoms and potential complications such as respiratory muscle weakness associated with his elevated creatine kinase levels, a respiratory assessment is the most urgent priority to ensure proper oxygenation and ventilation

A. Advise discontinuing the herbal remedies. B. Assess her lung sounds. C. Provide education on flu vaccines. D. Advise increasing fluid intake. E. Check for interactions between medicines used.

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

Explanation

A. The nurse should advise Tina to discontinue the herbal remedies because they may interfere with her medications or worsen her symptoms.
B. The nurse should also assess her lung sounds to monitor her respiratory status.

C. Providing education on flu vaccines is crucial to prevent further infections.

D. Adequate fluid intake is generally recommended, but it may not be the most immediate concern in this case.
E. The nurse should check for any interactions between the herbal remedies and any bronchodilators that Tina is using, as they may reduce their effectiveness or cause adverse effects.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Timothy, 10, frequently falls and has a waddling gait. His creatine kinase is 4,000 U/L (normal is 22-198 U/L). Echocardiogram reveals early signs of cardiomyopathy. What is the most urgent nursing priority?

Correct Answer is D

Explanation

Tina, a 32-year-old woman, is using herbal remedies like Echinacea and garlic cloves for her upper respiratory infection. She has a history of COPD. Which of the following actions should the nurse consider?

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

Explanation

Linda, a 45-year-old patient, is admitted for pneumonia. She has a productive cough.Which respiratory defense mechanism is primarily responsible for removing the pathogenic microorganisms?

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

Lisa, a 29-year-old woman, is diagnosed with a subdural hematoma and is on an IV drip of mannitol at 50 mL/hr. Why is it crucial to maintain this slow infusion rate?

Emma, a 32-year-old female diagnosed with an autoimmune disease, is learning about antibodies. Which of the following actions can antibodies perform to neutralize harmful - antigens in Emma's body? Select all that apply.

Mike, a 32-year-old with a suspected immunodeficiency, is undergoing diagnostic tests. Which type of lymphocytes are responsible for either generating sensitized lymphocytes or antibodies?

Brian, a 58-year-old patient, is noted to have a decreased lung compliance during his pulmonary function tests. What does this suggest about the physiology of his respiration?

John, a 35-year-old male involved in a motor vehicle accident, presents with a contusion across his chest from the seatbelt. Which two combined assessments should the nurse prioritize to detect potential complications?

Maria, 21, with a closed head injury is unconscious and on mechanical ventilation. Her ABG results show a CO2 level of 35 mm Hg. What should be the target CO2 level to optimize brain perfusion?