The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

Central line insertion.

Nasogastric tube (NGT) insertion.

Tracheostomy placement.

Pacemaker placement.

Answer and Explanation

The Correct Answer is C

Choice A reason: Central line insertion is not the appropriate intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates airway obstruction, which requires immediate airway management, not central venous access.

Choice B reason: Nasogastric tube (NGT) insertion is not the correct intervention for stridor. NGT insertion is typically used for gastrointestinal decompression or feeding, not for managing airway obstruction.

Choice C reason: Tracheostomy placement is the correct intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates a potential airway obstruction, which can be life-threatening. A tracheostomy provides a secure airway and ensures adequate ventilation.

Choice D reason: Pacemaker placement is not relevant to managing stridor. Pacemakers are used for cardiac rhythm management and do not address airway obstruction.

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Correct Answer is A

Explanation

Choice A reason: Substances that change a cell so that it becomes cancerous are potential sources of cancer. Carcinogens are agents that cause genetic mutations or damage to cells, leading to uncontrolled cell growth and the development of cancer. This definition accurately reflects the nature of carcinogens and their role in cancer development.

Choice B reason: Carcinogens are not substances that contain cancerous cells. Instead, they are substances or factors that can induce cancer by causing genetic mutations or cellular damage. The statement is incorrect because it misrepresents the nature of carcinogens.

Choice C reason: While it is true that some carcinogens are present in the environment, the statement that they cannot be avoided is not entirely accurate. Many carcinogens can be avoided or minimized through lifestyle choices, such as avoiding tobacco smoke, reducing exposure to harmful chemicals, and using protective measures against ultraviolet (UV) radiation. The statement is overly deterministic and does not account for preventive measures.

Choice D reason: Environmental factors such as sunlight and chemicals can contribute to the development of cancer, but they do not cause cancer to spread. The spread of cancer (metastasis) occurs when cancer cells break away from the original tumor and travel to other parts of the body. The statement conflates the causes of cancer with the mechanisms of cancer spread, making it inaccurate.

A. Administer PRN pain medication. B. Observe the leg for swelling. C. Assess peripheral pulses. D. Auscultate blood pressure.

Correct Answer is C

Explanation

Choice A reason: Administering PRN pain medication can help manage the client's discomfort, but it does not address the underlying cause of the pain. It is essential to assess and identify the source of the pain before administering pain relief. Providing pain medication without a thorough assessment may mask symptoms of a serious underlying issue.

Choice B reason: Observing the leg for swelling is important, as swelling can indicate complications such as compartment syndrome or infection. However, it is not the first action the nurse should take. While swelling is a significant sign, assessing blood flow to the extremity is more critical and should be prioritized.

Choice C reason: Assessing peripheral pulses is the correct first intervention. The presence of foot pain in a client with an external fixation device for a fractured femur could indicate compromised blood flow to the lower extremity. Assessing the peripheral pulses will help determine if there is adequate circulation. If pulses are weak or absent, it may suggest a serious vascular issue that requires immediate intervention to prevent further complications such as tissue ischemia or necrosis.

Choice D reason: Auscultating blood pressure is a routine assessment but does not directly address the immediate concern of left foot pain in this scenario. Blood pressure assessment is important for overall health monitoring but is not the priority when dealing with a possible vascular complication in the affected limb. Ensuring adequate blood flow to the extremity takes precedence.

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The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

Nursing Test Bank

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