Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

Assess how well the client can protect his airway.

Teach him about tracheostomy and stoma care.

Schedule him for a Teflon injection into the vocal cords.

Monitor for signs of hypothyroidism.

Suggest speech therapy consultation

Answer and Explanation

Correct Answer : A,D,E

A.   Assessing the client's airway protection is essential, as vocal cord paralysis can impair swallowing and increase the risk of aspiration.

B.   He does not need a tracheostomy or stoma care unless he has severe respiratory distress or obstruction.
C.   A Teflon injection into the vocal cords is a surgical procedure that can improve the voice quality of some patients with vocal cord paralysis, but it is not a nursing intervention and it has potential complications, such as granuloma formation and migration of the material.
D.   Monitoring for signs of hypothyroidism is important since Tom is taking levothyroxine, a medication used to treat hypothyroidism.
E.   Suggesting speech therapy consultation is appropriate to help Tom manage any speech difficulties resulting from vocal cord paralysis.

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Correct Answer is B

Explanation

A. This position can lead to increased intracranial pressure (ICP) and is not recommended for patients with head injuries.
B. Elevating the head of the bed helps promote venous drainage from the brain, reducing intracranial pressure.
C. This position is not typically used for patients with head injuries, as it may not provide optimal cerebral perfusion.
D. This position can compromise venous drainage from the brain and is not recommended for patients with head injuries.

A. Advise Alice to consult a physician for a tetanus shot as an alternative B. Explain that the pneumococcal vaccine is not a live vaccine and cannot cause pneumonia. C. Reassure Alice that the vaccine is safe for everyone. D. Suggest that Alice should skip her flu vaccine this year to avoid complications.

Correct Answer is B

Explanation

A. Tetanus shot is not relevant to Alice's concern about the pneumococcal vaccine.

B. Explaining that the pneumococcal vaccine is not a live vaccine and cannot cause pneumonia addresses Alice's concern and provides accurate information about the vaccine's safety.
C. While pneumococcal vaccines are generally safe for most individuals, providing specific information about the vaccine's composition and safety profile is more beneficial.
D. Skipping the flu vaccine is not recommended based on concerns about the pneumococcal vaccine.

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Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

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Naxlex Comprehensive Predictor Exams

Brian, 22, has a right-sided closed head injury and is unconscious. Which position would be best for him?

Correct Answer is B

Explanation

Alice, a 64-year-old patient with a history of osteoporosis and hypertension, just received her pneumococcal vaccine. She mentions that her sister got sick after receiving the same vaccine. How should the nurse respond to Alice's concern?

Correct Answer is B

Explanation

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Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

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