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. While impaired mucociliary clearance can contribute to respiratory symptoms in COPD, it is not directly reflected in the PaCO2 level.
B. In COPD, the respiratory drive can be blunted, leading to inadequate response to elevated PaCO2 levels by the chemoreceptors.
C. Reflex bronchoconstriction may occur in response to various stimuli but is not directly related to the PaCO2 level.
D. Filtration of air primarily refers to the removal of particulate matter and pathogens by the respiratory system and is not directly related to PaCO2 levels.

A. Cough assist machine B. Orthopedic shoes C. A manually operated wheelchair D. High-frequency chest wall oscillation device

Correct Answer is A

Explanation

A. A cough assist machine can help Alice clear secretions from her airways, reducing the risk of respiratory complications associated with spinal muscular atrophy.

B. Orthopedic shoes may help with support and stability but do not directly address Alice's respiratory needs.
C. While a wheelchair may be necessary for mobility, it does not address Alice's respiratory needs.
D. High-frequency chest wall oscillation devices are used to help clear mucus from the airways but may not be as appropriate for Alice's age and condition as a cough assist machine.

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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

A 62-year-old man named John with a history of COPD is admitted for worsening shortness of breath. John's recent arterial blood gas (ABG) Indicates a PaCO2 level of 55 mmHg. Which of the following mechanisms is most compromised In John's respiratory system?

Correct Answer is B

Explanation

Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC. Which piece of equipment would most benefit Alice at this stage?

Correct Answer is A

Explanation

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