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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Assessing the size and shape of the testicles can be part of a genital examination but is not the primary reason for asking David to bear down.
B. Asking David to bear down increases intra-abdominal pressure, making it easier to detect hernias in the inguinal ring and canal.
C. Checking for the presence of lumps in the scrotum may be part of the examination but is not the primary reason for asking David to bear down.
D. Evaluating the character and distribution of pubic hair is not related to detecting hernias and is not the primary reason for asking David to bear down.

A. Assess for sternal tenderness and check for skin abrasions. B. Assess for sternal tenderness and measure oxygen saturation levels. C. Measure blood pressure and observe for signs of localized infection D. Measure oxygen saturation levels and auscultate lung sounds

Correct Answer is D

Explanation

A. While assessing sternal tenderness is relevant, skin abrasions may not directly indicate complications from the chest contusion.

B. Sternal tenderness can indicate underlying injuries but is not the priority compared to auscultation of the lung zones, and measuring oxygen saturation levels is crucial for assessing respiratory function and detecting potential complications such as respiratory distress or hypoxemia.
C. Blood pressure measurement and observation for signs of localized infection are important assessments but may not be directly related to complications from a chest contusion.
D. This is because a contusion across the chest from the seatbelt can cause rib fractures, pneumothorax, hemothorax, or pulmonary contusion, which can impair gas exchange and oxygenation. Measuring oxygen saturation levels and auscultating lung sounds can help detect these complications and guide appropriate interventions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

While caring for a patient undergoing treatment for a viral infection, the nurse explains the differences between humoral and cell-mediated immune responses. Which statement accurately describes the cell-mediated immune response?

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?

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?

Marie, a 30-year-old nurse at a flu immunization clinic, encounters Paul, a 45-year-old patient with diabetes and hypertension, who also received immunoglobulin therapy two weeks prior. Which is the most appropriate action for Marie to take?

Martha, 70, complains of fatigue and anemia. She has a family history of Waldenstrom's macroglobulinemia. The healthcare provider orders Immunofixation Electrophoresis. Why is Immunofixation Electrophoresis important for Martha's case?

Betty, 52, presents with unexplained lymphadenopathy. Her biopsy tissue is sent for T- cell receptor (TCR) Gene Rearrangement testing. What is the main purpose of the TCR Gene Rearrangement test in Betty's diagnosis?

Jack, a 60-year-old man with a history of smoking and alcohol consumption, has been diagnosed with squamous cell carcinoma of the larynx. He is scheduled for a partial laryngectomy. What are the preoperative nursing interventions? Select all that apply.

Dr. Lewis is offering an educational session on the frequency of tetanus boosters for middle-aged employees in an industrial setting. How often should Nurse Rachel recommend that her middle-aged patients receive a tetanus booster?