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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Flow cytometry is commonly used in the diagnosis and classification of leukemias and lymphomas by analyzing the cellular characteristics of blood or tissue samples.
B. Flow cytometry can be used for cell counting, but it is not the primary reason for using it in Anna's case.
C. Flow cytometry is not typically used to assess kidney function. Other tests such as serum creatinine and urine analysis are more commonly used for this purpose.
D. Flow cytometry does not measure plasma electrolytes. Electrolyte measurements are typically done through blood tests like basic metabolic panels.
Correct Answer is B
Explanation
A. A CO2 level lower than 20 mm Hg can cause cerebral vasoconstriction and ischemia.
B. The target CO2 level for patients with closed head injury is 20 to 25 mm Hg, which corresponds to a mild hypocapnia that reduces intracranial pressure and improves cerebral blood flow.
C. A CO2 level lower than 20 mm Hg can cause cerebral vasoconstriction and ischemia.
D. A CO2 level higher than 25 mm Hg can increase intracranial pressure and worsen brain edema.
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