What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Coughing without letting food escape through the tracheostomy

Taking care of the tracheostomy, because the patient will always have to have one

Teaching the patient to swallow without aspiration

Teaching the patient to use an assistive device to speak

Answer and Explanation

The Correct Answer is C

a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.

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Correct Answer is D

Explanation

a) "Use a sterile glove and applicator to apply the antibiotic ointment." Using sterile equipment is not necessary for the application of ophthalmic ointment. The key is proper hand hygiene to prevent the spread of infection.
b) "Keep your eye open for 30 sec after instilling the ointment." It is unnecessary to keep the eye open for 30 seconds after applying the ointment. It should be gently closed to help distribute the medication.
c) "Always wipe from the outer to the inner canthus when wiping away secretions." This is incorrect because wiping from the inner to the outer canthus is recommended to prevent contamination of the clean parts of the eye.
d) "Apply the ointment in a thin line into the conjunctival sac." This is the correct method for applying the ointment, ensuring that the medication reaches the affected area.

A. Fever B. Fluid overload C. Bradycardia D. Anaphylaxis

Correct Answer is B

Explanation

a) Fever: Fever is not a common adverse effect of mannitol.
b) Fluid overload: Mannitol is an osmotic diuretic, and while it helps reduce fluid in the brain, it can sometimes lead to fluid retention and overload in other parts of the body.
c) Bradycardia: Bradycardia is not a typical adverse effect of mannitol.
d) Anaphylaxis: Although rare, anaphylaxis is a potential but not common adverse effect of mannitol. It is more likely to cause fluid and electrolyte disturbances.

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What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

Which is a potential serious adverse effect associated with mannitol (Osmitrol)?

Correct Answer is B

Explanation

Stapedectomy is used to correct which of the following?

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The nurse is assisting with tonometry on a patient at the ophthalmologist's office. The results indicate the patient's reading to be 17 mm Hg. The nurse interprets this result as IOP.

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A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings should the nurse expect?

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