Which action should the nurse take if Sarah reports difficulty swallowing after treatment?
Instruct her to take an antacid
Notify the healthcare provider immediately
Reassure her that this is expected
Encourage warm fluids
The Correct Answer is B
A. Instruct her to take an antacid: Difficulty swallowing could be a sign of a more serious problem, such as esophageal irritation or a reaction to treatment. Taking an antacid may mask underlying issues, and it is not appropriate without further assessment.
B. Notify the healthcare provider immediately: Difficulty swallowing after treatment may indicate a serious side effect or complication, such as esophageal damage, allergic reaction, or a swallowing disorder. Immediate evaluation by the healthcare provider is necessary to determine the cause and prevent further complications.
C. Reassure her that this is expected: Difficulty swallowing after treatment should not be considered normal without investigation. It may indicate an issue that needs prompt attention to prevent further harm or discomfort.
D. Encourage warm fluids: Encouraging fluids could be helpful in some cases of mild throat irritation, but it is not the first appropriate action. The nurse should prioritize notifying the healthcare provider to evaluate the cause of difficulty swallowing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Detemir: Detemir is a long-acting insulin used for basal control of blood glucose and would not be appropriate in this acute situation where rapid insulin action is required.
B. NPH: NPH insulin is an intermediate-acting insulin, which has a slower onset and is not ideal for immediate correction of high blood sugar or metabolic emergencies such as diabetic ketoacidosis (DKA) in this case.
C. Regular: Regular insulin (short-acting insulin) is the preferred insulin to manage DKA and is given via IV for rapid correction of hyperglycemia. The presence of confusion, flushed skin, and an acetone odor on the breath strongly suggests DKA, which requires prompt treatment to lower blood glucose and correct the acidosis.
D. Glargine: Glargine is a long-acting insulin used for basal blood sugar control and is not appropriate for the urgent treatment needed in DKA, as it has a slow onset and would not rapidly lower blood glucose.
Correct Answer is D
Explanation
A. Hypotension and bradycardia: Hypotension and bradycardia are associated with hypothyroidism or myxedema coma, not thyroid storm. In thyroid storm, the body experiences an increased metabolic rate, leading to elevated heart rate and blood pressure.
B. Decreased respirations and hypoxia: Decreased respirations and hypoxia are indicative of respiratory failure or conditions like severe hypothyroidism or myxedema coma, rather than thyroid storm, which causes increased metabolic demand and elevated respiratory rate.
C. Obstipation and hypoactive bowel sounds: These symptoms are more associated with hypothyroidism or severe constipation, not thyroid storm. In thyroid storm, bowel movements are typically more frequent due to the increased metabolic state.
D. Hyperpyrexia and extreme tachycardia: Thyroid storm is a life-threatening condition characterized by extreme tachycardia, hyperpyrexia (fever), agitation, and other symptoms of increased metabolism. It requires immediate medical intervention to prevent complications.
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