A client has had a stapedectomy for otosclerosis 24 hours ago.
What must the nurse teach the client about post-operative care?

Avoid vigorous coughing or nose blowing.

The ear canal will be firmly packed with a dry dressing if drainage occurs.

Your ear canal will be irrigated with saline at room temperature.

Bedrest with bathroom privileges is required for 24 hours.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Vigorous coughing or nose blowing increases pressure in the middle ear, potentially dislodging the stapes prosthesis, interfering with healing, and increasing risk of complications like vertigo or auditory damage.

Choice B rationale

Packing with dry dressing is contraindicated because it may trap moisture and increase infection risk. If drainage occurs, sterile measures are taken to assess and manage infection without creating ideal conditions for pathogens.

Choice C rationale

Irrigation of the ear canal risks introducing pathogens or disrupting the surgical area. Post-surgery, maintaining a dry environment helps reduce infection and promote proper healing.

Choice D rationale

Though bedrest may be recommended initially, prolonged immobility isn't essential unless specific complications arise. Movement minimizes risks of clot formation and encourages circulation, aiding recovery.

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Correct Answer is D

Explanation

Choice A rationale

Absence of short-term memory loss may be desirable but depends on the injury's severity and therapy progression. Memory recovery is inconsistent and often impractical as a definitive short-term outcome goal.

Choice B rationale

Resuming construction work is unrealistic within three weeks considering potential cognitive and physical impairments. This task exceeds achievable rehabilitation milestones, emphasizing safety over rapid return to demanding roles.

Choice C rationale

Pre-injury personality traits may not fully return, as emotional and personality changes often result from cerebral insults. Emotional stability is feasible but pre-injury personality restoration is speculative.

Choice D rationale

Medication adherence reflects successful cognitive rehabilitation, supporting long-term health stability by preventing further complications. This outcome is realistic and appropriate for patients recovering from intracranial injuries. .

A. Elevate the head of the bed, loosen clothing, check the urinary catheter for obstruction. B. Elevate the head of the bed and apply a cool compress to the forehead. C. Establish IV access, apply 2L of oxygen via nasal cannula, notify provider. D. Place in supine position and establish IV access for medication administration.

Correct Answer is A

Explanation

Choice A rationale

Elevating the head of the bed reduces blood pressure and intracranial pressure. Loosening restrictive clothing addresses triggers of autonomic dysreflexia, while checking the catheter resolves bladder-related stimulus for this medical emergency.

Choice B rationale

Although elevating the head of the bed is correct, applying a cool compress doesn't address the root cause of autonomic dysreflexia. The compress offers temporary relief without resolving the underlying triggers.

Choice C rationale

IV access and oxygen application are secondary interventions. The priority is resolving triggers like bladder distension or tight clothing to prevent further autonomic dysreflexia complications.

Choice D rationale

Placing the patient in a supine position can exacerbate hypertension and intracranial pressure. This positioning fails to address triggers of autonomic dysreflexia and is contraindicated in this condition. .

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A client has had a stapedectomy for otosclerosis 24 hours ago.What must the nurse teach the client about post-operative care?

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A client with an intracranial aneurysm that resulted in a cerebral bleed is to be discharged to a rehabilitation facility.Which of the following rehabilitation outcomes would be appropriate for this client?

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Correct Answer is A

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A client has had a stapedectomy for otosclerosis 24 hours ago.
What must the nurse teach the client about post-operative care?