A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first?
Tissue integrity
Pain severity
Airway patency
Wound drainage
The Correct Answer is C
A. Tissue integrity: While assessing tissue integrity is important, ensuring airway patency takes precedence in the immediate postoperative period, especially following a procedure involving the larynx. Maintaining a patent airway is a critical priority.
B. Pain severity: Pain assessment is important, but it is not the primary concern immediately postoperatively in the context of a partial laryngectomy. Airway patency is of higher priority.
C. Airway patency: This is the correct answer. Following a partial laryngectomy, there may be concerns related to airway compromise due to the surgical procedure. The nurse should assess the airway first to ensure there are no obstructions or complications affecting the client's ability to breathe.
D. Wound drainage: While assessing wound drainage is important for monitoring surgical sites, it is not the first priority in the immediate postoperative period following a partial laryngectomy. Airway patency is a more critical concern.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Montelukast: Montelukast is a leukotriene receptor antagonist and is commonly used in the management of asthma. It helps to prevent bronchoconstriction and is appropriate for a client with asthma.
B. Propranolol: This is the correct answer. Propranolol is a non-selective beta-blocker. Beta-blockers can potentially worsen bronchoconstriction and are contraindicated in clients with asthma. Therefore, clarification is needed regarding the prescription of propranolol for a client with asthma.
C. Theophylline: Theophylline is a bronchodilator that may be used in the treatment of asthma. It helps to relax the smooth muscles of the airways, allowing for easier breathing.
D. Prednisone: Prednisone is a corticosteroid and is commonly used to reduce inflammation in the airways during an asthma exacerbation. It helps to control symptoms and improve lung function.
Correct Answer is ["B","D","E"]
Explanation
A. Montelukast: Montelukast is a leukotriene receptor antagonist commonly used in the management of asthma and allergic rhinitis. It is not part of the standard tuberculosis treatment regimen.
B. Rifampin: Rifampin is a key component of tuberculosis treatment and is effective against both active and latent tuberculosis.
C. Acyclovir is an antiviral medication primarily used for herpes simplex virus infections and is not part of the standard treatment for tuberculosis.
D. Isoniazid: Isoniazid is another essential drug in the treatment of tuberculosis, particularly for the prevention of latent tuberculosis progression to active disease.
E. Pyrazinamide: Pyrazinamide is part of the standard combination therapy for tuberculosis.
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