A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX and
X. Which of the following interventions should the nurse implement?

Avoid using warm water to wash the patient’s face.

Apply an eye patch to the patient’s right eye.

Provide range-of-motion exercises to the patient’s neck and shoulders.

Place suction equipment at the patient’s bedside.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Avoiding warm water to wash the patient’s face is not typically necessary for a patient with a right-sided acoustic neuroma.

Choice B rationale

Applying an eye patch to the patient’s right eye is not typically necessary unless the patient is experiencing double vision, which is not a common symptom of acoustic neuroma.

Choice C rationale

Providing range-of-motion exercises to the patient’s neck and shoulders is not typically necessary for a patient with a right-sided acoustic neuroma.

Choice D rationale

Placing suction equipment at the patient’s bedside can be helpful if the patient is experiencing difficulty swallowing or has a risk of aspiration due to impairment of cranial nerves IX and X111213.

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Correct Answer is D

Explanation

Choice A rationale

Glucocorticoid medications are not typically used in the treatment of diabetic ketoacidosis (DKA). These medications can actually increase blood glucose levels, which would not be beneficial in a situation where blood glucose is already significantly elevated.

Choice B rationale

Dextrose 5% in 0.45% sodium chloride is not typically used in the initial treatment of DKA. This solution contains glucose, which would add to the already high blood glucose levels in DKA5.

Choice C rationale

Oral hypoglycemic medications are not typically used in the treatment of DKA. These medications are generally used in the management of type 2 diabetes. In DKA, which is more common in type 1 diabetes, insulin is usually required to lower blood glucose levels.

Choice D rationale

A 0.9% sodium chloride IV bolus is often part of the initial treatment for DKA. This helps to replace the fluid lost through excessive urination, a common symptom of DKA5.

Correct Answer is ["4"]

Explanation

Step 1 is: Identify the dose ordered and the dose available. The dose ordered is 40 mg and the dose available is 10 mg/mL.

Step 2 is: Set up the equation to calculate the volume to administer: (40 mg ÷ 10 mg/mL) = 4 mL.

So, the nurse should administer 4 mL per dose.

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A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX andX. Which of the following interventions should the nurse implement?

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A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX and
X. Which of the following interventions should the nurse implement?