A nurse is caring for a patient who has just undergone a laryngectomy. What action should the nurse take in this situation?

Position the head of the patient’s bed flat.

Provide the patient with humidified air.

Clean the patient’s sutures every 8 hours.

Suction the patient’s mouth on the side of the surgery.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Positioning the head of the patient’s bed flat is not typically recommended after a laryngectomy. Instead, the head of the bed is often elevated to help reduce swelling and improve breathing.

Choice B rationale

Providing the patient with humidified air can help keep the airway moist and reduce discomfort, making it a common practice after a laryngectomy.

Choice C rationale

While keeping the surgical site clean is important, cleaning the patient’s sutures every 8 hours is not a standard recommendation and may vary based on the surgeon’s instructions.

Choice D rationale

Suctioning the patient’s mouth on the side of the surgery is not typically recommended as it could potentially disrupt the surgical site.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

The patient’s blood pressure is significantly low, which could indicate hypotension, a serious side effect of epidural analgesia. This should be the nurse’s priority as it can lead to complications such as decreased perfusion to vital organs.

Choice B rationale

Lower extremity weakness can be a side effect of epidural analgesia, but it is not as immediately life-threatening as hypotension.

Choice C rationale

A slight increase in temperature may not be an immediate concern unless it continues to rise or is accompanied by other signs of infection.

Choice D rationale

Severe itching can be a side effect of epidural analgesia, but it is not as immediately life- threatening as hypotension.

A. The patient with polycystic ovarian syndrome. B. The patient with cancer. C. The patient with Kallmann’s syndrome. D. The patient with Addison’s disease.

Correct Answer is B

Explanation

Choice A rationale

Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.

Choice B rationale

Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.

Choice C rationale

Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.

Choice D rationale

Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a patient who has just undergone a laryngectomy. What action should the nurse take in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient receiving epidural analgesia for pain during labor. Which of the following observations should be the nurse’s priority?

Correct Answer is A

Explanation

A nurse is providing care to a group of patients with chronic illnesses. Who among the following patients should the nurse identify as being at the highest risk for sepsis?

Correct Answer is B

Explanation

A nurse is caring for a patient who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. What prescription should the nurse anticipate?

A nurse is providing discharge instructions about clean intermittent self-catheterization to a patient who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

A nurse is performing Leopold maneuvers on a patient in labor and determines the fetus is in an RSA position. What fetal presentations should the nurse document in the patient’s medical record?

A nurse manager is providing staff education about working with patients who have a history of anger and aggression.Which of the following information should the nurse include in the teaching?

A provider has prescribed quetiapine 50 mg PO, divided equally every 12 hours for 3 days. The available medication is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on the third day?