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.
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.
Choice B rationale
Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.
Choice C rationale
Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.
Choice D rationale
Hypothermia is not a common adverse effect of a platelet transfusion.
Correct Answer is D
Explanation
Choice A rationale
MRSA, or Methicillin-resistant Staphylococcus aureus, is a type of bacteria that is resistant to many antibiotics. Antiviral medications are used to treat viral infections, not bacterial infections like MRSA1234.
Choice B rationale
Patients with MRSA are typically placed on contact precautions, not airborne precautions. This is because MRSA is primarily spread through direct contact with an infected wound or from contaminated hands, not through the air.
Choice C rationale
While MRSA can survive on hands, it typically survives for less than an hour. However, the exact duration can vary depending on the conditions.
Choice D rationale
Bathing patients with water and chlorhexidine gluconate is a common practice to help control MRSA. Chlorhexidine gluconate is an antiseptic that kills a wide range of bacteria, including MRSA1234.
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