A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?

Show the client how to use an artificial larynx.

Arrange a support session for the client.

Demonstrate the use of esophageal speech.

Determine the client's reading ability.

Answer and Explanation

The Correct Answer is D

A.   Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care, but determining the client's reading ability takes precedence as it will significantly impact communication options.
B.   Arranging a support session is important for emotional support, but assessing the client's reading ability is more immediate in addressing communication needs.
C.   Demonstrating the use of esophageal speech is relevant, but understanding the client's reading ability is a priority before exploring communication alternatives.

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Correct Answer is ["20"]

Explanation

To calculate the amount of carbamazepine oral suspension needed for each dose, divide the total daily dose by the concentration of the suspension and then by the number of doses per day.

- 800 mg / 20 mg/mL / 2 = 20 mL

The nurse should administer 20 mL of carbamazepine oral suspension with each dose.

A. Support the client in her personal decision. B. Refer the client to a counselor. C. Encourage the client not to give up. D. Suggest that the client talk with a breast cancer survivor.

Correct Answer is A

Explanation

A. Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B. Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C. Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

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A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["20"]

Explanation

A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?

Correct Answer is A

Explanation

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