What is the nurse's priority intervention for a client undergoing a total laryngectomy?
Explain the techniques of esophageal speech.
Review the use of an artificial larynx with the client.
Determine the client's reading ability.
Schedule a support session for the client.
The Correct Answer is B
This is the nurse’s priority intervention for a client undergoing a total laryngectomy because it is important for the client to understand how to use an artificial larynx to communicate after the surgery.
Choice A is wrong because explaining the techniques of esophageal speech is not the priority intervention for a client undergoing a total laryngectomy.
Choice C is wrong because determining the client’s reading ability is not the priority intervention for a client undergoing a total laryngectomy.
Choice D is wrong because scheduling a support session for the client is not the priority intervention for a client undergoing a total laryngectomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When caring for a client who has wrist restraints after an episode of violent behavior, the nurse should remove one restraint at a time.
This allows the nurse to assess the client’s behavior and response to having one arm free while still maintaining some level of control and safety.
Choice A is wrong because tying the restraints to the side rail can be dangerous as it can cause injury to the client if they move suddenly.
Choice B is wrong because removing the restraints every 3 hours is not a specific guideline and may vary depending on the facility’s policy and the client’s condition.
Choice D is wrong because securing restraints with a square knot can make it difficult to quickly release the restraints in an emergency.
Correct Answer is D
Explanation
This statement indicates that the client understands the importance of gradually adjusting to wearing a hearing aid.
It can take time for the brain to adapt to new sounds and volume levels, so it’s important to increase usage gradually.
Choice A is wrong because turning the hearing aid up as high as it will go can cause discomfort and may not improve hearing.
Choice B is wrong because hearing aids typically last several years with proper care and maintenance.
Choice C is wrong because it’s important to remove the battery from the hearing aid when not in use to preserve battery life.
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