On returning from surgery after undergoing a thyroidectomy, the patient is alarmed about the large tracheostomy tray on the bedside table. When she asks why it is there, the nurse replies:

1. "We have it there as a precautionary measure in the unlikely event that you have difficulty breathing."
2. "If you start bleeding, we'll be able to take care of it right here at the bedside."
3. "We have to keep it there in case of an emergency and the doctor needs it."
4. "It's hospital policy to have it handy."


1
The honest answers without any embellishments are best. The presence of the tray is an item that should be covered in pre-operative teaching.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 987
OBJ: 3 TOP: Postoperative Care—Thyroidectomy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity

Nursing

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Which statement by a pregnant woman indicates correct understanding of autosomal recessive inheritance teaching when both husband and wife have one sickle-cell trait gene?

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Fill in the blank(s) with correct word

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A) Respiratory acidosis. B) Respiratory alkalosis. C) Metabolic acidosis. D) Metabolic alkalosis.

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A nurse is caring for a client with obsessive–compulsive disorder (OCD). The client walks around the unit, checking and rechecking the lock on each door. Which is the most appropriate nursing intervention for this client?

A) Distract the client with other activities whenever she tries to check the locks. B) Report the behavior to the physician every time she begins the ritual. C) Lock the client's room so that she cannot engage in the ritualistic behavior. D) Help the client to identify what is causing the anxiety that leads to the ritualistic behavior.

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