The nurse is planning pre-operative teaching for a client who will undergo a radical neck dissection and total laryngectomy. Which information has the greatest priority for this client?
A. prognosis after treatment is excellent
B. the stoma should never be covered after this type of surgery
C. there is a radical change in appearance as a result of this surgery
D. techniques for esophageal speech are relatively easy to learn with practice
Answer: C. there is a radical change in appearance as a result of this surgery
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A patient's respiratory quotient is measured to be 1.1. How would the nurse interpret this information?
1. A vitamin deficiency is present. 2. The patient has the potential to retain carbon dioxide. 3. The client is not receiving enough calories. 4. The patient has fluid overload. 5. The patient is receiving too much carbohydrate.
When a patient is first diagnosed with a disease, education should start with:
1. what has gone wrong and what is likely to happen. 2. why the problem took so long to develop. 3. who caused this problem. 4. what the patient should have done differently.
The medication order for Mrs. Valentino is to administer a medication via the patient's nasogastric tube. When the medication technician enters Mrs. Valentino's room, he observes that Mrs. Valentino no longer has a nasogastric tube; it was discontinued earlier in the day. What should the medication technician do?
A. Consult the RN or the authorized practitioner. B. Administer the medication by mouth. C. Document that the medication could not be administered. D. Ask the patient if she is able to swallow.
A 55-year-old woman is diagnosed with decreased bone density and strength. What disorder is noted with decreased bone density?
A) Chondromalacia B) Chondritis C) Osteomalacia D) Osteopenia