A 58-year-old male patient with a 60 pack-year history of cigarette smoking and a history of heavy alcohol use has been diagnosed with laryngeal cancer following a physical examination and endoscopy
The patient has been scheduled for a partial laryngectomy and is highly anxious about the consequences of this surgery. What patient education should the nurse provide for this man?
A) "Most people who have a partial laryngectomy find that their breathing, swallowing, and speech are unchanged."
B) "After a partial laryngectomy, most patients work with a speech therapist and regain some of their ability to speak."
C) "A partial laryngectomy has the advantage of having only a minimal effect on your speech."
D) "Unfortunately, the nature of a partial laryngectomy means that you can no longer use your vocal cords."
C
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The physician orders hydromorphone (Dilaudid). You know that this drug is the drug of choice because of which of the following reasons?
1. It minimizes some of the common side effects. 2. It will not make the patient sleepy. 3. It is not strong as morphine and is less addicting. 4. It can be given transdermally.
An infant has just been born with a myelomeningocele. The infant has been admitted to the neonatal intensive care unit. Upon noticing the nursing tech preparing an open crib for this infant, the nurse should:
1. Not say anything; the tech is doing an appropriate action. 2. Stop the tech and ask her to prepare a warmer for this infant. 3. Remind the tech to include adequate warm blankets in the crib. 4. Ask the tech to place a hat and warm gown for the infant in the crib.
Nursing is often described as a ______ profession:
a. caring b. sharing c. knowing d. doing
A client with a spinal cord injury is left with spasticity and dystonia. The nurse anticipates what treatment as most beneficial for this condition?
1. Physical therapy and medications 2. Hydrotherapy and massage 3. Physical therapy and surgery 4. Surgery and medications