Which most accurately describes the priority goal for wound care management in the client who has undergone surgical resection of a head and neck cancer?
1. Prevent shifts in electrolyte and fluid balances.
2. Prevent fistula development in the wound bed.
3. Prevent decubitus ulcer formation.
4. Prevent flap failure.
Prevent shifts in electrolyte and fluid balances.
Rationale: While all four options are important in the postoperative period, the priority is preventing shifts in fluid and electrolytes through monitoring for bleeding, either from the carotid artery if at or near the surgical site, and excessive drainage from surgical drains. In addition, the nurse must observe for a chyle leak from the lymph system. Both of these can cause life-threatening alterations in potassium, sodium, calcium, and magnesium levels, having deadly cardiac manifestations.
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When counseling parents and children about the importance of increased physical activity, the nurse can emphasize
a. Anaerobic exercise should comprise a major component of the child's daily exercise. b. All children should be physically active for at least 2 hours per day. c. It is not necessary to participate in physical education classes at school if a student is taking part in other activities. d. Making exercise fun and a habitual activity.
Therapeutic management of most children with Hirschsprung disease is primarily
a. Daily enemas b. Low-fiber diet c. Permanent colostomy d. Surgical removal of the affected section of the bowel
Which of the following is true about assertion communication?
a. Components include the ability to say no and to ask for what you want. b. It includes a demonstration of deference to the demands of others. c. It consistently violates the needs of others. d. It includes the expression of only positive thoughts and feelings.
Recommendations for treatment of gestational diabetes include
a. weight loss. b. dietary control. c. avoidance of sugar. d. oral diabetes medication.