Twelve hours after a total thyroidectomy, the client develops stridor on exhalation. What is the nurse's best first action?
A. Reassure the client that the voice change is temporary.
B. Document the finding as the only action.
C. Hyperextend the client's neck.
D. Call for emergency assistance.
D
Stridor on exhalation is a hallmark of respiratory distress, usually caused by obstruction resulting from edema. One emergency measure is to remove the surgical clips to relieve the pressure. In some settings, this may be a nursing action; in other settings, this is a physician function. Emer-gency intubation also may be necessary.
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The nurse is discussing effective pain management with a clients spouse. Key strategies for reducing pain include:(Select all that apply) Standard Text: Select all that apply
1. Acknowledging the pain 2. Distraction from pain medication 3. Involving the spouse in provision of pain relief 4. Education about pain and its treatment 5. Preventing pain
Why would the strategic planning committee choose shared visioning as a strategy for change?
1. Shared visioning makes change easier. 2. Shared visioning facilitates the more rapid implementation of changes. 3. Shared visioning means responsibility for error is shared. 4. Shared visioning means the leader has less responsibility for getting things done.
The nurse is caring for a patient who had a severe, acute, previously unseen adverse effect of a drug in Phase III testing
The patient asks, "After all the testing done on this drug, didn't they know this adverse effect could occur?" What is the nurse's best response? (Select all that apply.) A) "Pharmaceutical companies sometimes underreport problems to make more money." B) "Your response to this medication will be reported to the drug company and the Food and Drug Administration (FDA)." C) "When a drug begins to be used by a large clinical market, new adverse effects may be found." D) "The pharmaceutical company weighs the benefits of the drug with the severity of adverse effects." E) After a drug reaches phase III testing it is considered an accepted drug and will not be recalled."
During morning care of a 91-year-old female patient with vascular dementia, the nurse and the unlicensed care provider note that the woman's vulva is inflamed and reddened
Which of the following age-related changes has most likely contributed to the woman's health problem? A) Decreased cognition B) Changes to normal vaginal flora C) Decreased immune function D) Fragility of the woman's vulva