When preparing for a maxillary resection, the nurse should provide the client and family with which instruction?
1. "It is important to keep objects within reach and in the same place at all times.".
2. "Your speech will not be affected, so communication will not be a problem.".
3. "You will be given pain medication whenever you need it, so pain should not be a concern.".
4. "It will be at least 3 to 4 days after surgery before you will be allowed out of bed.".
"It is important to keep objects within reach and in the same place at all times.".
Rationale: Maxillary resection will most likely result in some changes in eyesight, and could include blindness depending on tumor location. Therefore, it is imperative to keep objects within reach and in the same place. Speech will most likely be affected, and clients will be concerned about pain and may not be able to get medication whenever they request it. Clients will most likely be mobile on day 1 postoperatively to decrease joint pain from the long surgery, decrease the likelihood of ulcer formation, and decrease the likelihood of deep vein thromboses.
You might also like to view...
A diabetes nurse is providing an educational in-service to nurses who provide care on a geriatric, subacute medical unit of hospital
Which of the following teaching points related to diagnosing diabetes in older adults should be included in the teaching? A) "Older adults with a new onset of diabetes will be hungry and thirsty with copious urine output.". B) "Because of an absence of signs and symptoms in older adults with diabetes, diagnosis can be very difficult.". C) "Older persons can often display signs and symptoms of diabetes that are more subtle than those in younger adults.". D) "Pancreatic biopsy is often required in order to determine a definitive diagnosis of diabetes in the elderly.".
Which layer of skin responds with increased melanin when exposed to UV light?
A) Stratum basale B) Stratum spinosum C) Stratum granulosum D) Stratum germinativum
The client is meeting with the nurse to discuss starting a weight loss program. It is important that the client is aware where calories come from and how many are consumed. Calories come from the foods we eat and the liquids we drink
How many calories per gram are there in carbohydrates? A) 4 cal/g B) 7 cal/g C) 9 cal/g D) 12 cal/g
Which interventions by a rehabilitation nurse would be appropriate? Select all that apply
A. Build on client assets. B. Encourage hope. C. Encourage clients to express only positive consequences of their disabilities. D. Help identify social supports. E. Help client and family cope with or modify the environment. F. Identify the many opportunities to ask others for assistance.