Which intervention should the nurse use to help prevent a carotid artery rupture after radical neck dissection surgery?
A. Applying direct pressure to the carotid artery
B. Keeping the carotid artery and the dressing wet with sterile saline
C. Maintaining the stability of the position of the laryngectomy tube
D. Assessing the adequacy of blood flow with a Doppler every 2 hours
B
If the exposed carotid artery dries, the arterial walls deteriorate and are more susceptible to rup-ture. Keeping the dressing and the artery moist reduce the risk for this complication.
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To assess the apical pulse, the nurse should place the stethoscope on the:
a. third intercostal space to the right of the midclavicular line. b. fifth intercostal space to the left of the midclavicular line. c. sixth intercostal space at the midclavicular line. d. seventh intercostal space to the left of the midclavicular line.
A patient has come to the clinic for a routine annual physical. The Nurse Practitioner notes a large projection of bone at the shoulder. The Nurse Practitioner knows that this is most likely what?
A) An osterosarcoma B) An osteochondroma C) An osteoblast D) An osteitis
The nurse is caring for a diabetic client who has breath with a fruity odor. Which conclusion by the nurse is the most appropriate?
1. The client has been consuming frequent intake of candy. 2. The client is hyperglycemic. 3. The client is hypoglycemic. 4. The client is experiencing an allergic reaction to medication for diabetes.
At 32 weeks' gestation, a woman is scheduled for a second non-stress test. Which client response indicates an adequate understanding of this procedure?
1. "I'll have an IV started before the test." 2. "I need to have a full bladder for this test." 3. "I cannot get up and walk around during the test." 4. "I must avoid drinks containing caffeine for 24 hours before the test."