The nurse is caring for a patient recovering from radical neck dissection for cancer and tracheostomy placement. What action by the nurse should take priority?
a. Ensuring airway patency
b. Ensuring adequate nutrition
c. Teaching about smoking cessation
d. Establishing ways of communication
ANS: A
A tracheostomy is usually performed to protect the airway and prevent obstruction. The airway must be monitored and secretions controlled to prevent aspiration. B. C. D. These actions are important however do not take the priority over maintaining a patent airway.
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When a 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson's, the nurse suspects an overdose of:
a. marijuana. b. cocaine. c. amphetamines. d. Valium.
A patient presents to the emergency department experiencing an allergic reaction. The patient requires reliable oxygen delivery
Which mask will the nurse expect the physician to order to provide the most accurate method of oxygen delivery? A) Nonrebreather air mask B) Tracheostomy collar C) Venturi mask D) Face tent
Patients with chronic diseases may have times when they are free of symptoms.
Answer the following statement true (T) or false (F)
A pt had chronic glomerulonephritis. in order assess for uremic symptoms, what does the nurse do?
a. evaluate the blood urea nitrogen (BUN) b. ask the pt to extend the arms and hyperextend the wrists c. gently palate the flank for asymmetry and tenderness d. auscultate for the presence of an S3 heart sound