A 52-year-old patient has had a laryngectomy in treatment of cancer. A nursing diagnosis for the patient with a laryngectomy would be social isolation related to impaired verbal communication related to removal of the larynx
The correct nursing intervention would be a. complete care quickly.
b. provide a pad and pencil or magic slate available.
c. refrain from conversations with the patient to reduce his stress level.
d. offer books or jigsaw puzzles for entertainment.
B
Provide patient with implements for communication. Rapidly completing care and provision of solitary activities does not reduce social isolation.
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An older client is hospitalized after an operation. When assessing the client for postoperative infection, the nurse places priority on which assessment?
a. Change in behavior b. Daily white blood cell count c. Presence of fever and chills d. Tolerance of increasing activity
Which clinical manifestation indicates therapy for osteomalacia is successful?
A. A weight gain of 5 pounds B. A serum calcium level of 8.8 mg/dL C. An increased range of shoulder motion D. An increase in lower extremity muscle strength
Phil is a 54-year-old male with multiple risk factors who has been on a high-dose statin for 3 months to treat his high LDL level. His LDL is 135 mg/dL and his triglycerides are elevated. A reasonable change in therapy would be to:
1. Discontinue the statin and change to a fibric acid derivative. 2. Discontinue the statin and change to ezetimibe. 3. Continue the statin and add in ezetimibe. 4. Refer him to a specialist in managing patients with recalcitrant hyperlipidemia.
In hyperthyroid states, what organ system other than CV must be evaluated to establish potential adverse issues?
1. The liver 2. The nails and skin 3. The eye 4. The ear