HESI Case Study Laryngeal Cancer – Flashcards
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Have you had anything to eat or drink since midnight?
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Which question is most important for the RN to ask Mrs. Newman?
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17
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Math Problem
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Obtain Mrs. Newman's vital signs
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Which intervention will the PACU RN implement first?
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Ask Mrs. Newman if she would like to talk to someone who has had this surgery.
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Which nursing intervention is most helpful to Mrs. Newman?
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Explain that Mrs. Newman's vocal cords will be removed and that she will not be able to sing.
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How should the ONS respond?
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How much alcohol do you drink a week?
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Which question is important for the ONS to ask Mrs. Newman?
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What steps are you going to take to stop smoking?
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How should the ONS respond to help Mrs. Newman in her attempt to stop smoking?
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Speech therapist
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A referral to which member of the interdisciplinary team will be most important for Mrs. Newman prior to surgery?
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Swallowed air is used to create sound and words in a controlled belch
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Which statement describes esophageal speech?
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Determine is Mrs. Newman has any problems hearing or writing.
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Which intervention will the nurse implement?
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Provide a bell that Mrs. Newman can ring as another means of communication
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Which intervention should the RN implement?
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Support the client's head when moving the client in bed.
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Which nursing intervention should the ICU RN implement?
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Document the finding and take no action
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Which action should the nurse implement?
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Several packages of sterile 4x4 gauze.
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When anticipating these possible complications, the RN should place which equipment at Mrs. Newman's bedside?
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Slip a gloved hand under the client's neck
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What action should the RN implement first?
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Hemoglobin 11.3 g/dl
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In which case is the laboratory result consistent with blood loss through hemorrhaging?
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Provide Mrs. Newman with soft foods when she is eating for the first time after surgery
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Which action should the RN implement?
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Explain the client that this is normal following this type of surgery.
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What action should the RN take regarding Mrs. Newman's concern?
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Remove the tracheostomy dressing with clean disposable gloves.
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Which action should the RN implement first?
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Tap or shake the inner cannula to remove excess moisture.
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What should the RN do before reinserting the inner cannula?
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-Empty the Foley catheter and record the output -Assist Mrs Newman with her bed bath
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Which tasks should the RN delegate to the UAP?
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Instruct the primary nurse not to cut gauze for the tracheostomy dressing.
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Which action should the charge nurse implement?
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Complete a medication incident report.
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Which action should the night RN implement?
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You were supposed to receive gentamicin, but you received ampicillin.
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How should the RN respond?
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Take a deep breath, occlude the tracheostomy with your finger, cough and remove your finger.
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Which instructions should the RN provide to Mrs. Newman?
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Caution Mrs. Newman to take only tub baths.
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Which instruction should the RN include?
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Ensure that Mrs. Newman carries a special ID card
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Which intervention has highest priority prior to discharge?
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Let's sit down and discuss what you are worried about.
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What is the best response by the RN?
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Tell me more about what you mean by touching your wife?
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How should the RN respond?
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Ineffective airway clearance
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Of the nursing diagnoses included in Mrs. Newman's care plan, which one has the highest priority?
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Humidified air will keep the mucous membranes and secretions moist.
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Which explanation should the RN provide?
