A nurse cares for a client who is scheduled for a total laryngectomy. What action would the nurse take prior to surgery?

Correct Answer: C

Rationale: The correct answer is C because assisting the client to choose a communication method is crucial before a total laryngectomy surgery as it will help in ensuring effective communication post-surgery. This step is essential to address the potential communication challenges the client may face after the laryngectomy. Assessing airway patency, breathing, and circulation (Choice A) is important but typically occurs as part of routine preoperative assessments and is not specific to laryngectomy. Administering pain medication (Choice B) is not a priority before surgery and should be done as per the prescribed protocol post-surgery. Ambulating the client (Choice D) is not directly related to the specific needs of a client undergoing a total laryngectomy.

Correct Answer: A

Rationale: The correct answer is A. Nosocomial pneumonia specifically occurs in healthcare settings, often due to exposure to pathogens in hospitals or clinics. B (immunocompromised host) increases susceptibility but is not the defining feature. C (community setting) refers to community-acquired pneumonia. D (within 48 hours) applies to hospital-acquired pneumonia but not all nosocomial cases.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: The initial antibiotic treatment for pneumonia is typically based on the history, physical examination, and characteristic chest x-ray findings. This helps in identifying the specific causative organism and choosing the most appropriate antibiotic therapy. Gram stains and cultures may further confirm the diagnosis but are not typically used for initial treatment decisions.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.