A nurse is caring for a client who is postoperative following surgical repair of a mandibular fracture with fixed occlusion of the jaws in a closed position. Which of the following statements is the priority for the nurse to make?

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Medical Surgical Nursing Practice Questions Questions

Question 1 of 9

A nurse is caring for a client who is postoperative following surgical repair of a mandibular fracture with fixed occlusion of the jaws in a closed position. Which of the following statements is the priority for the nurse to make?

Correct Answer: B

Rationale: The correct answer is B: "Keep wire cutters with you at all times." This is the priority statement because in the event of an emergency, such as airway obstruction or trauma, quick access to wire cutters is crucial to ensure timely removal of the jaw fixation wires. Without immediate access to wire cutters, the client may suffer serious complications. Incorrect choices: A: "We can teach you some relaxation techniques to minimize your pain." - While pain management is important, it is not the priority in this situation where the immediate risk is airway compromise. C: "Use a water pick device to keep your teeth clean." - Oral hygiene is important but not as critical as ensuring access to wire cutters for emergency situations. D: "Consume a high-protein, liquid diet." - Nutrition is important for healing but is not as time-sensitive as having wire cutters readily available in case of an emergency.

Question 2 of 9

What action assumes greatest priority for Mr. Walker with productive cough, dull percussion notes, and rhonchi?

Correct Answer: B

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

Question 3 of 9

Mrs. Blakely had an intracapsular extraction yesterday. Early this morning she complained of eye pain and nausea after breakfast while continuing to complain of eye pain. Your analysis of the situation is that Mrs. Blakely is

Correct Answer: C

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

Question 4 of 9

Which of the following cancer patients could less ergenically be placed together as roommates?

Correct Answer: B

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

Question 5 of 9

To evaluate a teaching plan implemented for a patient being discharged, what should the nurse do?

Correct Answer: C

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

Question 6 of 9

Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

Correct Answer: D

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

Question 7 of 9

List at least three behaviors or practices that can contribute to insomnia.

Correct Answer: A

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

Question 8 of 9

When is role playing best used as a teaching strategy (select all that apply)?

Correct Answer: A

Rationale: The correct answers are 'To rehearse behaviors or feelings,' 'With mature and confident participants,' and 'In combination with almost any other teaching strategy.' Role-playing is most effective when used to practice behaviors or feelings and when combined with other strategies. It is less suitable for teaching motor skills or providing basic information.

Question 9 of 9

Which symptom should the nurse closely monitor for and report immediately in a client who has just undergone cataract surgery?

Correct Answer: C

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

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