Mrs. H, who has just had a thyroidectomy, is compl

Question 1 of 5

Mrs. H, who has just had a thyroidectomy, is complaining of a sore throat and difficulty swallowing. What is the most appropriate action for the nurse to take?

A. Administer analgesics and reassure the patient B. Call the surgeon immediately to report complications C. Assist with deep breathing and coughing exercises D. Assess the surgical site for signs of bleeding or hematoma formation

Correct Answer: D

Rationale: After a thyroidectomy, a sore throat and difficulty swallowing can indicate potential complications such as bleeding or hematoma formation around the surgical site, which requires prompt assessment.

Question 2 of 5

Mary has been a diabetic for 10 years and is normally well controlled on 20 U of NPH insulin a day. She reports that she has a fever and is nauseated; her last three urine specimens had over 2% sugar and tested positive for acetone. Your evaluation of this situation is that

A. she has not been taking her insulin B. her urine-testing supplies are outdated C. she has an infection that is increasing her insulin needs D. she is resistant to insulin

Correct Answer: C

Rationale: Fever and illness can increase the body's insulin needs, potentially leading to elevated blood sugar and ketone production.

Question 3 of 5

The patient with pheochromocytoma had surgery to remove his adrenal glands. Which nursing intervention should you delegate to the nursing assistant?

A. Add strategies to provide a calm and restful environment post-operatively to the care plan. B. Warn the patient to avoid smoking and drinking caffeinated beverages. C. Monitor the patient's skin and mucous membranes for signs of adequate hydration. D. Monitor lying and standing blood pressure every 4 hours with cuff placed on same arm.

Correct Answer: D

Rationale: Monitoring lying and standing blood pressure every 4 hours is a routine task that can be delegated to the nursing assistant to ensure proper blood pressure management post-operatively.

Question 4 of 5

Mrs. H, who has just had a thyroidectomy, is complaining of a sore throat and difficulty swallowing. What is the most appropriate action for the nurse to take?

A. Administer analgesics and reassure the patient B. Call the surgeon immediately to report complications C. Assist with deep breathing and coughing exercises D. Assess the surgical site for signs of bleeding or hematoma formation

Correct Answer: D

Rationale: After a thyroidectomy, a sore throat and difficulty swallowing can indicate potential complications such as bleeding or hematoma formation around the surgical site, which requires prompt assessment.

Question 5 of 5

Anthony is being treated with medication for hypothyroidism. The physician explains to Anthony that his symptoms should resolve as the medication reaches an appropriate level. Presenting signs and symptoms of hypothyroidism include:

A. Fatigue and cold intolerance. B. Weight loss and hyperglycemia. C. Polydipsia and polyphagia. D. Tachycardia and diarrhea.

Correct Answer: A

Rationale: Common symptoms of hypothyroidism include fatigue, cold intolerance, and weight gain, due to a deficiency in thyroid hormones.

Mrs. H, who has just had a thyroidectomy, is complaining of a sore throat and difficulty swallowing. What is the most appropriate action for the nurse to take?

Nurselytic

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