The nurse in the postoperative unit prepares to receive a client after a balloon angioplasty of the carotid artery. Which of the ff items of priority should the nurse keep at the bedside for such client?

Correct Answer: A

Rationale: Having a blood pressure apparatus at the bedside is a priority for a client following a balloon angioplasty of the carotid artery. Monitoring blood pressure closely is essential to assess for any signs of complications such as bleeding or thrombosis after the procedure. Rapid identification and management of any changes in blood pressure are crucial in the immediate postoperative period to ensure the client's safety and well-being. It allows the nurse to promptly intervene if there are any signs of complications, helping to prevent further harm to the client.

Correct Answer: C

Rationale: Trigeminal neuralgia is a condition characterized by sudden and severe facial pain caused by irritation or damage to the trigeminal nerve. Trigeminal neuralgia pain is often triggered by certain activities that stimulate the nerve, such as eating, talking, or brushing teeth. The act of chewing and ingesting food can put pressure on the trigeminal nerve, leading to increased pain for individuals suffering from trigeminal neuralgia. Therefore, eating is most likely to aggravate the pain in a 19-year-old student with trigeminal neuralgia.

Correct Answer: C

Rationale: Trihexyphenidyl is an anticholinergic medication commonly used to treat symptoms of Parkinson's disease. Anticholinergic drugs work by blocking the action of acetylcholine, a neurotransmitter in the nervous system. One common side effect of anticholinergic medications like trihexyphenidyl is dryness of the mouth (xerostomia). This occurs because the drug interferes with the normal functioning of the salivary glands, leading to reduced saliva production. Excessive salivation (choice A) is unlikely due to the drying effect of the medication. Bradycardia (choice B) is not typically associated with trihexyphenidyl use. Constipation (choice D) is another common adverse effect of anticholinergic medications, but dryness of the mouth is more closely related in this scenario.

Correct Answer: A

Rationale: A relaxed face during conversation is not typically indicative of hearing loss. In fact, individuals with hearing loss may exhibit signs such as speaking loudly (Choice B), turning toward the person speaking (Choice C), and feeling withdrawn (Choice D) due to difficulty in hearing and understanding conversations. The act of speaking loudly may be an attempt to compensate for the perceived hearing loss, while turning toward the speaker is a common strategy to better hear and lip-read. Withdrawal can result from the frustration and isolation caused by the inability to fully engage in conversations. Ultimately, a relaxed face during conversation is less likely to be a red flag for hearing loss compared to the other choices provided.

Correct Answer: D

Rationale: For a client with newly diagnosed type 2 diabetes mellitus, the primary focus should be on lifestyle modifications to help manage the condition. A key component of managing type 2 diabetes is maintaining a healthy weight through a balanced diet and regular exercise. Regular physical activity can help improve insulin sensitivity and can assist in weight management. A weight reduction diet can help control blood sugar levels and reduce the risk of complications associated with diabetes. Therefore, incorporating education on exercise and a weight reduction diet is essential in optimizing the client's health outcomes and quality of life.