A 58-year-old male patient with a 60 pack-year history of cigarette smoking and a history of heavy alcohol use has been diagnosed with laryngeal cancer following a physical examination and endoscopy.
The patient has been scheduled for a partial laryngectomy and is highly anxious about the consequences of this surgery. What patient education should the nurse provide for this man?
A) Most people who have a partial laryngectomy find that their breathing, swallowing, and speech are unchanged.
B) After a partial laryngectomy, most patients work with a speech therapist and regain some of their ability to speak.
C) A partial laryngectomy has the advantage of having only a minimal effect on your speech.
D) Unfortunately, the nature of a partial laryngectomy means that you can no longer use your vocal cords.
Question 2While reviewing a newly admitted older patient's medication history the nurse notes that the patient has been taking a beta-blocker for many years despite no apparent history of hypertension or cardiac disease.
What action should the nurse first take? A) Hold the drug in the short term until an indication is determined
B) Monitor the patient's blood pressure and apical heart rate closely
C) Request that the physician providing care reconsider the use of the drug
D) Investigate and provide non-pharmacologic measures to replace the drug
Question 3________ are produced in the seminiferous tubules and stored in the epididymis.
Fill in the blank(s) with correct word
Question 4Mr. E, an elderly man who lives alone, has hypertension and diabetes but seems to manage both conditions quite well. Three times a week he drives to a dialysis center for dialysis.
He injects himself with insulin and is in charge of his medications and meals. Because Mr. E is lonely, he often has lunch or dinner in restaurants where he may eat and drink unwisely, but he takes his medicines with him. What could a nurse at the dialysis center suggest that would most help Mr. E in managing his conditions? A) Eat at home most of the time
B) Take a list of approved foods to the restaurants
C) Find some social activities that do not involve eating
D) Test your blood pressure and blood sugar after returning home
Question 5A 13-year-old boy has been brought to the emergency department by his mother after he took a powerful blow to his nose during a volleyball game. Preliminary examination suggests a nasal fracture, which should prompt the nurse to:
A) Apply ice and tell the patient to keep his head elevated
B) Administer saline lavage and tell the patient not to swallow the solution
C) Apply warm compresses to the bridge of the patient's nose
D) Administer analgesia and a nebulized bronchodilator
Question 6_____________ are benign tumors of the uterus.
Fill in the blank(s) with correct word
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