Canadian PN exam: Medical-surgical nursing Exam 1 Solved 100% Correct!!

Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal cord polyps, requiring surgical laser removal. What is the practical nurses priority assessment in Mr. Kingsley's immediate postoperative period? - Hemorrhage. The throat is a vascular area, and even with laser surgery, there is a recognized danger for hemorrhage. It may occur quickly and is the most immediate life-threatening post surgical complication. Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal cord polyps, requiring surgical laser removal. What is the recommended postoperative position for Mr. Kingsley? - Semi-Fowlers with the neck flexed. Positioning the client in a semi Fowlers with the neck flexed helps prevent pooling of secretions in the mouth and allows easier breathing and less chance of choking, coughing, and aspirating. Clients often put themselves into high Fowlers position for comfort and ease of breathing. Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal cord polyps, requiring surgical laser removal. What nursing action can best alleviate Mr. Kingsleys throat discomfort? - Giving him acetaminophen, Tylenol, elixir or pills. Acetaminophen, Tylenol, elixir or pills is the analgesic of choice and should be given around the clock. Sometimes rinsing the mouth out with viscous lidocaine is effective to decrease pain in the throat. Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the clinic for the test to be read. Mrs. Gomez's montoux test yields and in duration area of 10 mm. What is the most accurate interpretation of a 10 mm result? - She has been exposed to M tuberculosis or has been vaccinated with Bacille Calmette - Guérin.This is a positive reaction. It indicates the presence of tuberculosis, TB, Infection but does not show weather the infection is active or dormant. People who have been vaccinated with the bacille Calmette geirin will have positive skin tests due to exposure to the vaccine