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ISPN考试模拟试题(113)

Question:

Which of the following should be considered the highest priority during the first 24 hours postoperatively for the client who had a total laryngectomy due to cancer of the larynx? 

1. Provide adequate nourishment. 

2. Prevent skin breakdown. 

3. Maintain proper bowel elimination. 

4. Maintain a patent airway.

 

During the first 24 hours after a total laryngectomy, maintaining a patent airway is a priority goal. After a total laryngectomy, the client will have a tracheostomy with increased secretions and will require suctioning and tracheostomy care. Providing adequate nutrition, preventing skin breakdown, and maintaining proper bowel elimination will be appropriate as the client recovers, but maintaining a patent airway is the initial priority goal. 

CN: Reduction of risk potential; CL: Synthesize

Answer:4

小编寄语:每一天都是希望的开始,记得鼓励自己,展现自信的魅力。这世上,没有谁比谁更幸运,只有谁比谁更坚持、更执着、更努力! Fighting!




时间:2019-11-05 15:22:10
 
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