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Question 12Type: MCSAWhile recovering at home from a total laryngectomy and neck dissection, a patient notices an increase in left shoulder weakness. This symptom is consistent with which condition?1. Normal recovery2. Damage to the spinal accessory nerve3. Side effect of neck radiation therapy4. Medication complicationCorrect Answer: Rationale 1: Left shoulder weakness in not a normal finding for a post-laryngectomy patient.Rationale 2: Left shoulder drop may result from damage to the spinal accessory nerve. This finding should be reported to the physician.Rationale 3: There is no mention of radiation treatments.Rationale 4: Medications are not mentioned in the history.2Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: EvaluationLearning Outcome: 26-6Question 13Type: MCSAThe nurse reviews the patient’s clinic record and recognizes that priority teaching for this patient would include which information?
1Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: ImplementationLearning Outcome: 26-3Question 14Type: MCSAThe nurse observes a patient who is gagging and using this gesture (see illustration). What is the nurse’s response?