The nurse is assessing an older adult with a family

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20. The nurse is assessing an older adult with a family tendency of developing laryngeal cancer. The nurse should ask the patient about which risk factors? ( Select all that apply. ) a. History of smoking b. Alcohol abuse c. Exposure to asbestos d. Occupational exposure to wood dust e. Infection with Streptococcus bacteria ANS: A, B, C, D Cigarette smoking, alcohol abuse, asbestos exposure, and wood dust exposure are risk factors linked to laryngeal cancer. Streptococcus bacteria are not considered a risk factor for laryngeal cancer; infection with human papillomavirus or Helicobacter pylori has been linked to increased incidence of cancer of the larynx. MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
PTS: 1 DIF: Cognitive Level: Comprehension REF: 280 OBJ: 1 (theory) TOP: Risk Factors for Laryngeal Cancer KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 21. The nurse is performing discharge teaching for a patient who underwent a microlaryngoscopy with laser removal of polyps. Which instruction(s) should the nurse include? ( Select all that apply. )
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d. Observe 2 days of voice rest. e. Take opioids as needed for pain control. ANS: B, D Observation of voice rest for 2 days and return to work in 3 days are the basic instructions. There is minimal swelling or bleeding, and NSAIDs (not opioids) are used for pain control. PTS: 1 DIF: Cognitive Level: Application REF: 280 OBJ: 4 (theory) TOP: Postoperative Care: Microlaryngoscopy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 22. The nurse is setting up the environment for tracheal suction on a newly postoperative tracheostomy patient. Which action(s) should the nurse perform? ( Select all that apply. )
NURSINGTB.COM PTS: 1 DIF: Cognitive Level: Comprehension REF: 283, Nursing Care Plan 13-1, Skill 14-1 (on Evolve) OBJ: 7 (clinical) TOP: Tracheal Suction KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

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