The nurse is performing a home visit to an older female patient who has a history of obesity and poorly controlled hypertension. Which assessment finding would be of concern to the nurse?
A) The patient has increased the intake of green tea to obtain more antioxidants.
B) The patient has begun taking low-dose ASA for the prevention of cardiac disease.
C) The patient takes insulin injections three times daily for the treatment of type 1 diabetes.
D) The patient has started taking ginseng and St. John's wort for stamina and concentration.
Question 2
A patient is postoperative day 2 following a total laryngectomy, and the nurse is aware of the importance of assessing for tracheostomal stenosis. The nurse can best prevent this complication by:
A) Ensuring that cuff pressures are appropriate
B) Performing deep suctioning q2h
C) Administering bronchodilators p.r.n.
D) Providing humidified air for the patient
The patient and his family meet with the nurse to discuss progress on the patient care plan.
APPLYING A STERILE GOWN AND PERFORMING CLOSED GLOVING 1
Nursing history for mouth and pharyngeal assessment
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