NCLEX Style Study Question
Correct answer is posted by Tanya…
An adult client has a stapedectomy. Which of the following is most important for the nurse to include in the post-op care plan?
- Checking the gag reflex.
- Encouraging independence.
- Instructing the client not to blow her nose.
- Positioning the client on the operative side.
October 28th, 2005 at 6:25 pm
number 3 is logical to me
October 28th, 2005 at 7:51 pm
3– maybe to avoid pressure on ear?
October 29th, 2005 at 7:18 am
number 3 makes sense to me.
number one? to frequently check gag reflex is asking for trouble!
Number 4 appears plausable, but not as important as number 3.
October 29th, 2005 at 7:45 am
#3
October 29th, 2005 at 10:10 am
I would say 3
October 29th, 2005 at 10:13 am
3
October 29th, 2005 at 2:44 pm
my answer is number 3
October 31st, 2005 at 7:46 am
Number is 3 the answer I would pick.
November 1st, 2005 at 3:15 am
number 3 …i.e. to avoid pressure
November 1st, 2005 at 3:17 am
number 3 is the closest answer
November 1st, 2005 at 3:40 am
# 4 stapendectomy effects the ear. Position on the operative side for the purpose of drainage, prevent edema etc.
November 1st, 2005 at 12:43 pm
i hope no 3 is correct.
November 1st, 2005 at 6:31 pm
3
November 2nd, 2005 at 1:52 pm
#3
November 2nd, 2005 at 11:10 pm
Correct answer: 3
The client should be taught to avoid blowing her nose because this action could increase the pressure in the eustachian tube and dislodge the surgical graft. A stapedectomy is done under local anesthesia, which will have no affect ont he gag reflex. Encouraging independence is not a priority nursing approach at this time. The client should be positioned on the unoperative side.