Question

A nurse is assessing a client who has undergone radical neck dissection for the treatment of cancer. The nurse hears stridor when auscultating over the trachea. On the basis of this finding, which is the priority nursing action?

a. Assess the client's pulse oximetry Incorrect
b. Place the client in a supine position
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator

Answer 1

The priority nursing action when a nurse hears stridor in a client who has undergone radical neck dissection for cancer treatment is to contact the primary health care provider.

Step-by-step explanation:

The priority nursing action when a nurse hears stridor in a client who has undergone radical neck dissection for cancer treatment is to c. Contact the primary health care provider. Stridor is a high-pitched wheezing sound that occurs when there is obstruction or narrowing of the airway. It is a medical emergency that requires immediate attention. The primary health care provider will be able to assess the situation and provide appropriate interventions.