Nokea
A 57-year old patient had a right lower lobectomy. The nurse should initiate this action when the patient arrives from the Post Anesthesia Care Unit:
- A. immediately administer pain relief
- B. keep patient in semi-fowler's postion
- C. turn client every hour
- D. notify the family to report pateint's condition
Correct Answer: B
Rationale: After a right lower lobectomy, it is important to keep the patient in a semi-Fowler's position to promote lung expansion and oxygenation. This position helps to reduce pressure on the diaphragm and allows for better lung ventilation. By maintaining the patient in a semi-Fowler's position, it can help prevent complications such as atelectasis and pneumonia postoperatively. It is a crucial nursing intervention to ensure optimal respiratory function and promote recovery after lung surgery.
You may also like to solve these questions
An infant has been pronounced dead from sudden infant death syndrome (SIDS) in the emergency department. Which is an appropriate question to ask the parents?
- A. "Did you hear the infant cry out?"
- B. "Why didn't you check on the infant earlier?"
- C. "What time did you find the infant?"
- D. "Was the head buried in a blanket?"
Correct Answer: C
Rationale: This is an appropriate question to ask the parents because determining the time the infant was found is important for investigating the circumstances surrounding the sudden infant death syndrome (SIDS) event. Understanding the timeline can help healthcare providers gather valuable information to determine the cause of death and evaluate any potential contributing factors. This question also allows the healthcare team to better understand the sequence of events leading up to the tragic outcome and offer support to the grieving parents. Asking about the time the infant was found is non-accusatory and focuses on gathering relevant details for the medical evaluation.
A child is brought to your clinic for a routine exam. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely:
- A. 1 year
- B. 2 years
- C. 3 years
- D. 4 years
Correct Answer: C
Rationale: At 3 years, children typically have the ability to dress with assistance, ride a tricycle, know their age, and speak in short sentences. Copying a square usually occurs later, around 4 years of age.
The newborn with severe jaundice is at risk for developing:
- A. encephalopathy.
- B. bullous impetigo.
- C. respiratory distress.
- D. blood incompatibility.
Correct Answer: A
Rationale: Severe jaundice in a newborn puts them at risk for developing encephalopathy, which is a condition where bilirubin levels are significantly elevated and can lead to central nervous system dysfunction. If untreated or not managed promptly, high levels of bilirubin can potentially lead to brain damage. It is crucial to monitor and treat severe jaundice in newborns to prevent neurological complications like encephalopathy. Options B, C, and D are not directly associated with severe jaundice in newborns.
A 12-year-old male adolescent, recently diagnosed with Hodgkin lymphoma, shows left cervical and supraclavicular lymph node involvement and drenching night sweats. Based on Ann Arbor Classification, the patient is classified as
- A. stage IA
- B. stage IB
- C. stage IIA
- D. stage IIB
Correct Answer: D
Rationale: Involvement of two lymph node regions above the diaphragm with systemic symptoms corresponds to stage IIB.
A newborn begins to cough, choke, and becomes cyanotic while feeding. What is the nurse's immediate action?
- A. Inform the physician.
- B. Have the mother stop feeding and observe.
- C. Remove the infant from the mother, place the infant in the crib for assessment, obtain oxygen saturation, and administer blow-by oxygen immediately.
- D. Continue feeding while monitoring.
Correct Answer: C
Rationale: Immediate removal from the feeding situation and rapid assessment with oxygen support is critical for airway safety.