Nokea
An adult is to have a thoracentesis performed. What should the nurse do while preparing the client for this procedure?
- A. Keep him NPO for eight hours
- B. Prepare him to go to the operating room
- C. Explain the procedure to him
- D. Administer anticholinergic and analgesic as ordered
Correct Answer: C
Rationale: Explaining the procedure reduces anxiety and ensures the client understands what to expect during thoracentesis.
You may also like to solve these questions
The case manager is arranging a care planning meeting regarding the care of a 65-year-old client diagnosed with adult-onset asthma. Which health-care disciplines should participate in the meeting? Select all that apply.
- A. Nursing.
- B. Pharmacy.
- C. Social work.
- D. Occupational therapy.
- E. Speech therapy.
Correct Answer: A,B,C
Rationale: Nursing (A), pharmacy (B), and social work (C) address asthma management, medications, and social needs. Occupational (D) and speech (E) therapies are less relevant.
An adult has a chest drainage system. Several hours after the chest tube was inserted, the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling?
- A. The client's lungs have reexpanded.
- B. There is an obstruction in the tubing coming from the client.
- C. There is a mechanical problem in the pump.
- D. Air is leaking into the drainage apparatus.
Correct Answer: A
Rationale: No bubbling in the water seal chamber typically indicates lung reexpansion, as air is no longer leaking from the lung into the pleural space.
Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.
- A. Arthritis
- B. Asthma
- C. Hypertension
- D. Diabetes
- E. Glaucoma
- F. Arrhythmias
Correct Answer: C, E, F
Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.
Which client problems are appropriate for the nurse to include in the plan of care for the client diagnosed with COPD? Select all that apply.
- A. Impaired gas exchange.
- B. Inability to tolerate temperature extremes.
- C. Activity intolerance.
- D. Inability to cope with changes in roles.
- E. Alteration in nutrition.
Correct Answer: A,C,D,E
Rationale: COPD causes impaired gas exchange (A), activity intolerance (C), role changes (D), and nutritional issues (E) from energy demands. Temperature intolerance (B) is not primary.
A patient with asthma is receiving a nebulizer of Cromolyn. The patient reports a burning sensation in the nose along with a horrible taste in their mouth. As the nurse you will?
- A. Immediately stop the nebulizer
- B. Re-adjust the nebulizer
- C. Call a rapid response because the patient is having a potential anaphylactic reaction to the medication.
- D. Reassure the patient this is a temporary side effect of this medication.
Correct Answer: D
Rationale: Burning sensation and bad taste are common temporary side effects of Cromolyn nebulizer treatment and do not indicate a severe reaction.