Nokea
For the client who has just had a pneumonectomy, what is a temporary, expected outcome of thoracic surgery?
- A. The client's ability to speak
- B. Chest numbness
- C. Impaired swallowing
- D. Sore throat
Correct Answer: B
Rationale: Chest numbness is an expected temporary outcome due to nerve disruption during thoracic surgery.
You may also like to solve these questions
A patient with severe COPD is having an episode of extreme shortness of breath and requests their inhaler. Which type of inhaler ordered by the physician would provide the FASTEST relief for the patient based on this particular situation?
- A. Spiriva
- B. Salmeterol
- C. Symbicort
- D. Albuterol
Correct Answer: D
Rationale: Albuterol , a short-acting beta-agonist, provides rapid bronchodilation for acute shortness of breath. Spiriva , Salmeterol , and Symbicort are long-acting or combination drugs for maintenance.
Which nursing action is essential before suctioning the client with a tracheostomy tube?
- A. Preoxygenating the client
- B. Maintaining the head in a flexed position
- C. Cleaning around the stoma
- D. Removing the inner cannula
Correct Answer: A
Rationale: Preoxygenating the client prevents hypoxia during suctioning, which can temporarily reduce oxygen intake.
A patient with COPD is reporting depression and thoughts of suicide. The patient states, 'I just feel like ending it all.' You assess the patient's health history and note that the patient was recently started on which medication that could cause this side effect:
- A. Atrovent
- B. Prednisone
- C. Roflumilast
- D. Theophylline
Correct Answer: C
Rationale: Roflumilast is associated with psychiatric side effects, including depression and suicidal thoughts. Other medications (A, B, D) are less commonly linked to these effects.
The term 'blue bloaters' is used to describe patients with?
- A. Pulmonary hypertension
- B. Left-sided heart failure
- C. Chronic Bronchitis
- D. Emphysema
Correct Answer: C
Rationale: Blue bloaters' describes chronic bronchitis patients, who present with cyanosis ('blue') and edema ('bloating') due to hypoxemia and right heart failure. Emphysema patients are often called 'pink puffers.'
The client had a right-sided chest tube inserted two (2) hours ago for a pneumothorax. Which action should the nurse implement if there is no fluctuation (tidaling) in the water-seal compartment?
- A. Obtain an order for a STAT chest x-ray.
- B. Increase the amount of wall suction.
- C. Check the tubing for kinks or clots.
- D. Monitor the client's pulse oximeter reading.
Correct Answer: C
Rationale: No tidaling suggests obstruction; checking for kinks/clots (C) is the first step. CXR (A), suction increase (B), and SpO2 (D) follow if unresolved.