Nokea
The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates more teaching is required?
- A. It doesn't matter if I smoke now. I already have cancer.
- B. I should see the oncologist at my scheduled appointment.
- C. If I begin to run a fever, I should notify the HCP.
- D. I should plan for periods of rest throughout the day.
Correct Answer: A
Rationale: Continued smoking (A) worsens lung cancer outcomes, indicating a need for teaching. Follow-ups (B), fever reporting (C), and rest (D) are correct.
You may also like to solve these questions
While the nurse is suctioning a tracheostomy tube, the client starts to cough. What is the best action for the nurse to take?
- A. Suction deeper to pick up secretions
- B. Gently withdraw suction tubing to allow suction or coughing out of mucus
- C. Remove the suction as quickly as possible
- D. Put the suction tube in and out several times to pick up secretions
Correct Answer: C
Rationale: Removing the suction quickly allows the client to cough out mucus naturally, preventing irritation or trauma.
Which assessment data indicate to the nurse the chest tubes inserted three (3) days ago have been effective in treating the client with a hemothorax?
- A. Gentle bubbling in the suction compartment.
- B. No fluctuation (tidaling) in the water-seal compartment.
- C. The drainage compartment has 250 mL of blood.
- D. The client is able to deep breathe without any pain.
Correct Answer: B
Rationale: No tidaling (B) indicates lung re-expansion, showing effective hemothorax treatment. Bubbling (A) suggests air leak, drainage (C) is expected, and pain-free breathing (D) is secondary.
If the client develops a severe allergic reaction, which drug should the nurse have available?
- A. Codeine sulfate
- B. Morphine sulfate (Roxanol)
- C. Dopamine (Intropin)
- D. Epinephrine (Adrenalin)
Correct Answer: D
Rationale: Epinephrine is the first-line treatment for severe allergic reactions (anaphylaxis) as it reverses airway constriction and stabilizes blood pressure.
The client is getting out of bed and becomes very anxious and has a feeling of impending doom. The nurse thinks the client may be experiencing a pulmonary embolism. Which action should the nurse implement first?
- A. Administer oxygen 10 L via nasal cannula.
- B. Place the client in high Fowler's position.
- C. Obtain a STAT pulse oximeter reading.
- D. Auscultate the client's lung sounds.
Correct Answer: B
Rationale: High Fowler’s position (B) improves breathing in suspected PE, a priority. Oxygen (A), SpO2 (C), and lung sounds (D) follow to support and assess.
A thoracentesis was performed on an adult client. After the procedure, the client has hemoptysis and a pulse of 80, respirations of 28, and temperature of 99°F. Which of these is of greatest concern to the nurse?
- A. Hemoptysis
- B. Respirations of 28
- C. Pulse of 80
- D. Temperature of 99°F
Correct Answer: A
Rationale: Hemoptysis is the only abnormal finding and indicates potential bleeding or lung injury, which is of greatest concern post-thoracentesis. The other vital signs are within normal ranges for someone who has undergone an invasive procedure.