Nokea
A nurse is reviewing the plan of care for a client who has a respiratory infection. The nurse should plan to have the client lie on his stomach with pillows elevating his chest and stomach to mobilize secretions from which of the following lung segments?
- A. Anterior segment of the right upper lobe
- B. Anterior segment of the right middle lobe
- C. Posterior segment of the right middle lobe
- D. Posterior segment of the right lower lobe
Correct Answer: C
Rationale: Prone positioning with elevation allows mucus drainage from posterior lung segments.
You may also like to solve these questions
A nurse is reviewing the goals of a nurse-client therapeutic relationship with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
- A. The client achieves optimal personal growth.
- B. The nurse forms a personal identity.
- C. The client allows the nurse to satisfy his personal needs.
- D. The nurse's needs take priority over the client's needs.
Correct Answer: A
Rationale: The goal of a therapeutic relationship is to help the client achieve personal growth and well-being.
A nurse is caring for a client whose parent has died. The client asks the nurse, 'Why do I feel relief now that my dad is gone?' Which of the following responses should the nurse make?
- A. You should start planning your father's funeral.'
- B. Tell me what you are thinking.'
- C. You are in denial about your father's death.'
- D. Your father is not suffering anymore.'
Correct Answer: B
Rationale: Encouraging the client to express their feelings fosters therapeutic communication and helps with grief processing.
A nurse is caring for a client who has an electrical burn. With the client's permission, the nurse is answering questions from the family about his status. Which of the following responses should the nurse make?
- A. He is doing well, although he might be in the hospital for some time.
- B. He has an electrical burn. He is stable, and we will update you with any changes.
- C. He has an electrical burn, which caused coagulation of some tissues.
- D. He does not appear to have much damage and should be fine soon.
Correct Answer: B
Rationale: Providing factual and clear information about the client's condition maintains trust and transparency with the family.
A nurse is collecting data from a client who has respiratory insufficiency. Which of the following findings should the nurse identify as an early sign of inadequate oxygenation?
- A. Diaphoresis
- B. Retractions
- C. Cyanosis
- D. Restlessness
Correct Answer: D
Rationale: Restlessness is an early sign of inadequate oxygenation, indicating the body's attempt to compensate for low oxygen levels.
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?
- A. I am thinking of getting a second opinion.
- B. I am hoping this will help relieve my discomfort.
- C. This is making me stronger every day.
- D. This is not working, and I plan to stop treatment.
Correct Answer: B
Rationale: Palliative care focuses on symptom relief, and the statement reflects an understanding of this goal.