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Med Surg Nclex Style Respiratory Midterm Exam With 100% Correct And Verified Answers 2024
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Med Surg Nclex Style Respiratory Midterm Exam With 100% Correct And Verified Answers 2024
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Medical Surgical Respiratory Questions And 100%Correct Answers(verified)
•A nurse is reinforcing preoperative teaching with a client who is to
undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough
after the surgery." Which of the following statements should the nurse make?
•after the surgeon removes the lung you will not need to cough
•It will make sure you get a cough suppressant to keep you from straining the incision when you cough
•don't worry; you will have a pump that delivers pain medication as you need it, so you will have very little pain
•i will show you how to splint your incision while coughing: d. "I will show you how to splint your incision while coughing."
Explanation:
a and b. Will need to cough to clear secretions from remaining lung
c. pain medicaiton reduces pain to tolerable level; however doesn't necessarily keep the client pain freed; additionally telling the client not to worry is a communication barrier that provide false hope
d. splinting while coughing, will still allow the patient to clear secretions from remaining lung; and allow them to splint the incision and reduce pain while coughing
•A nurse is caring for a client who has a tracheostomy with an inflated
cuff in place. Which of the following findings indicates that the nurse should
suction the clients airway secretions?
•client is unable to speak
•client's airway secretions were last suctioned 2 hrs ago
•client's coughs and expectorates a large mucous plug
•nurse asuculates coarse crackles in lung fields: d. The client has coarse crackles in the lung fields.
Explanation: •they will not be able to speak
•should assess every 2 hrs and then suction as necessary
•productive cough is good sign, suction only when client is not able to cough and expectorate secretions
•coarse crackles or ronchi identify a moist cough, hear or see secretions in trachesostomy tube and then suction the client's airway secretions
•A nurse is assisting with discharge teaching for a client who is
postoper- ative following a rhinoplasty. Which of the following instructions
should the nurse include?
•apply warm compresses to the face
•take aspirin 650 mg by mouth for mild pain
•close mouth when sneezing
•lie on your back with head elevated 30 degree when resting: d.
lie on back with your head elevated 30 degrees when resting
Explanation:
•client should not apply cold compress to face to decrease swelling, decreases blood flow and can cause damage and reduce healing
•client should not take aspirin because increases the risk of bleeding by decreasing platelet aggregation
•client should keep mouth open to reduce strain on the incisional site
•patient should be in semi-Fowlers position to prevent aspiration on nasal secre- tions and blood
•A nurse in an urgent care clinic is collecting data from a client who reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of inhalation of anthrax?
•dry cough
•rhinitis
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