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Exam (elaborations)

NURS 401 Quiz 14 Exam With All Solved Solutions.

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  • NURS 401

Which patient is at highest risk for development of skin cancer? a. Dark-skinned male who works as a lab technician b. Light-skinned female who works as a lifeguard every summer c. Older adult who enjoys gardening but wears a large hat d. Younger adult who works as a home health assistant - Ans...

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  • August 31, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 401
  • NURS 401
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COCOSOLUTIONS
NURS 401 Quiz 14 Exam With All Solved
Solutions.
Which patient is at highest risk for development of skin cancer?

a. Dark-skinned male who works as a lab technician

b. Light-skinned female who works as a lifeguard every summer

c. Older adult who enjoys gardening but wears a large hat

d. Younger adult who works as a home health assistant - Answer b



A patient with a tracheostomy stoma in a place develops increased coughing, inability to expectorate
secretions, and difficulty breathing. What are these assessment findings related to?

a. Overinflation of the pilot balloon

b. Tracheoexophageal fistula

c. Cuff leak and rupture

d. Tracheal stenosis - Answer d



A patient returns from the operating room after having a tracheostomy. While assessing the patient,
which observation made by the nurse warrants immediate notification of the health care provider?

a. Patient is alert but unable to speak and has difficulty communicating his needs

b. There is a small amount of bleeding present at the incision

c. Skin is puffy at the neck area with a crackling sensation

d. Respirations are audible and noisy with an increased respiratory rate - Answer c



A patient was intubated for acute respiratory failure, and there is an endotracheal tube in place. Which
nursing interventions are appropriate for this patient? SATA

a. Ensure that the oxygen is warmed and humidified

b. Suction the airway and then the mouth, and give oral care

c. Suction the airway with the oral suction equipment

d. Position the tubing so it does not pull on the airway

,e. Apply suction only when withdrawing the suction catheter

f. Keep a resuscitation bag at the bedside at all times - Answer a, b, d, e, f



The nurse has completed a community presentation about lung cancer. Which statement from a
participant demonstrates an understanding of the information presented?

a. The primary prevention for reducing the risk of lung cancer is to stop smoking and avoid secondhand
smoke

b. The overall 5-year survival rate for all patients with lung cancer is 85%

c. The death rate for lung cancer is less than prostate, breast, and colon cancer combined

d. Cures are most likely for patients who undergo treatment for stage 3 disease - Answer a



Which sites are commonly affected by lung cancer metastasis? SATA

a. Heart

b. Bone

c. Liver

d. Colon

e. Brain

f. Adrenal glands - Answer b,c,e,f



Which of the following may be warning signs of lung cancer? SATA

a. Dyspnea

b. Dark yellow-colored sputum

c. Persistent cough or change in cough

d. Abdominal pain and frequent stools

e. Use of accessory muscles for breathing

f. Labored or painful breathing - Answer a, c, e, f



Which statement is true about radiation therapy for lung cancer patients?

a. It is given daily in cycles over the course of several months

, b. It causes hair loss, nausea, and vomiting for the duration of treatment

c. It causes dry skin at the radiation site, fatigue, and changes in appetite with nausea

d. It is the best method of treatment for systematic metastatic disease - Answer c



The nurse is taking a report on a patient who had a pneumonectomy 4 days ago. Which question is the
best to ask during the shift report?

a. Does the physician want us to continue encouraging use of the spirometer

b. How much drainage did you see in the pleur-evac during your shift

c. Do we have a request to milk the patient's chest tube

d. Does the surgeon want the patient placed on the operative or nonoperative side - Answer d



A patient is fearful that she might develop lung cancer because her father and grandfather died of
cancer. She seeks advice about how to modify lifestyle factors that contribute to cancer. How does the
nurse advise this patient?

a. Not to worry about air pollution unless there is hydrocarbon exposure

b. Quit her job if she has continuous exposure to lead or other heavy metals

c. Avoid situations where she would be exposed to secondhand smoke

d. Not to be concerned because there are no genetic factors associated with lung cancer - Answer c



A patient is receiving a chemotherapy agent for lung cancer. The nurse anticipates that the patient is
likely to have which common side effect?

a. Diarrhea

b. Nausea

c. Flatulence

d. Constipation - Answer b



A patient is having pain resulting from bone metastases caused by lung cancer. What is the most
effective intervention for relieving the patient's pain?

a. Support the patient through chemotherapy

b. Handle and move the patient very gently

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