And Answers
a client is scheduled for CT scan of the chest with contrast medium for a suspected lung cancer. which
information from the client's medical record should alert the nurse the most?
a.) the client is taking aspirin for rheumatoid arthritis
b.) the client has a family history of lung cancer
c.) the client has stage 3 chronic kidney disease
d.) the client has a blood pressure of 135/86 mmHg - Correct Answer - C
which instructions are considered essential that the should the nurse provide to a client post-
thoracetesis? select all that apply
a.) you will be flat on bed for 4 hours after the procedure
b.) report to me if you feel any increased breathing effort
c.) nurse will monitor the injection site regularly
d.) you will be NPO after the surgery - Correct Answer - B, C
a client in the PACU who had laryngectomy has noisy, gurgling respiration and a respiratory rate of 24
per minute. The client is drowsy. What is the priority nursing action?
a.) administer oxygen at 2L per minute via nasal cannula
b.) prepare to perform oropharyngeal suctioning
c.) encourage client to deep breathe and cough
d.) elevate the head of the bed to 30-45 degrees - Correct Answer - B
a nurse assesses a client with tuberculosis. The client has a productive cough and complains of chest
pain. The client has an oxygen saturation of 93% on room air. What is the nurse's initial action?
a.) notify the health care provider
b.) initiate oxygen via nasal cannula at 2 L per minute
c.) assess the client's chest pain and vital signs