The nurse is preparing a patient for a thoracentesis to drain an empyema. What should the nurse instruct the patient about this procedure?
Select all that apply.
1. You will have a chest x-ray after the procedure.
2. You will lie on the unaffected side for 1 hour after the procedure.
3. You will have general anesthesia for pain control during the procedure.
4. You will be seated, learning forward with arms and head supported with an overbed table.
5. You will be permitted to resume normal activities after 1 hour if no evidence of adverse effects occurs.
Question 2The nurse is preparing to assess a patient admitted for treatment of bilateral pleural effusions. On what should the nurse focus when assessing this patient?
Select all that apply.
1. Urine output
2. Cardiac rate and rhythm
3. Joint function and mobility
4. Muscle tone and movement
5. Peripheral pulses and edema
Question 3After an assessment the nurse is concerned that an older patient is at risk for developing pneumonia. What age-related changes did the nurse assess to make this clinical decision?
Select all that apply.
1. Weak cough
2. Poor skin turgor
3. Smoked a ppd for 30 years
4. Body mass index 22.6
5. Diagnosed with right-sided heart failure
Question 4After reviewing the medical history, the nurse suspects that a 68-year-old patient would benefit from another dose of the pneumococcus vaccination. What information did the nurse use to make this clinical decision?
Select all that apply.
1. Initial vaccination at age 55
2. Taking medications for hypertension
3. Ongoing treatment for prostate cancer
4. History of two hip replacement surgeries
5. Beginning dialysis for chronic renal failure
Question 5A patient has developed pulmonary tuberculosis. Rank the findings in order of occurrence based on the normal progression of this disease.
Choice 1. The patient begins to feel better.
Choice 2. The patient is admitted to the hospital for treatment of pulmonary tuberculosis.
Choice 3. The patient does not complain of any symptoms associated with pulmonary tuberculosis.
Choice 4. The patient visits the physician's office with complaints of fatigue, night sweats, and has lost 10 pounds over the last 3 months.
Choice 5. The patient's purified protein derivative test is positive. The patient develops a cough with blood-tinged sputum. A chest x-ray indicates the presence of a cavitary lesion.
Question 6The student nurse is learning how to care for patients who had thoracic surgery following a diagnosis of lung cancer. The intensive care unit nurse is assessing the student's understanding.
Which statements by the student indicate the need for further education?
Select all that apply.
1. I should assess the patient's respiratory system at least every four hours.
2. I really shouldn't even offer narcotic pain medications to this patient because it will result in severe respiratory depression.
3. If there are items that the patient needs frequently, I should keep them across the hospital room. This will ensure that the patient will get better faster.
4. The patient's head of bed should be maintained between 15 and 30 degrees.
5. The area between the visceral and parietal pleura must be filled with positive pressure to work appropriately, and this can be accomplished with a functioning chest tube.
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