A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention?
a. Client states he is dizzy. - Nurse applies oxygen and pulse oximetry.
b. Client's heart rate is 55 beats/min. - Nurse withholds pain medication.
c. Client has reduced breath sounds. - Nurse calls physician immediately.
d. Client's respiratory rate is 18 breaths/min. - Nurse decreases oxygen flow rate.
Question 2A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60-pack-year smoking history. Which action is most important for the nurse to take when interviewing this client?
a. Tell the client that he needs to quit smoking to stop further cancer development.
b. Encourage the client to be completely honest about both tobacco and marijuana use.
c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty.
d. Avoid giving the client false hope regarding cancer treatment and prognosis.
Question 3While obtaining a client's health history, the client states, I am allergic to avocados. Which responses by the nurse are best? (Select all that apply.)
a. What response do you have when you eat avocados?
b. I will remove any avocados that are on your lunch tray.
c. When was the last time you ate foods containing avocados?
d. I will document this in your record so all of your providers will know.
e. Have you ever been treated for this allergic reaction?
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