A client was recently diagnosed with lung cancer. The nurse is evaluating discharge teaching with the client. Which statement about lung cancer indicates that teaching was effective?

"I will eat three large meals a day to ensure I have energy."

"A flat lying position allows full lung expansion."

"I will pace myself with activities with my family."

"Once a day I will receive pain medication."

Answer and Explanation

The Correct Answer is C

A. This statement may not be ideal; smaller, more frequent meals can help manage appetite and energy levels better than three large meals, especially for cancer patients who may experience fatigue or nausea.
B. A flat lying position can hinder lung expansion; a more elevated position is generally recommended to facilitate breathing.
C. This statement shows understanding of the need to manage energy levels and not overexert oneself, which is crucial for maintaining stamina during treatment.
D. Pain management typically requires more frequent dosing rather than a once-a-day regimen, depending on the severity of the pain.

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Correct Answer is C

Explanation

A. While administering a narcotic analgesic may be necessary for pain management, it does not address the immediate post-operative needs related to respiratory function and mobility.
B. Encouraging a low-fat diet is important after a cholecystectomy, but this can be addressed after ensuring the client's respiratory function and mobilization are stable.
C. Encouraging the use of the incentive spirometer is the priority intervention as it promotes lung expansion, reduces the risk of atelectasis, and improves oxygenation, which is crucial in the post-operative period.
D. While ambulating the client is important for recovery and preventing complications such as deep vein thrombosis, it should follow ensuring that the patient is able to effectively use the incentive spirometer to maintain respiratory function first.

A. Degree of upper body vasculature observed. B. Arm circumference and degree of edema. C. Blood pressure and heart rate. D. Peripheral sensation and movement of upper extremities.

Correct Answer is C

Explanation

A. Assessing the degree of upper body vasculature may provide some information, but it does not directly address the client's current symptoms or vital status.
B. Measuring arm circumference and evaluating the degree of edema are important for understanding the extent of swelling but do not assess the client’s hemodynamic stability or respiratory status.
C. Blood pressure and heart rate are critical assessments in this scenario, especially considering the client’s dyspnea and upper body edema. Changes in these vital signs can indicate potential respiratory distress, compromised cardiac function, or anaphylaxis, which requires immediate intervention.
D. While assessing peripheral sensation and movement is important for overall neurological function, it is not a priority in this context compared to assessing vital signs that can directly affect the client’s stability.

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A client was recently diagnosed with lung cancer. The nurse is evaluating discharge teaching with the client. Which statement about lung cancer indicates that teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client post-operatively following an open (incisional) cholecystectomy. Which would be the priority nursing intervention for this client?

Correct Answer is C

Explanation

The nurse is admitting a client who reports symptoms of dyspnea. The nurse notes edema of the upper arms, face, and neck. What is the nurse's priority assessment?

Correct Answer is C

Explanation

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