A client with orthopnea expresses concern about the ability to "get enough air" during a scheduled thoracentesis. On which information should the nurse's response be based?
Extra pillows can be used if needed to elevate the client's head.
The procedure is performed with the client in an upright position.
A thoracentesis is a brief procedure that has minimal discomfort.
Orthopnea is frequently caused by a client's uncontrolled anxiety.
The Correct Answer is B
Choice A reason: Using extra pillows may help with comfort but is not the basis of the nurse's response to the concern about thoracentesis.
Choice B reason:
The correct answer is b) because during thoracentesis, the client is positioned upright, which helps ease breathing and access the pleural space.
Choice C reason: While the procedure may be brief, this response does not directly address the concern about breathing.
Choice D reason: Orthopnea can be caused by conditions other than anxiety and should be addressed appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A reason: Hematuria is expected after lithotripsy and should be monitored, but it is not the most critical instruction.
Choice B reason: Using an incentive spirometer is important for respiratory care but not specific to lithotripsy.
Choice C reason: Restricting physical activities is not necessary unless advised by the healthcare provider.
Choice D reason:
The correct answer is d) because monitoring the urinary stream for a decrease in output is crucial to detect any complications such as obstruction or infection after lithotripsy.
Correct Answer is D
Explanation
Choice A reason: Antibiotics are not effective against fungal infections like athlete's foot.
Choice B reason: Continuing the use of antibiotics will not help with a fungal infection.
Choice C reason: Applying a thin layer of ointment is not relevant for treating athlete's foot with antibiotics.
Choice D reason:
The correct answer is d) because athlete's foot is a fungal infection, and proper foot hygiene, including keeping the feet dry and wearing clean socks, is essential for treatment.
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