A nurse at a long-term care facility is reviewing prescriptions for a client receiving mechanical ventilation. Which of the following interventions should the nurse identify as the priority?

Providing the client with a communication board

Suctioning the airway as needed

Administering continuous feeding through a nasogastric tube

Applying thigh-high antiembolism stockings

Answer and Explanation

The Correct Answer is B

A.   Communication is crucial for clients on mechanical ventilation, especially if they are awake and able to use a communication board. However, addressing life-threatening issues takes precedence over communication aids.
B.   Maintaining a patent airway is critical for a client on mechanical ventilation. If the client is unable to clear secretions or if there are signs of airway obstruction (like decreased breath sounds or increased respiratory effort), suctioning is necessary to prevent complications such as hypoxia or ventilator- associated pneumonia.
C.   This option is important for nutritional support, but it is not the immediate priority. While providing nutrition is essential for recovery and maintaining the client's overall health, ensuring a clear and open airway is crucial for the client's immediate safety.
D.   This option is also important for preventing deep vein thrombosis (DVT) in clients who are immobile or on long-term ventilation. However, like the previous options, it is not as critical as ensuring airway patency.

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Correct Answer is A

Explanation

A. After a lobectomy, a chest tube is commonly placed to help drain fluid or air from the pleural space, facilitating lung expansion and preventing complications such as pneumothorax or pleural effusion. It is a standard part of care following lung surgery.
B. EEG monitoring is used to measure electrical activity in the brain and is not typically associated with lung surgeries like a lobectomy. It would only be used in specific neurological assessments or surgeries, not as standard postoperative equipment for lung surgery.
C. CPM machines are generally used after joint surgeries, such as knee surgeries, to promote mobility and prevent stiffness. They are not used in lung surgery like a lobectomy, so this equipment is not relevant in this context.
D. A three-way urethral catheter is typically used for bladder irrigation or managing urinary output after certain urological surgeries, not lung surgeries. It is not a standard postoperative requirement for a client undergoing a lobectomy.

A. Thyroid function studies B. Blood glucose levels C. Gallbladder studies D. Liver function tests

Correct Answer is D

Explanation

A. Pyrazinamide does not have a significant impact on thyroid function. Therefore, thyroid function studies are not necessary while taking this medication.
B. Pyrazinamide does not affect blood glucose levels. Therefore, blood glucose levels do not need to be monitored while taking this medication.
C. Pyrazinamide does not have a significant impact on gallbladder function. Therefore, gallbladder studies are not necessary while taking this medication.
D. Pyrazinamide is a hepatotoxic medication, meaning it can damage the liver. Therefore, liver function tests should be performed regularly while a client is taking pyrazinamide to monitor for any signs of liver toxicity.

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A nurse at a long-term care facility is reviewing prescriptions for a client receiving mechanical ventilation. Which of the following interventions should the nurse identify as the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has lung cancer and is scheduled for a lobectomy. The nurse should instruct the client to expect the use of which of the following equipment postoperatively?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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