A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?

"Your doctor is a great surgeon. You will be fine."

"You may feel scared. Let's talk about what you are afraid of."

"I understand your fears. I was a smoker also."

"Don't worry. The important thing is you have now quit smoking."

Answer and Explanation

The Correct Answer is B

This response is empathetic and therapeutic, as it acknowledges the client's feelings and invites her to express her concerns. It also shows respect and interest in the client's perspective.

a) This response is false reassurance and nontherapeutic, as it dismisses the client's feelings and implies

that the surgery will solve everything.

b) This response is self-disclosure and nontherapeutic, as it shifts the focus from the client to the nurse and

does not address the client's fears.

d) This response is minimizing and nontherapeutic, as it tells the client how to feel and does not acknowledge the client's regret or anxiety.

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Correct Answer is C

Explanation

Heparin is an anticoagulant that prevents the formation of new clots and the extension of existing clots. It is the drug of choice for treating acute pulmonary embolism, which is a life-threatening condition caused by a blood clot that travels to the lungs and blocks a pulmonary artery.

a) Dexamethasone is a corticosteroid that reduces inﬂammation and suppresses immune response. It is not indicated for treating pulmonary embolism, but it may be used for other pulmonary conditions, such as asthma or COPD.
b) Atropine is an anticholinergic that blocks the action of acetylcholine and increases heart rate and cardiac output. It is not indicated for treating pulmonary embolism, but it may be used for bradycardia or asystole.
d) Furosemide is a loop diuretic that increases urine output and reduces ﬂuid volume and blood pressure. It is not indicated for treating pulmonary embolism, but it may be used for heart failure or edema.

Correct Answer is ["100"]

Explanation

To calculate the infusion rate, use the formula:

mL/hr = (volume of solution in mL / time of infusion in hr) x 60 min/hr

Plug in the given values:

mL/hr = (50 mL / 0.5 hr) x 60 min/hr

Simplify and solve:

mL/hr = 100 x 60 min/hr

mL/hr = 100 mL/hr

Round to the nearest whole number and add a leading zero if needed:

mL/hr = 100 mL/hr

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A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?

Correct Answer is C

Explanation

Correct Answer is ["100"]

Explanation

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