A patient diagnosed with lung carcinoma is scheduled for a left pneumonectomy.

Which nursing intervention should be prioritized in the immediate postoperative period?

Application of anti-embolism stockings.

Use of the incentive spirometer.

Assessment of the chest tube and pleur-evac.

Repositioning the patient in bed.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While the application of anti-embolism stockings can be beneficial in preventing deep vein thrombosis in postoperative patients, it is not the most prioritized nursing intervention in the immediate postoperative period for a patient who has undergone a left pneumonectomy. The immediate postoperative period after a pneumonectomy is critical for monitoring and managing potential complications such as respiratory distress, hemorrhage, and bronchopleural fistula.
Choice B rationale
The use of the incentive spirometer is an important nursing intervention for postoperative patients to promote lung expansion and prevent atelectasis. However, in the immediate postoperative period following a pneumonectomy, the priority is to monitor for complications and ensure the stability of the patient.
Choice C rationale
Assessment of the chest tube and pleur-evac is the most prioritized nursing intervention in the immediate postoperative period for a patient who has undergone a left pneumonectomy. After a pneumonectomy, a chest tube is placed to drain air, blood, and fluid from the pleural space to allow the remaining lung to re-expand. It is crucial to monitor the chest tube system for proper functioning and to assess for complications such as excessive bleeding, infection, or pneumothorax.
Choice D rationale
Repositioning the patient in bed is a standard nursing intervention in postoperative care to enhance comfort, promote lung expansion, and prevent complications such as pressure ulcers and deep vein thrombosis. However, it is not the most prioritized intervention in the immediate postoperative period following a pneumonectomy, where monitoring for respiratory complications and ensuring the stability of the patient are paramount.

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Correct Answer is B

Explanation

Choice A rationale
While immunosuppressive drug therapy can facilitate organ rejection, it is not directly related to the development of chronic rhinosinusitis in patients who have undergone organ transplants.
Choice B rationale
Immunosuppressive drug therapy can indeed contribute to chronic rhinosinusitis. Patients who have undergone organ transplants are often on long-term immunosuppressive therapy to prevent organ rejection. This can make them more susceptible to infections, including chronic rhinosinusitis.
Choice C rationale
Chronic rhinosinusitis does not typically damage the transplanted organ. It primarily affects the sinuses and nasal passages.
Choice D rationale
All of the above is not the correct answer because Choices A and C are not accurate in the context of chronic rhinosinusitis in patients who have undergone organ transplants.

Correct Answer is ["10"]

Explanation

Step 1 is to determine the amount of cefaclor in each milliliter of the oral suspension. This is done by dividing the total amount of cefaclor in the suspension (250 mg) by the total volume of the suspension (5 mL). So, 250 mg ÷ 5 mL = 50 mg/mL.

Step 2 is to calculate the volume of the suspension that contains the prescribed dose of cefaclor (500 mg). This is done by dividing the prescribed dose by the amount of cefaclor in each milliliter of the suspension. So, 500 mg ÷ 50 mg/mL = 10 mL. Therefore, the nurse should administer 10 mL of the cefaclor oral suspension per dose.

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A patient diagnosed with lung carcinoma is scheduled for a left pneumonectomy. Which nursing intervention should be prioritized in the immediate postoperative period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has recently been diagnosed with chronic rhinosinusitis. What should the nurse understand about chronic rhinosinusitis in patients who have undergone organ transplants?

Correct Answer is B

Explanation

A nurse is preparing to administer cefaclor 500 mg PO every 12 hours. If the available cefaclor oral suspension is 250 mg/5 mL, how many mL should the nurse administer per dose?

Correct Answer is ["10"]

Explanation

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A patient diagnosed with lung carcinoma is scheduled for a left pneumonectomy.

Which nursing intervention should be prioritized in the immediate postoperative period?