A patient with lung cancer confides in the nurse, expressing fear about the disease and guilt for smoking in the past. Which response from the nurse would be most appropriate?

“Don’t be too hard on yourself. It’s uncertain if your smoking led to the cancer.”.

“It’s normal to feel scared. What aspects of cancer frighten you the most?”

“Do you feel guilty because you used to smoke?”

“Fear is a normal reaction. We are here to support you through this.”. .

Answer and Explanation

The Correct Answer is B

Choice A rationale
While it’s important to reassure the patient, saying “It’s uncertain if your smoking led to the cancer” might be misleading. Smoking is a major risk factor for lung cancer, but it’s also true that not everyone who smokes gets lung cancer, and not everyone who gets lung cancer has smoked.
Choice B rationale
This response validates the patient’s feelings and opens up a dialogue about their specific fears. It allows the nurse to provide targeted education and reassurance.
Choice C rationale
Asking “Do you feel guilty because you used to smoke?” might make the patient feel more guilty or judged. It’s better to provide support and understanding.
Choice D rationale
While it’s true that fear is a normal reaction and that the healthcare team is there to support the patient, this response doesn’t address the patient’s specific concerns or feelings of guilt.

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Correct Answer is A

Explanation

Choice A rationale
Offering high-protein and high-carbohydrate foods frequently is an important intervention for a client who has acute respiratory distress syndrome (ARDS)4. These nutrients can provide the energy needed for the increased metabolic demands of ARDS and support the healing process.
Choice B rationale
Administering low-flow oxygen continuously via nasal cannula is not typically the main treatment for ARDS5. ARDS is a severe condition that often requires high levels of supplemental oxygen delivered through methods that can provide higher concentrations of oxygen than a nasal cannula.
Choice C rationale
Encouraging oral intake of at least 3,000 mL of fluids per day is not a typical intervention for a client with ARDS4. While adequate hydration is important, too much fluid can worsen lung function in clients with ARDS4. Fluid management in ARDS is typically carefully controlled and may involve diuretics to remove excess fluid.
Choice D rationale
Repositioning and placing the client in a prone position is not a typical intervention for all clients with ARDS4. While some clients with severe ARDS may benefit from prone positioning, this is not a standard intervention for all clients with ARDS4.

A. “You probably never fully recovered from your first cold, so the virus reactivated in your body.”. B. “You just have to keep in mind that the cold season will end when the weather warms up outside.”. C. “The cold is a virus that is spread by a person two days before they experience any symptoms.”. D. “If you are this sensitive to colds, you should probably wear a mask out in public.”.

Correct Answer is C

Explanation

Choice A rationale
While it’s possible for a virus to reactivate in the body, this is not typically the case with the common cold. The common cold is a viral infection primarily in the nose, with most people recovering in seven to ten days.
Choice B rationale
While it’s true that cold season tends to end as the weather warms up, this doesn’t address the patient’s concern about their repeated colds. It’s important to note that colds are caused by viruses, which can be spread year-round, although they are more common in the colder months.
Choice C rationale
This is the correct answer. The common cold is indeed a virus that can be spread by a person two days before they experience any symptoms. This means that people can spread the virus before they know they’re sick, which can make it difficult to avoid catching a cold.
Choice D rationale
While wearing a mask can help prevent the spread of viruses, it’s not typically necessary for someone who is simply sensitive to colds. Masks are more commonly recommended for people who are already sick to prevent them from spreading the virus, or for people who are at high risk of serious complications from the cold.

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A patient with lung cancer confides in the nurse, expressing fear about the disease and guilt for smoking in the past. Which response from the nurse would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A patient reports that they avoid being around sick people, however, they have experienced repeated colds over the past several weeks. A nurse should respond to the patient’s concern by providing which of the following teaching?

Correct Answer is C

Explanation

A nurse is part of a Continuous Quality Improvement (CQI) committee tasked with developing a program to decrease medication administration errors following a sentinel event. Which strategy should the committee consider implementing first?

In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.

A patient diagnosed with a pulmonary embolism is receiving a continuous Heparin infusion. Which findings should prompt the nurse to notify the healthcare provider?

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD). Which precaution should the nurse prioritize when administering nasal oxygen therapy to the client?

A nurse is reviewing the arterial blood gas (ABG) results for a patient diagnosed with progressive Chronic Obstructive Pulmonary Disease (COPD). Which ABG results should the nurse expect for a patient with progressive COPD?

What condition is the patient most likely experiencing, what two actions should the nurse take to address that condition, and what two parameters should the nurse monitor to assess the patient’s progress?

A nurse is working with a colleague who frequently interrupts and dominates during patient care discussions. The nurse wants to address this behavior assertively to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

A nurse is developing a plan of care for a patient on a ventilator, to prevent ventilator-associated pneumonia. The nurse recognizes that which of the following interventions should be included? Select all that apply.