Mr. Jones is undergoing an open lung biopsy in the morning, and the nurse is educating the patient regarding the postoperative period. Which of the following statements should be included in the education?

"You will be discharged home immediately following the procedure."

"You will not need any supplemental oxygen."

"You most likely will have a chest tube inserted to allow your lung to re-expand."

"You will need to collect a sputum specimen."

Answer and Explanation

The Correct Answer is C

A. Discharge immediately following an open lung biopsy is unlikely. The patient will need observation post-procedure for complications such as bleeding, infection, or pneumothorax, and it usually requires a stay in the hospital for monitoring.
B. It is unlikely that supplemental oxygen will not be needed following an open lung biopsy. The patient may require oxygen post-procedure due to potential respiratory compromise, such as atelectasis or pneumothorax.
C. A chest tube is commonly inserted after an open lung biopsy to allow the lung to re-expand and to drain air or fluid that may accumulate in the pleural space. This is a standard part of the postoperative care for this procedure.
D. Collecting a sputum specimen is not typically necessary immediately after an open lung biopsy. The focus will be on monitoring the patient’s respiratory status, ensuring proper lung expansion, and preventing complications like pneumothorax or bleeding.

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Correct Answer is D

Explanation

A. Blood glucose levels are not directly affected by desmopressin, as it is used to treat diabetes insipidus, which is related to antidiuretic hormone (ADH) deficiency, not glucose metabolism.
B. A serum sodium level of 146 mEq/L is slightly elevated and may indicate dehydration, which is common in diabetes insipidus if not well controlled. Desmopressin should help lower the sodium level by reducing the excessive urine output.
C. Blood urea nitrogen (BUN) is typically used to assess kidney function and hydration status, but it is not a primary indicator of the effectiveness of desmopressin in treating diabetes insipidus.
D. A urine specific gravity of 1.015 is within the normal range and indicates more concentrated urine, which is a therapeutic effect of desmopressin. The medication helps the kidneys retain water, leading to more concentrated urine, and improving symptoms of diabetes insipidus.

A. Encourage the client to ambulate frequently. B. Encourage coughing and deep breathing. C. Encourage regular use of the incentive spirometer. D. Encourage the client to increase fluid intake.

Correct Answer is D

Explanation

A. Ambulating frequently helps with overall circulation and lung expansion but does not directly affect the thinning of respiratory secretions.
B. Coughing and deep breathing help clear secretions but are not effective for thinning them.
C. The incentive spirometer is used to improve lung expansion and prevent atelectasis, but it does not directly thin secretions.
D. Increasing fluid intake helps thin respiratory secretions by providing hydration, which makes mucus easier to clear from the respiratory tract.

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Mr. Jones is undergoing an open lung biopsy in the morning, and the nurse is educating the patient regarding the postoperative period. Which of the following statements should be included in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which of the following laboratory findings indicate a therapeutic effect of the medication?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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