The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide? The exercises:

Increase blood flow back to your heart.

Will promote expanding the left lung.

Prevent stiffening and loss of function.

Rebuild the muscle that was removed.

Answer and Explanation

The Correct Answer is C

Choice A reason: Increasing blood flow back to the heart is not the primary reason for performing arm and shoulder exercises after a thoracotomy. While exercise can improve circulation, the main goal of these specific exercises is to maintain mobility and prevent complications related to immobility.

Choice B reason: Promoting the expansion of the left lung is not the primary purpose of arm and shoulder exercises. While deep breathing exercises and the use of an incentive spirometer are crucial for lung expansion and preventing atelectasis, arm and shoulder exercises focus more on maintaining joint and muscle function.

Choice C reason: Preventing stiffening and loss of function is the primary reason for performing arm and shoulder exercises after a thoracotomy. These exercises help maintain the range of motion in the shoulder and arm, prevent joint stiffness, and reduce the risk of muscle atrophy. Postoperative immobility can lead to significant functional impairments, and these exercises are essential for a smooth recovery.

Choice D reason: Rebuilding the muscle that was removed is not accurate in this context. Thoracotomy involves accessing the thoracic cavity, and while muscle tissue may be affected, the primary goal of postoperative exercises is to maintain existing muscle function and prevent stiffness, not to rebuild muscle tissue.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Albuterol is a bronchodilator that helps to open up the airways, making it easier to breathe. It is commonly used in the treatment of acute bronchitis, especially if the patient is experiencing wheezing or shortness of breath. Albuterol works by relaxing the muscles around the airways, which helps to relieve symptoms of bronchospasm.

Choice B reason: Guaifenesin is an expectorant that helps to thin and loosen mucus in the airways, making it easier to cough up and clear out. This can be particularly helpful for a patient with a productive cough and green sputum, as it aids in clearing the respiratory passages. Guaifenesin is often used in the management of acute bronchitis to help alleviate symptoms.

Choice C reason: Methylprednisolone is a corticosteroid that helps to reduce inflammation in the airways. It can be beneficial in severe cases of acute bronchitis where there is significant inflammation and swelling of the bronchial tubes. Corticosteroids like methylprednisolone are used to decrease the inflammatory response and improve breathing.

Choice D reason: Dextromethorphan is a cough suppressant that works by affecting the signals in the brain that trigger the cough reflex. However, in the case of acute bronchitis with a productive cough, suppressing the cough can be counterproductive. The goal is to clear the mucus from the airways, and suppressing the cough can lead to mucus retention and potentially worsen the condition. Therefore, the use of a cough suppressant like dextromethorphan is not recommended in this scenario.

A. Sitting upright B. Semi-Fowler’s C. Supine D. Side-lying

Correct Answer is A

Explanation

Choice A reason:

Sitting upright is the best position for a respiratory assessment. This position allows for optimal lung expansion and makes it easier to auscultate breath sounds accurately. It also helps in observing the client’s breathing pattern and effort.

Choice B reason:

Semi-Fowler’s position, where the head of the bed is elevated to 30-45 degrees, is often used for clients with respiratory issues to promote lung expansion and reduce the risk of aspiration. However, it is not as effective as the sitting upright position for a thorough respiratory assessment.

Choice C reason:

The supine position, where the client lies flat on their back, is not ideal for a respiratory assessment. This position can limit lung expansion and make it more difficult to hear breath sounds clearly.

Choice D reason:

The side-lying position is also not suitable for a respiratory assessment. This position can cause uneven lung expansion and make it challenging to assess both lungs accurately.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide? The exercises:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?

Correct Answer is D

Explanation

The nurse is performing a physical assessment on the respiratory system. Although the client is currently confined to bed, they have the strength and ability to move and reposition themselves. The nurse instructs the client to assume which position for the assessment?

Correct Answer is A

Explanation

The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide? The exercises:

The client diagnosed with pneumonia asks the nurse, “Why did my physician order chest physiotherapy (CPT) for me?” Which response by the nurse is most accurate? Chest physiotherapy will:

A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?

Which of the following is a characteristic of a Venturi mask?

The client has right lower lobe pneumonia with a non-productive cough. Which intervention is the nurse’s priority?

The nurse must administer 1600 mL of total parenteral nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest tenth, do not use trailing zeros, use a leading zero if it applies)

The nurse is reviewing the history of a client admitted with newly diagnosed chronic bronchitis. Which question by the nurse confirms this diagnosis?

The experienced nurse understands that the student nurse may require additional instruction regarding proper respiratory assessment techniques when the nurse observes the student: (SELECT ALL THAT APPLY)