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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason:

Administering oxygen per the prescriber’s order to keep SpO2 greater than 96% is not typically recommended for clients with chronic bronchitis. High levels of oxygen can suppress the respiratory drive in clients with chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis. The target SpO2 for these clients is usually between 88% and 92%.

Choice B reason:

Placing the patient in the Sims position is not the most effective position for airway clearance. The Fowler’s or semi-Fowler’s position is generally preferred as it promotes better lung expansion and facilitates easier breathing.

Choice C reason:

Assessing the client’s use of a peak expiratory flow rate meter is important for monitoring the severity of bronchospasm and airflow obstruction. However, it is not a direct intervention for improving gas exchange.

Choice D reason:

Assisting with coughing and deep breathing at least every 2 hours while awake is an effective intervention for clients with chronic bronchitis. This helps to mobilize secretions, improve ventilation, and enhance gas exchange. Regular coughing and deep breathing exercises can prevent atelectasis and reduce the risk of respiratory infections.

A. Liver function studies. B. White blood cells (WBCs). C. Coagulation studies. D. Red blood cells (RBCs).

Correct Answer is A

Explanation

Clients on tuberculosis (TB) medications, particularly those on isoniazid, rifampin, and pyrazinamide, are at risk for hepatotoxicity. Therefore, regular monitoring of liver function tests (LFTs) is crucial to detect any liver damage early and adjust treatment as necessary.

Choice A reason:

Liver function studies are essential for clients on TB medications. Drugs like isoniazid, rifampin, and pyrazinamide can cause liver toxicity. Monitoring liver enzymes such as ALT (alanine aminotransferase) and AST (aspartate aminotransferase) helps in early detection of hepatotoxicity, allowing for timely intervention to prevent severe liver damage. Regular LFTs ensure that any adverse effects on the liver are identified and managed promptly.

Choice B reason:

White blood cells (WBCs) are not typically monitored monthly for clients on TB medications. While WBC counts can be affected by various conditions and treatments, they are not specifically indicative of the side effects of TB medications. Monitoring WBCs might be necessary if there are signs of infection or other hematologic issues, but it is not a standard monthly requirement for TB treatment.

Choice C reason:

Coagulation studies are not routinely required for clients on TB medications. These tests are more relevant for patients on anticoagulant therapy or those with bleeding disorders. TB medications do not typically affect coagulation parameters, so regular monitoring of coagulation studies is not necessary unless there is a specific clinical indication.

Choice D reason:

Red blood cells (RBCs) are also not typically monitored monthly for clients on TB medications. While anemia can occur in TB patients, it is not a direct side effect of the medications used to treat TB. Monitoring RBCs might be necessary if there are symptoms of anemia or other hematologic concerns, but it is not a standard part of monthly TB treatment monitoring.

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 has applied a client problem of ineffective gas exchange for a client diagnosed with chronic bronchitis. Which intervention would the nurse include in the plan of care?

Correct Answer is D

Explanation

The nurse is aware that the client who is prescribed medications for tuberculosis should have which laboratory test(s) assessed monthly?

Correct Answer is A

Explanation

The nurse is assessing the client and notes fine crackles throughout the lungs bilaterally. This assessment finding is often associated with:

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)

The nurse is changing a client’s abdominal dressing and notes a separation of the incision line. The underlying tissue is protruding from the wound. The nurse should plan to do which of the following in the initial care of this wound?

A client is admitted with hypovolemia due to severe bleeding. Which IV fluid does the nurse anticipate using to replace fluid losses?

In the operating room, an 82-year-old client tells the circulating nurse that cataract surgery is to be performed on the left eye. The nurse notes that the consent form indicates the right eye. What is the nurse’s best action?

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?

The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:

The nurse recognizes that the primary physiologic problem affecting clients with emphysema is: