The nurse is caring for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. Why is a mastectomy patient at risk for pulmonary complications?
a. Breast cancer has often spread to the lungs before diagnosis.
b. Pathogens may have been introduced during the surgical procedure.
c. The chest incision makes the patient hesitant to deep breathe and cough.
d. Mastectomy patients must remain on bedrest for 48 to 72 hours postoperatively.
ANS: C
Patients can have ineffective breathing patterns and difficulty coughing because of pain with chest movement. D. Bedrest is not necessary. B. Pathogens should not be introduced during surgery, and the mastectomy site is not the same as the lungs. A. Breast cancer does not often spread to the lungs before diagnosis.
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A nurse is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen?
A) "Do you prefer to take liquid medications or are you fine with taking pills?" B) "Do you take any herbal supplements or alternative medications?" C) "What effect are you expecting that these medications will have on your health?" D) "Which pharmacy do you use to fill your prescriptions?"
It is important for nurses to be critical thinkers because:
a. All clients are unique and have individual needs and differences b. All nursing actions are based on theoretical knowledge c. Nurses choose their actions primarily by following professional guidelines d. Nurses provide care based on individual client preferences
The school nurse is screening children for scoliosis. Identify the age range that is most at risk for developing the disease
1. 12 year olds 2. 2 year olds 3. 5 year olds 4. 18 year olds
Which of the following statements made by a new graduate nurse regarding the modification of a client's care plan requires immediate follow-up by the nurse's preceptor?
1. "I will review the care plan before I do my charting." 2. "The client prefers to bathe at night, so that's what I'll do." 3. "I gave her a bed bath this morning, but she could really manage showering her-self." 4. "The order reads clear liquids, but I hear good bowel sounds and she's really hungry."