The nurse is caring for a patient with lung metastases who just underwent a mediastinotomy. What should be the focus of the nurse's postprocedure care?
A) Assisting with pulmonary function testing (PFT)
B) Maintaining the patient's chest tube
C) Administering oral suction as needed
D) Performing chest physiotherapy
Ans: B
Feedback:
Chest tube drainage is required after mediastinotomy. PFT, chest physiotherapy, and oral suctioning would all be contraindicated because of the patient's unstable health status.
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A nurse is preparing to administer an anxiolytic agent via intramuscular injection. Which of the following would be most important for the nurse to keep in mind? Select all that apply
A) The client should be monitored closely for 3 hours postinjection. B) Intramuscular injection should be given in chronic states. C) The client should remain in a lying position for about 30 minutes. D) The drug should be administered into a large muscle mass. E) The client should be kept conscious for at least 1 hour after administration.
The nurse is caring for four patients at risk for suicide. Which patient would benefit most from tertiary prevention of suicide?
1. The patient who presents to the primary care clinic for an annual wellness exam 2. The patient who presents to the local urgent care expressing hopelessness 3. The patient who presents to the emergency department after surviving a suicide attempt 4. The patient who presents to the outpatient clinic who has survived a previous suicide attempt
Which of the following statements about bulimia nervosa is not true?
1. A bulimic might eat a half gallon of ice cream in one afternoon. 2. A bulimic might use medications such as ipecac, laxatives, and diuretics to control weight. 3. Bulimia can be effectively treated with antipsychotic medications in most cases. 4. Bulimia can result in health problems such as seizures, arrhythmias, tooth decay, and esophageal damage. ANS: 3
A patient who is of Greek Orthodox heritage is a new widow. What will the patient do after the death of her spouse?
1. Wear black and remain in mourning for the remainder of her life. 2. Hire a professional mourner to cry for the deceased. 3. Wash the body and prepare it for the wake. 4. Pray the Rosary aloud as part of the burial ritual.