A client is undergoing lung reduction surgery. What is the nurse's highest priority preoperatively?

a. Administer medications.
b. Discuss the possibility of ventilator de-pendency.
c. Teach how to cough and deep breathe.
d. Teach about preoperative testing.


D
In addition to standard preoperative testing, the client who will undergo lung reduction surgery is tested to determine the location of greatest lung hyperinflation and poorest lung blood flow. These tests include pulmonary plethysmography, gas dilution, and perfusion scans. The other interventions are lower priorities.

Nursing

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The disease process most commonly associated with a low hemoglobin value is

a. Anemia b. Congestive heart failure c. Osteoporosis d. Renal failure

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A client is experiencing a severe panic attack. Which nursing intervention would meet this client's physiological need?

1. Teach deep breathing relaxation exercises. 2. Place the client in a Trendelenburg position. 3. Have the client breathe into a paper bag. 4. Administer the ordered prn buspirone (BuSpar).

Nursing

On admission to the ER, the patient with a compression fracture at C5 can move only his head and has flaccid paralysis of all extremities. The distraught family asks if the paralysis is permanent. The nurse's best response would be:

1. "Yes. In all likelihood, the paralysis is probably permanent." 2. "No. There should be marked recovery of function in a few days." 3. "It is too early to tell. When spinal shock subsides, we will know more." 4. "You should talk to your doctor about things of that nature."

Nursing

A client has been taught about lifestyle changes to help manage newly diagnosed diabetes mellitus type 2 . Which statement by the client indicates good understanding?

a. "Weight gain may lead to type 1 diabetes and I would need insulin." b. "I may not need to take medications if my weight is maintained." c. "I do not have to check my blood glucose if my weight is in the proper range." d. "My vision and foot pain may go away if I lose some weight."

Nursing