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Medical-Surgical Respiratory questions with correct answers respectively.
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Medical-Surgical Respiratory questions with correct answers respectively.
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Medical-Surgical Respiratory questionswith correct answers respectively.
A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The
client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements
should the nurse make?
a. after the surgeon removes the lung you will not need to cough
b. It will make sure you get a cough suppressant to keep you from straining the incision when you cough
c. don't worry; you will have a pump that delivers pain medication as you need it, so you will have very
little pain
d. i will show you how to splint your incision while coughing ANS - d. "I will show you how to splint your
incision while coughing."
Explanation:
a and b. Will need to cough to clear secretions from remaining lung
c. pain medicaiton reduces pain to tolerable level; however doesn't necessarily keep the client pain
freed; additionally telling the client not to worry is a communication barrier that provide false hope
d. splinting while coughing, will still allow the patient to clear secretions from remaining lung; and allow
them to splint the incision and reduce pain while coughing
A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the
following findings indicates that the nurse should suction the clients airway secretions?
a. client is unable to speak
, b. client's airway secretions were last suctioned 2 hrs ago
c. client's coughs and expectorates a large mucous plug
d. nurse asuculates coarse crackles in lung fields ANS - d. The client has coarse crackles in the lung
fields.
Explanation:
a. they will not be able to speak
b. should assess every 2 hrs and then suction as necessary
c. productive cough is good sign, suction only when client is not able to cough and expectorate
secretions
d. coarse crackles or ronchi identify a moist cough, hear or see secretions in trachesostomy tube and
then suction the client's airway secretions
A nurse is assisting with discharge teaching for a client who is postoperative following a rhinoplasty.
Which of the following instructions should the nurse include?
a. apply warm compresses to the face
b. take aspirin 650 mg by mouth for mild pain
c. close mouth when sneezing
d. lie on your back with head elevated 30 degree when resting ANS - d. lie on back with your head
elevated 30 degrees when resting
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