Test Answers on Lung Cancer Hesi Case Study – Flashcards
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Which instructions should the nurse provide to prepare Mr. Preito for the x-ray?
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You will need to remove jewelry, such as neck chains.
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What nursing action should the nurse expect to implement following this procedure?
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Assess for return of the client's gag reflex.
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Which info in Mr. Prieto's hx places him at risk for lung cancer?
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Both of Mr. Preito's parents were heavy cigarette smoker, and his father died of lung cancer
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What action by the rn is most therapeutic?
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Sit quietly w/ the couple and allow them the opportunity to talk
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How would the rn explain the purpose of the cancer staging?
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Staging helps determine the clients prognosis and best treatment.
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The use of which venous access site...
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Subclavian vien
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Which action should the nurse take first?
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Notify the radiology of the need for an x-ray
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The rn obtains these results before initiating fluids to prevent which complication?
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Fluid infiltration
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What rate should the nurse set the IV pump
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200
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The rn recognized that Mr. Prieto is experiencing which condition
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Leukopenia
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Which RN intervention has the highest priority when administering this med.
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Evalate the client's level of pain reg.
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What action should the RN take next
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Connect the previously...
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What action should the RN take next
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Advise the other RN that vigorous cold pack...
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The RN suspects which etiological factor si responsible for both objective and subjective assessment data
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fear
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What is the best RN response to Mr. Prieto's qeustion
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Tell me what makes you feel afraid
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Which RN action is most important to implement at this time.
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Request a visit by the catholic chaplain
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What intervention should b implemented by the RN
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Continue to monitor the drainage system regularly
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What assessment should the nurse perform
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Observe Mr Prieto's respirations.
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What intervention should the nurse implement if constant bubbling occrued
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Inspect he insertion site and tubing to check for air leaks
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Based on this assessment finding, what action si indicated
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Ask him to cough and change positions
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The RN recognizes that, in the Hispanic culture...
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As an important and valued source of support...
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Observing the Prieto family, ...
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Comfort with close proximity to others...
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To act as a client advocate for all the families involved, ...
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Justice
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What action should the RN implement to resolve the lack of space in the family waiting area
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Ask some of the Prieto family to wait in another area..
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What expected outcome has the highest priority...
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Mr. Prieto will not develop impaired skin integrity
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Which instructions should be included int the teaching plan.
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-Gently wash the areas... -Do no apply lotions, creams...
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With which interdisciplinary team member...
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Reg. Dietician
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Which description of hospice care...
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Hospice provides care to person w/ limited life expentancy
