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Exam (elaborations)

Lung & Prostate Cancer & Bph Questions With Correct Answers

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LUNG & PROSTATE CANCER & BPH QUESTIONS WITH CORRECT ANSWERS

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6. The nurse will plan to teach the patient scheduled for photovaporization of the
prostate (PVP)
that urine will appear bloody for several days.
how to care for an indwelling urinary catheter.
that symptom improvement takes 2 to 3 weeks.
about complications associated with urethral stenting.


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how to care for an indwelling urinary catheter.




A patient with a pleural effusion is scheduled for a thoracentesis. Which action should
the nurse take to prepare the patient for the procedure?
Start a peripheral IV line to administer sedatives.
Position the patient sitting up on the side of the bed.
Obtain a collection device to hold 3 liters of pleural fluid.
Remind the patient not to eat or drink anything for 6 hours.

,Give this one a try later!


Position the patient sitting up on the side of the bed.
When the patient is sitting up, fluid accumulates in the pleural space at the
lung bases and can more easily be located and removed. The patient does
not usually require sedation for the procedure, and there are no restrictions
on oral intake because the patient is not sedated or unconscious. Usually
only 1000 to 1200 mL of pleural fluid is removed at one time. Rapid removal
of a large volume can result in hypotension, hypoxemia, or pulmonary
edema.




23. After a transurethral resection of the prostate (TURP), a 64-yr-old patient with
continuous bladder irrigation complains of painful bladder spasms. The nurse
observes clots in the urine. Which action should the nurse take first?
Increase the flow rate of the bladder irrigation.
Administer the prescribed IV morphine sulfate.
Give the patient the prescribed belladonna and opium suppository.
Manually instill and then withdraw 50 mL of saline into the catheter.


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Manually instill and then withdraw 50 mL of saline into the catheter.




A patient develops neutropenia after receiving chemotherapy. Which information
about ways to prevent infection will the nurse include in the teaching plan (select all
that apply)?
1. Cook food thoroughly before eating.
2. Choose low fiber, low residue foods.
3. Avoid public transportation such as buses.
4. Use rectal suppositories if needed for constipation.
5. Talk to the oncologist before having any dental work.


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, 1. Cook food thoroughly before eating.

3. Avoid public transportation such as buses.

5. Talk to the oncologist before having any dental work.




A nurse assesses a client after a thoracentesis. Which assessment finding warrants
immediate action?
a. The client rates pain as a 5/10 at the site of the procedure.
b. A small amount of drainage from the site is noted.
c. Pulse oximetry is 93% on 2 liters of oxygen.
d. The trachea is deviated toward the opposite side of the neck.


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ANS: D
A deviated trachea is a manifestation of a tension pneumothorax, which is a
medical emergency. The other findings are normal or near normal.




16. The following patients call the outpatient clinic. Which phone call should the nurse
return first?
A 44-yr-old patient who has bloody discharge after a hysteroscopy earlier today
A 64-yr-old patient who is experiencing shoulder pain after a laparoscopy yesterday
A 34-yr-old patient who is short of breath after having a pelvic CT with contrast dye
A 54-yr-old patient who has severe breast tenderness following a needle aspiration
breast biopsy


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A 34-yr-old patient who is short of breath after having a pelvic CT with
contrast dye

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