Lung Cancer Evolve Case Study Questions with Correct Answers 100% Verified|
Guaranteed Success
What is the next priority action for the nurse at this time?
a. Call the Rapid Response Team.
b. Administer an antipyretic for the fever.
c. Recheck client's vital signs.
d. Elevate the head of the bed to 30 degrees. a. Call the Rapid Response Team.
This client is demonstrating symptoms of hemodynamic instability. The Rapid Response Team
(RRT) can intervene in an attempt to prevent a cardio-pulmonary arrest.Kwong, M., Harding, D.,
Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-Surgical Nursing. (11th edition). St.
Louis, Missouri. Elsevier. Pg. 1533.
The oncologist arrives to replace the central line. The left central line is removed after placing a
new line in the right subclavian for continued IV access. A culture of the central line site is done
and a course of ceftriaxone is prescribed. Chemotherapy is suspended until client's infection is
resolved.The prescription for ceftriaxone is 1 gram IVPB every 12 hours. The medicine is
supplied as a powder in 500 mg vials. The directions state, add 4.8 mL of diluent for a resulting
concentration of 100 mg/mL. Administer by infusion over 30 minutes in a total of 100 mL of
sodium chloride diluent.
Fill in the blank Each vial contains 100 mg/mL after reconstitution, and the prescription requires
1000 mg. How many milliliters (mL) of medication should the nurse draw up after
reconstitution? (Enter numeric value only. If rounding is necessary, round to the whole
number.) 10
At what rate should the medication be infused in mL/hr? (Enter numeric value only. If rounding
is required, round to the whole number.) 200
Preoperative Care: Therapeutic CommunicationClient recovers from his episode and is
discharged. The client is able to finish his course of chemotherapy over the next several weeks.
,Following the completion of chemotherapy, the client is admitted to the acute care center for a
left thoracotomy. The night before the scheduled surgery, the nurse observes that client is
unable to sleep and is moving around restlessly in his bed. The client asks the nurse what if they
don't wake up after surgery?
The nurse suspects which etiologic factor is responsible for both the objective and subjective
assessment data?
Fear.
Grief.
Pain.
Confusion. a. Fear.
Client's restless behavior and verbalization reflect fear.Kwong, M., Harding, D., Roberts, C.,
Reinisch, D., & Hagler, J. (2020). Lewis's Medical-Surgical Nursing. (11th edition). St. Louis,
Missouri. Elsevier. Pg. 263.
What is the best nursing response to client's question?
Tell the client that facing a diagnosis of cancer is frightening.
Inform the client that he can cancel the surgery if he is not ready.
Ask he client why he feels frightened.
Have the client say what makes him feel afraid. d. Have the client say what makes him feel
afraid.
This open-ended statement provides an opportunity for client to further verbalize the cause of
his fear.Kwong, M., Harding, D., Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-
Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 263.Yoost, L., Crawford, B.
(2020). Fundamentals of Nursing. (2nd edition). St. Louis, Missouri. Elsevier. Pg. 45.
Client tells the nurse that they have never had surgery before, but has had a friend who had
surgery and became unconscious and died. During further conversation, the nurse learns that
, client participates in many practices of the American Indian culture, and requests that a shaman
visit them.
Which nursing action is most important to implement at this time?
Notify the surgeon of client's fears.
Inquire more about the process of contacting a shaman.
Notify the social worker of the need to offer support to client.
Consult the policy and procedure manual for guidance. b. Inquire more about the process of
contacting a shaman.
The nurse should make every effort to meet client's request for spiritual support immediately
to reduce his preoperative fear.Kwong, M., Harding, D., Roberts, C., Reinisch, D., & Hagler, J.
(2020). Lewis's Medical-Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 23.
Postoperative Chest Tube ManagementFollowing thoracotomy and left lung lobectomy, client
returns to his room. Two chest tubes are in place, connected to a water-seal drainage system
providing 15 cm of suction. During the initial assessment, the nurse notices that the suction-
control chamber is bubbling continuously.
What intervention should be implemented by the nurse?
a. Decrease the pressure on the suction control knob.
b. Use padded hemostats to clamp the chest tube.
c. Notify the healthcare provider of the assessment finding.
d. Continue to monitor the drainage system regularly. d. Continue to monitor the drainage
system regularly.
The purpose of a water-seal system is to promote a one-way flow of air and fluid out of the
pleural space. Continuous bubbling in the suction-control chamber indicates that the desired
level of suction is correct to promote removal of the air and fluid, so no action is
Guaranteed Success
What is the next priority action for the nurse at this time?
a. Call the Rapid Response Team.
b. Administer an antipyretic for the fever.
c. Recheck client's vital signs.
d. Elevate the head of the bed to 30 degrees. a. Call the Rapid Response Team.
This client is demonstrating symptoms of hemodynamic instability. The Rapid Response Team
(RRT) can intervene in an attempt to prevent a cardio-pulmonary arrest.Kwong, M., Harding, D.,
Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-Surgical Nursing. (11th edition). St.
Louis, Missouri. Elsevier. Pg. 1533.
The oncologist arrives to replace the central line. The left central line is removed after placing a
new line in the right subclavian for continued IV access. A culture of the central line site is done
and a course of ceftriaxone is prescribed. Chemotherapy is suspended until client's infection is
resolved.The prescription for ceftriaxone is 1 gram IVPB every 12 hours. The medicine is
supplied as a powder in 500 mg vials. The directions state, add 4.8 mL of diluent for a resulting
concentration of 100 mg/mL. Administer by infusion over 30 minutes in a total of 100 mL of
sodium chloride diluent.
Fill in the blank Each vial contains 100 mg/mL after reconstitution, and the prescription requires
1000 mg. How many milliliters (mL) of medication should the nurse draw up after
reconstitution? (Enter numeric value only. If rounding is necessary, round to the whole
number.) 10
At what rate should the medication be infused in mL/hr? (Enter numeric value only. If rounding
is required, round to the whole number.) 200
Preoperative Care: Therapeutic CommunicationClient recovers from his episode and is
discharged. The client is able to finish his course of chemotherapy over the next several weeks.
,Following the completion of chemotherapy, the client is admitted to the acute care center for a
left thoracotomy. The night before the scheduled surgery, the nurse observes that client is
unable to sleep and is moving around restlessly in his bed. The client asks the nurse what if they
don't wake up after surgery?
The nurse suspects which etiologic factor is responsible for both the objective and subjective
assessment data?
Fear.
Grief.
Pain.
Confusion. a. Fear.
Client's restless behavior and verbalization reflect fear.Kwong, M., Harding, D., Roberts, C.,
Reinisch, D., & Hagler, J. (2020). Lewis's Medical-Surgical Nursing. (11th edition). St. Louis,
Missouri. Elsevier. Pg. 263.
What is the best nursing response to client's question?
Tell the client that facing a diagnosis of cancer is frightening.
Inform the client that he can cancel the surgery if he is not ready.
Ask he client why he feels frightened.
Have the client say what makes him feel afraid. d. Have the client say what makes him feel
afraid.
This open-ended statement provides an opportunity for client to further verbalize the cause of
his fear.Kwong, M., Harding, D., Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-
Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 263.Yoost, L., Crawford, B.
(2020). Fundamentals of Nursing. (2nd edition). St. Louis, Missouri. Elsevier. Pg. 45.
Client tells the nurse that they have never had surgery before, but has had a friend who had
surgery and became unconscious and died. During further conversation, the nurse learns that
, client participates in many practices of the American Indian culture, and requests that a shaman
visit them.
Which nursing action is most important to implement at this time?
Notify the surgeon of client's fears.
Inquire more about the process of contacting a shaman.
Notify the social worker of the need to offer support to client.
Consult the policy and procedure manual for guidance. b. Inquire more about the process of
contacting a shaman.
The nurse should make every effort to meet client's request for spiritual support immediately
to reduce his preoperative fear.Kwong, M., Harding, D., Roberts, C., Reinisch, D., & Hagler, J.
(2020). Lewis's Medical-Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 23.
Postoperative Chest Tube ManagementFollowing thoracotomy and left lung lobectomy, client
returns to his room. Two chest tubes are in place, connected to a water-seal drainage system
providing 15 cm of suction. During the initial assessment, the nurse notices that the suction-
control chamber is bubbling continuously.
What intervention should be implemented by the nurse?
a. Decrease the pressure on the suction control knob.
b. Use padded hemostats to clamp the chest tube.
c. Notify the healthcare provider of the assessment finding.
d. Continue to monitor the drainage system regularly. d. Continue to monitor the drainage
system regularly.
The purpose of a water-seal system is to promote a one-way flow of air and fluid out of the
pleural space. Continuous bubbling in the suction-control chamber indicates that the desired
level of suction is correct to promote removal of the air and fluid, so no action is
