exam
A patient returns from surgery with a tracheostomy tube after a total laryngectomy and radical neck
dissection. What is the priority nursing action in caring for the patient during the first 24 hours following
surgery?
A. Manage the airway.
B. Assess for bleeding around the stoma.
C. Clean the inner cannula every 8 hours.
D. Avoid changing the tracheostomy ties
ANSWER
- A. Manage the airway
The nurse explains manifestations of lung cancer occur late in the disease but usually the first thing
people notice is which of the following?
A. Fatigue.
B. Chest pain.
C. Persistent cough.
D. Shortness of breath
ANSWER
- C. Persistent cough
The nurse assesses fluctuations (tidaling) in the water seal chamber of a patient's closed chest drainage
system. The nurse understands this evaluation most likely means which of the following?
A. The tubing is kinked.
B. An air leak is present.
, C. The lung has re-expanded.
D. The system is functioning properly ANSWER
- D. The system is functioning properly
The medical-surgical nurse is providing care for a patient admitted with lung cancer with metastasis to
the vertebrae. Which intervention should be included in the patient's plan of care?
A. Use caution when repositioning in bed.
B. Encourage aggressive physical therapy.
C. Limit fluids to one to two liters per day.
D. Avoid administering narcotic analgesics ANSWER
- A. Use caution when repositioning in bed
The nurse is admitting a patient diagnosed with terminal liver cancer to the medical surgical unit. When
completing the admission history and physical, which of the following manifestations would the nurse
expect to note? SELECT ALL THAT APPLY.
A. Jaundice.
B. Chest pain.
C. Weight loss.
D. Abdominal ascites.
E. Visual disturbances -
ANSWER
A. Jaundice
C. Weight loss.
D. Abdominal ascites
The patient with cancer is scheduled for induction therapy. The patient asks the nurse what this means.
The best response by the nurse should include information?