A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?

"Your doctor is a great surgeon. You will be fine."

"You may feel scared. Let's talk about what you are afraid of."

"I understand your fears. I was a smoker also."

"Don't worry. The important thing is you have now quit smoking."

Answer and Explanation

The Correct Answer is B

This response is empathetic and therapeutic, as it acknowledges the client's feelings and invites her to express her concerns. It also shows respect and interest in the client's perspective.

a) This response is false reassurance and nontherapeutic, as it dismisses the client's feelings and implies

that the surgery will solve everything.

b) This response is self-disclosure and nontherapeutic, as it shifts the focus from the client to the nurse and

does not address the client's fears.

d) This response is minimizing and nontherapeutic, as it tells the client how to feel and does not acknowledge the client's regret or anxiety.

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Free Nursing Study Resources

Correct Answer is ["100"]

Explanation

To calculate the infusion rate, use the formula:

mL/hr = (volume of solution in mL / time of infusion in hr) x 60 min/hr

Plug in the given values:

mL/hr = (50 mL / 0.5 hr) x 60 min/hr

Simplify and solve:

mL/hr = 100 x 60 min/hr

mL/hr = 100 mL/hr

Round to the nearest whole number and add a leading zero if needed:

mL/hr = 100 mL/hr

A. "I take this medication once a day in the evening." B. "I rinse my mouth after taking this medication." C. "I use a spacer device when I inhale this medication." D. "I take this medication when I get an asthma attack."

Correct Answer is A

Explanation

Montelukast is an oral leukotriene receptor antagonist that prevents inﬂammation and bronchoconstriction in asthma. It is taken once daily in the evening to prevent nocturnal symptoms and improve morning lung function.

"I rinse my mouth after taking this medication." This is not necessary, as montelukast is not associated with oral thrush or dysgeusia, unlike some inhaled corticosteroids.
"I use a spacer device when I inhale this medication." This is not applicable, as montelukast is not an inhaler, but a tablet or chewable form.
"I take this medication when I get an asthma attack." This is not appropriate, as montelukast is not a rescue medication, but a maintenance medication that should be taken regularly to prevent asthma exacerbations. A short-acting beta2 agonist such as albuterol should be used for acute relief of symptoms.

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A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["100"]

Explanation

A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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