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. Administer low-ﬂow oxygen continuously via nasal cannula. B. Oﬀer high-protein and high-carbohydrate foods frequently. C. Place in a prone position. D. Encourage oral intake of at least 3,000 mL of ﬂuids per day.

Correct Answer is C

Explanation

Placing the client in a prone position improves oxygenation and ventilation by reducing lung compression, increasing lung expansion, and redistributing blood ﬂow to better match ventilation.

a) Administering low-ﬂow oxygen via nasal cannula is not sufficient for a client with ARDS, who requires
high levels of oxygenation and positive pressure ventilation to prevent alveolar collapse and hypoxemia.
b) Oﬀering high-protein and high-carbohydrate foods frequently is beneficial for a client with ARDS, as it provides adequate nutrition and energy to support lung healing and prevent muscle wasting. However, it is not the priority intervention for improving respiratory function.
d) Encouraging oral intake of at least 3,000 mL of ﬂuids per day is contraindicated for a client with ARDS, who is at risk of ﬂuid overload and pulmonary edema. Fluid intake should be restricted and diuretics should be administered as prescribed to reduce ﬂuid accumulation in the lungs.

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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 planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

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