A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?
Pulmonary function studies
A sternal incision
Moderate pain
A chest tube
The Correct Answer is D
Choice A reason:
While pulmonary function studies are an important part of the preoperative assessment and postoperative follow-up for lung cancer patients, they are not typically something a patient would be immediately prepared for post-lobectomy. These studies are usually scheduled for a later date to assess the impact of the surgery on lung function.
Choice B reason:
A sternal incision is not commonly associated with a lobectomy, which involves an incision in the chest wall, not the sternum. Sternal incisions are more often related to procedures that require access to the heart or the central chest area, such as open-heart surgery.
Choice C reason:
Moderate pain is expected after any major surgical procedure, including a lobectomy. However, pain management is a standard part of postoperative care, and patients are typically informed about pain control measures rather than being prepared to expect pain as a postoperative event.
Choice D reason:
The placement of a chest tube is a standard part of care following a lobectomy. The chest tube allows for drainage of fluid and air from the pleural space, ensuring proper lung expansion and preventing complications such as pneumothorax. Patients should be educated about the chest tube's purpose, care, and the sensations they may experience while the tube is in place.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
While GERD (gastroesophageal reflux disease) can be exacerbated by hormone therapy due to its potential effect on the lower esophageal sphincter, it is not typically a contraindication for HT unless the GERD is severe and not well controlled with treatment.
Choice B reason:
A history of breast cancer is a contraindication for hormone therapy. Estrogen can stimulate the growth of hormone receptor-positive breast cancers, and therefore, HT is not recommended for individuals with a current or past history of breast cancer.
Choice C reason:
COPD (chronic obstructive pulmonary disease) is not a contraindication for HT. While patients with COPD may have other comorbidities that could affect the safety of HT, COPD alone does not preclude the use of hormone therapy.
Choice D reason:
Dermatitis, or inflammation of the skin, is not a contraindication for HT. Skin conditions are not typically affected by hormone therapy, and HT may sometimes be beneficial for skin health during menopause.
Correct Answer is B
Explanation
Choice A reason:
While autoimmune disorders are associated with type 1 diabetes, where the immune system attacks the pancreas, they are not typically a direct risk factor for type 2 diabetes. Type 2 diabetes is more closely related to lifestyle factors and insulin resistance.
Choice B reason:
A 40-year-old client with hypoglycemia may be at risk for developing type 2 diabetes. Hypoglycemia can be a sign of pre-diabetes or insulin resistance, where the body's response to insulin is not as effective, leading to fluctuations in blood sugar levels. As individuals age, their risk for type 2 diabetes increases, particularly if they have other risk factors such as a sedentary lifestyle, overweight, or a family history of diabetes.
Choice C reason:
Lack of sleep can contribute to the development of type 2 diabetes by affecting the body's ability to regulate glucose and by increasing insulin resistance. However, without additional risk factors, it is not as strong a predictor of type 2 diabetes as the presence of hypoglycemia or other metabolic conditions.
Choice D reason:
Having never given birth is not a recognized risk factor for type 2 diabetes. While gestational diabetes is a risk factor for developing type 2 diabetes later in life, the absence of pregnancy does not increase the risk.
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