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 C
Explanation
Choice A reason:
Bradycardia, or a heart rate that is slower than normal, is not a common finding in anemia. Anemia typically results in a compensatory increase in heart rate, known as tachycardia, to maintain adequate oxygen delivery to tissues.
Choice B reason:
Diarrhea is not a direct symptom of anemia. While it can be a postoperative complication due to various reasons, such as medication side effects or infections, it is not a symptom associated with anemia resulting from excess blood loss.
Choice C reason:
Fatigue is a hallmark symptom of anemia, regardless of the cause. When anemia is due to excess blood loss, the body's oxygen-carrying capacity is diminished due to the reduced number of red blood cells. This leads to fatigue, as tissues and organs receive less oxygen than is needed for optimal function.
Choice D reason:
Hypertension is not typically associated with anemia. In fact, anemia can sometimes lead to hypotension, or low blood pressure, because of the reduced volume of red blood cells in the circulatory system.
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