Mr. Jones is undergoing an open lung biopsy in the morning, and the nurse is educating the patient regarding the postoperative period. Which of the following statements should be included in the education?

"You will be discharged home immediately following the procedure."

"You will not need any supplemental oxygen."

"You most likely will have a chest tube inserted to allow your lung to re-expand."

"You will need to collect a sputum specimen."

Answer and Explanation

The Correct Answer is C

A. Discharge immediately following an open lung biopsy is unlikely. The patient will need observation post-procedure for complications such as bleeding, infection, or pneumothorax, and it usually requires a stay in the hospital for monitoring.
B. It is unlikely that supplemental oxygen will not be needed following an open lung biopsy. The patient may require oxygen post-procedure due to potential respiratory compromise, such as atelectasis or pneumothorax.
C. A chest tube is commonly inserted after an open lung biopsy to allow the lung to re-expand and to drain air or fluid that may accumulate in the pleural space. This is a standard part of the postoperative care for this procedure.
D. Collecting a sputum specimen is not typically necessary immediately after an open lung biopsy. The focus will be on monitoring the patient’s respiratory status, ensuring proper lung expansion, and preventing complications like pneumothorax or bleeding.

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Correct Answer is B

Explanation

A. While avoiding infection is important for individuals with Addison's disease due to their weakened immune system, the priority is ensuring proper medication management.
B. Managing lifelong corticosteroid replacement is the most crucial instruction because individuals with Addison's disease have insufficient production of adrenal hormones, particularly cortisol. Without appropriate corticosteroid therapy, they can experience life-threatening adrenal crises.
C. Wearing a Medic-Alert bracelet is a helpful precaution, but it is not as immediately critical as ensuring proper medication management.
D. Practicing stress-management techniques is beneficial, as stress can exacerbate symptoms of Addison's disease, but corticosteroid replacement remains the highest priority.

A. Purple striations B. Tremors C. Hypertension D. Buffalo hump E. Moon face

Correct Answer is ["A","C","D","E"]

Explanation

A. Purple striations: This is correct. One of the characteristic manifestations of Cushing's syndrome is the development of purple or reddish stretch marks (striae) on the skin, which are caused by the weakening of the skin due to excessive cortisol.
B. Tremors: This is not typically a manifestation of Cushing's syndrome. Tremors are more commonly seen in conditions such as hyperthyroidism or neurological disorders, not in Cushing's syndrome.
C. Hypertension: This is correct. Elevated cortisol levels in Cushing's syndrome can lead to fluid retention, sodium retention, and increased blood pressure, resulting in hypertension.
D. Buffalo hump: This is correct. A buffalo hump, or a fatty accumulation on the upper back and neck, is a common feature of Cushing's syndrome. It is caused by the redistribution of fat due to elevated cortisol levels.
E. Moon face: This is correct. "Moon face" refers to the round, puffy face that is a hallmark sign of Cushing's syndrome. The face becomes swollen due to fat accumulation, a result of high cortisol levels.

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Mr. Jones is undergoing an open lung biopsy in the morning, and the nurse is educating the patient regarding the postoperative period. Which of the following statements should be included in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction is highest priority when the nurse is developing a teaching plan for a patient with Addison's disease?

Correct Answer is B

Explanation

A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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