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Browse Latest MCQ Questions
Browse through thousands of multiple-choice question quizzes and expand your knowledge! MCQs are a great way to prepare for your incoming exams!
Lung Cancer
The client diagnosed with oat cell carcinoma of the lung tells the nurse, “I am so tired of all this. I might as
well just end it all.” Which therapeutic response would be most appropriate by the nurse?
ExplanationCorrect answer A
A therapeutic response encourages the client to verbalize feelings. Option 2 and 3 requires yes/no answers, which do not encourage verbalizations. Option 4 is advising the client.
Lung Cancer
The client is admitted to the outpatient surgery center for a bronchoscopy to rule out cancer of the lung.
Which information should the nurse provide to the client?
ExplanationCorrect answer D
The HCP will insert a fiber-optic tube through the mouth (not the groin) into the client’s lungs to obtain a biopsy of suspicious tissue. Clients have nothing by mouth prior to the procedure and are sedated throughout the procedure so there is no discomfort.
Lung Cancer
The client is 4 hours post right pneumonectomy for cancer of the lung. Which assessment data warrant
immediate intervention by the nurse?
ExplanationCorrect answer C
This is a very high pain level;therefore, the nurse should rule out complications and then administer pain medication. Option 1 is an adequate output because of the fluid shift occurring as a result of trauma to the body. The nurse should encourage the client to turn, and the right side has
no lung to have lung sounds.
Lung Cancer
The nurse in a clinic is completing a client admission interview. Which statement by the client warrants further investigation?
ExplanationCorrect answer D
Coughing up blood, especially in the mornings, should be investigated because it is a sign of lung cancer. Using the nicotine patch, likink the taste of tobacco, and having siblings who smoke would not warrant further investigation.
Lung Cancer
The client diagnosed with lung cancer is discharged. Which statement made by the client
indicates that discharge teaching is effective?
ExplanationCorrect answer A
Research indicates the smoking will interfere with the client’s response to treatment. The oncologist should be asked questions regarding cancer treatment and prognosis. The client should report any fever, not expect it. There is no indication that death is imminent.
Lung Cancer
The client diagnosed with lung cancer has been placed on experimental IV antineoplastic medication.
Which priority intervention should the nurse implement when administering the medication?
ExplanationCorrect answer B
In order to receive experimental medication, the client must sign an informed consent document stating an understanding of the possible reactions to the medication. Discussing an advance directive, obtaining an IV pump, and including significant others are plausible interventions, but not priority interventions.
Lung Cancer
The nurse and a UAP are caring for a group of clients on a medical unit. Which information provided by
the UAP warrants immediate intervention by the nurse?
ExplanationCorrect answer C
This client is receiving medications that can decrease the ability to fight infection; therefore, the low-grade fever should be investigated,by the nurse. A small amount of blood on the tissue of a client with lung cancer, the orthopneic positionin a client with emphysema, and indigestion in a client receiving steroids would not warrant immediate intervention by the nurse.
Lung Cancer
The nurse is discussing lung cancer with a group of individuals in the community. Which information should
the nurse teach the group?
ExplanationCorrect answer B
Most lung cancers are directly related to the incidence of cigarette smoking. The longer the time and the greater the number of cigarette smoked, the greater the risk for developing lung cancer. Young people are at risk if they choose to smoke. Lung cancer is the primary cause of cancer deaths of both sexes in the United States.
Lung Cancer
The nurse writes a problem of “anticipatory grieving” for a client diagnosed with metastatic cancer of the lung. Which interventions should be included in the plan of care for this problem? Select all that apply.
ExplanationCorrect answer B
The nurse should take time with the client and family to help them cope with the grieving process. Preparing an advance directive helps the family and HCP know the client’s wishes.Oxygen administration and assessing lung sounds are not appropriate for grieving. The client is not in respiratory isolation.
Lung Cancer
The nurse is taking the social history from a client diagnosed with small-cell carcinoma of the lung. Which
information is significant for this disease?
ExplanationCorrect answer D
Smoking is the primary risk factor for developing cancer of the lung, with risk increasing with the amount of use and length of time the client smoked. Asbestos is significant for mesothelioma, not small-cell carcinoma. Family history and tattoos are not risk factors for lung cancer.
Chronic Obstructive Pulmonary Disease (COPD)
The client diagnosed with end-stage COPD has a pulse oximeter reading of 91%. Which intervention
should the nurse implement?
ExplanationCorrect answer A
The client with end-stage COPD would be expected to have a low oxygen level—less than 93% indicates a low oxygen level—even as low as 80%. The nurse should document the oxygen level in the client’s chart.
Chronic Obstructive Pulmonary Disease (COPD)
The elderly client with COPD is admitted to the medical unit. The client’s level of consciousness is altered and the vital signs are P 118, R 28, BP 176/96. Which arterial blood gases (ABGs) results would the nurse
expect?
ExplanationCorrect answerA
: The client would be in respiratory acidosis with a low oxygen level. Normal pH is 7.35–7.45; a pH of 7.28 indicates acidosis. A PaCO2 of 56 (normal is 35–45) indicates a respiratory problem,and a low oxygen level—PaO2 of 76 (normal is 80–100)—is associated with confusion. The HCO3 of 29 (normal is 22–26) indicates the body’s attempt to compensate.
Chronic Obstructive Pulmonary Disease (COPD)
The nurse is assessing the client diagnosed with “blacklung.” Which intervention should the nurse delegate to the UAP?
ExplanationCorrect answer B
Black-streaked sputum is a classic sign of coal workers’ pneumoconiosis (black lung). All clients’ sputum should be assessed for color and amount. The UAP can deliver a specimen cup to the client; the nurse must instruct the client and evaluate the specimen.
Chronic Obstructive Pulmonary Disease (COPD)
Which statement made by the client diagnosed with COPD indicates to the clinic nurse that teaching has
been effective?
ExplanationCorrect answer B
The client should receive the flu vaccine annually prior to the winter flu season. Pneumonia vaccines are recommended every 5–6 years. The client should stop smoking. A pulmonologist, not an endocrinologist, cares for a client with COPD.
Chronic Obstructive Pulmonary Disease (COPD)
The home health-care nurse is providing care for a client diagnosed with COPD. Which instruction should
the nurse teach the client?
ExplanationCorrect answer B
An incentive spirometer will assist the client to expand the lungs and improve breathing. White sputum is normal for a client with COPD. The client should elevate the HOB or may need to use two
or more pillows. Fluid intake is not limited.
Chronic Obstructive Pulmonary Disease (COPD)
The nurse and an unlicensed assistant personnel (UAP) are caring for clients on a medical unit. Which
nursing task should the nurse delegate to the UAP?
ExplanationCorrect answer C
The UAP can obtain the specimen and take it to the lab for analysis. The UAP cannot care for a client who is unstable. The UAP cannot teach or evaluate the specimen. Referrals are made by the nurse.
Chronic Obstructive Pulmonary Disease (COPD)
The nurse is evaluating the care provided to a client diagnosed with COPD. Which client outcome indicates
the plan of care is effective?
ExplanationCorrect answer C
Ambulating without dyspnea indicates the plan of care is effective. Klebsiella is a bacterium that causes some types of pneumonia. Cyanosis (option 2) does not indicate effective care. Establishing goals does not indicate the care is effective.
Chronic Obstructive Pulmonary Disease (COPD)
The nurse is caring for a client diagnosed with COPD. Which assessment data requires the nurse to intervene?
ExplanationCorrect answer D
Rusty-colored sputum indicates the presence of an infection and the nurse should inter-
vene by notifying the HCP and obtaining cultures. Oxygen at 3 LPM during ambulation is appropriate; it
is decreased when the client is at rest. Use of accessory muscles and barrel chest and dyspnea are characteristic of COPD.
Chronic Obstructive Pulmonary Disease (COPD)
The nurse is admitting the client diagnosed with an acute exacerbation of end-stage COPD. The client has a
dusky color, is dyspneic, and has a respiration rate of 36. Which intervention should the nurse implement first?
ExplanationCorrect answer C
The client should be assisted into a high sitting position, which helps increase lung expansion. Some clients find it easier sitting on the side of the bed leaning over the bed table in a three-point stance. Oxygen will be applied as soon as possible but at 2 LPM, not 10 LPM, because of the client’s hypoxic drive. Because the client with COPD has become adapted to a low oxygen level, the client will be supplied oxygen at a lower level—2 LPM—than what would be expected based on the amount of carbon dioxide in the blood.
Chronic Obstructive Pulmonary Disease (COPD)
The nurse is teaching a class at a local community center. Which information is the most important fact
to discuss with the clients regarding the prevention of chronic obstructive pulmonary disease (COPD)?
ExplanationCorrect answer A
When the client stops smoking, the lungs will begin to repair themselves. Some clients who do not smoke but have familial asthma or occupational exposure to irritants can still have forms of COPD. Many medications will be more effective without the presence of the chemicals in cigarette
smoke.
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Patrick Farrellyabout 2 months ago
