Problem 2
A client with lung cancer is six hours post-surgical lobectomy procedure. The nurse assesses \(260 \mathrm{~mL}\) bloody chest tube drainage for the past hour. What is the most appropriate initial action? A. Elevate the head of the bed. B. Increase the IV fluid rate. C. Assess the wound dressing for drainage. D. Notify the doctor of the assessment finding.
Problem 3
The nurse assesses a respiratory rate of 10 on a client with cancer who has just received a hydromorphone hydrochloride (Dilaudid) injection. Which drug should the nurse be prepared to administer? A. Naloxone (Narcan) B. Flumazenil (Romazicon) C. Benztropine (Cogentin) D. Meperidine (Demerol)
Problem 4
The nurse is performing discharge teaching on a client with lung cancer who is to receive external radiation treatment to the chest area. Which statement by the client indicates a need for further teaching? A. "I can wash the area gently with mild soap and water." B. "I should expose the area radiated to the sun three times a day." C. "I should wear soft clothing over the area." D. "I should dry the area with patting motions rather than rubbing it."
Problem 10
Which is a correct guideline for performance of self breast exams (SBE) in a 22year-old female client? A. Perform the SBE monthly one week after the menstrual cycle. B. SBE should be done two weeks after the menstrual cycle. C. Perform the SBE on the same day of the month. It doesn't matter which day. D. The breast exam should be performed when the breasts are tender and/or swollen.
Problem 14
The nurse is caring for a client with lung cancer. The nurse recognizes which type of lung cancer as fast-growing with spread usually occurring before a diagnosis is made? A. Small cell B. Non-small cell C. Epidermoid carcinoma D. Adenocarcinoma