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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a client scheduled for removal of the pituitary gland. The nurse should be particularly alert for:

Correct Answer: D

Rationale: Oliguria may indicate diabetes insipidus, a common complication after pituitary surgery due to antidiuretic hormone deficiency.

Question 2 of 5

To ensure safety while administering a nitroglycerine patch, the nurse should:

Correct Answer: A

Rationale: Gloves prevent the nurse from absorbing nitroglycerin, avoiding side effects.

Question 3 of 5

A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included in the plan?

Correct Answer: A

Rationale: Closed chest drainage is used post-lobectomy to remove air and fluid from the pleural space, promoting lung re-expansion.

Question 4 of 5

A client with terminal lung cancer is admitted to the unit. A family member asks the nurse, 'How much longer will it be?' Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: This response acknowledges the family's concern, provides an honest answer, and opens the conversation to address their specific worries, promoting therapeutic communication.

Question 5 of 5

The nurse is preparing to discharge a client who is taking an MAOI. The nurse should instruct the client to:

Correct Answer: B

Rationale: MAOIs interact dangerously with OTC cold and hayfever medications containing sympathomimetics, risking hypertensive crisis.

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