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Questions 148

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Extract:


Question 1 of 5

The nurse is caring for a client who is having surgery the next morning. The client says, 'I'm really scared about surgery. I've never been put to sleep before and I'm afraid I might not wake up.' Which response by the nurse is the most therapeutic?

Correct Answer: C

Rationale: Acknowledging fear as normal and inviting the client to express feelings is therapeutic, fostering trust and emotional support.

Question 2 of 5

The nurse is reviewing the lab results of a client's arterial blood gases. The $\mathrm{PaCO}_2$ indicates effective functioning of the:

Correct Answer: C

Rationale: PaCO2 reflects lung function, as the lungs regulate carbon dioxide levels through ventilation; abnormal levels indicate respiratory issues.

Question 3 of 5

A client has a chest tube in place with a three-chamber chest drainage system. The nurse notes continuous bubbling in the water seal chamber. This indicates which of the following?

Correct Answer: C

Rationale: Continuous bubbling in the water seal chamber indicates a system air leak (
C), such as a loose connection or hole in the tubing. A pneumothorax (
A) may cause intermittent bubbling, adequate suction (
B) is indicated by bubbling in the suction chamber, and incorrect tube positioning (
D) would not typically cause continuous bubbling.

Question 4 of 5

Intra-arterial chemotherapy primarily benefits the client by applying greater concentrations of medication directly to the malignant tumor. An additional benefit of intra-arterial chemotherapy is:

Correct Answer: B

Rationale: Intra-arterial chemotherapy can treat micro-metastases by delivering high drug concentrations to the tumor and surrounding areas.

Question 5 of 5

A client is admitted for an CAT scan. The nurse should question the client regarding:

Correct Answer: A

Rationale: Pregnancy is a contraindication for a CAT scan due to radiation risks to the fetus.

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