A client with suspected lung cancer is scheduled for thoracentesis as part of the diagnostic workup. The nurse reviews the client's history for conditions that might contraindicate this procedure. Which condition is a contraindication for thoracentesis?

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Question 1 of 5

A client with suspected lung cancer is scheduled for thoracentesis as part of the diagnostic workup. The nurse reviews the client's history for conditions that might contraindicate this procedure. Which condition is a contraindication for thoracentesis?

Correct Answer: D

Rationale: A bleeding disorder is a contraindication for thoracentesis because the procedure involves inserting a needle through the chest wall into the pleural space to drain fluid. Individuals with a bleeding disorder are at an increased risk of bleeding complications during and after the procedure. It is important to ensure adequate clotting function before performing a thoracentesis to prevent excessive bleeding. If a client has a bleeding disorder, alternative diagnostic methods may need to be considered to minimize the risks associated with the procedure.

Question 2 of 5

In pediatric rhabdomyosarcoma, stages are dependent on primary site whether favorable or unfavorable. Which of the following sites of involvement is considered unfavorable?

Correct Answer: D

Rationale: Paranasal sinuses are considered unfavorable sites in rhabdomyosarcoma staging.

Question 3 of 5

A child is brought to your clinic for a routine exam. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely:

Correct Answer: C

Rationale: At 3 years, children typically have the ability to dress with assistance, ride a tricycle, know their age, and speak in short sentences. Copying a square usually occurs later, around 4 years of age.

Question 4 of 5

The BEST statement describing the implication of a 6-month-old boy 'transferring object to hand' is

Correct Answer: A

Rationale: Transferring objects between hands indicates developing visuomotor coordination.

Question 5 of 5

The nurse is caring for a patient with HIV who has diarrhea. Which of the following would be most therapeutic to teach the patient to avoid in the diet to reduce diarrhea?

Correct Answer: C

Rationale: Patients with HIV who have diarrhea should avoid consuming raw fruits and vegetables. Raw fruits and vegetables can be more difficult for the digestive system to break down, potentially worsening diarrhea. It is recommended to opt for cooked fruits and vegetables instead as they are easier to digest and less likely to irritate the gut. This can help reduce the frequency and severity of diarrhea in patients with HIV.

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