What evaluation would help Mr. Jones control his chest pain on inspiration?

Correct Answer: C

Rationale: The correct answer is C) Encourage him to lie on his affected side. This option is correct because positioning can play a crucial role in reducing chest pain on inspiration in conditions like pleurisy or pericarditis. By lying on the affected side, Mr. Jones can potentially alleviate the pressure on the inflamed area, thus reducing pain. Option A) Evaluate the intensity and quality of his pain is incorrect because assessing pain alone does not directly address the underlying cause or provide immediate relief. Option B) Explain the cause of his pain is incorrect as knowing the cause is important for long-term management but may not provide immediate relief for chest pain on inspiration. Option D) Reassure him that the pain will subside is incorrect because while reassurance is important, it does not provide a practical intervention to help control the pain in the moment. In an educational context, understanding how positioning can impact certain types of chest pain is crucial for nurses and healthcare providers to effectively manage and alleviate symptoms in patients like Mr. Jones. By choosing the correct intervention, healthcare professionals can improve patient comfort and outcomes.

Correct Answer: C

Rationale: In the context of preparing a patient like Mr. Jackson for a chest tube insertion, option C) teaching him to splint his chest wall is the most appropriate choice. Splinting the chest wall can help reduce pain and discomfort during the procedure by stabilizing the chest wall and minimizing movement, which is crucial for successful chest tube insertion. This education empowers the patient to actively participate in their care and promotes a sense of control and comfort during a potentially distressing procedure. Option A) explaining the etiology of his condition may be important for overall patient education and understanding, but it might not directly help Mr. Jackson prepare for the chest tube insertion procedure at that moment. Option B) asking if he has any questions about the insertion procedure is a good practice for patient-centered care, but it does not actively involve Mr. Jackson in a practical way to physically prepare for the procedure. Option D) reassuring him that the procedure is painless, although well-intentioned, may not be entirely accurate as chest tube insertion can be uncomfortable. Providing realistic expectations and practical strategies like splinting the chest wall would be more beneficial in this situation.

Correct Answer: A

Rationale: In the context of pharmacology and medical-surgical nursing, understanding the potential complications of tracheal suctioning is crucial for safe and effective patient care. The correct answer is A) Acute hypoxemia. Tracheal suctioning is a common procedure to remove secretions from the airway. However, it can lead to a temporary decrease in oxygen levels due to the interruption of airflow during the suctioning process. This can result in acute hypoxemia, which is a serious complication that can compromise oxygen delivery to tissues and organs, leading to potential respiratory distress and further complications. Option B) Gastric dilatation is incorrect because tracheal suctioning is not directly related to the gastrointestinal system and would not typically cause gastric dilatation. Option C) Hypervolemic shock is incorrect as tracheal suctioning does not involve a significant loss of blood volume or fluid to cause hypervolemic shock. Option D) Epiglottitis is incorrect as this condition is typically caused by infection and inflammation of the epiglottis, not by tracheal suctioning. Educationally, this question highlights the importance of understanding the potential complications of common nursing procedures like tracheal suctioning and the need for vigilant monitoring of patients undergoing such interventions to ensure prompt identification and management of any adverse events that may arise.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Teach him pursed-lip breathing. Pursed-lip breathing is a technique that helps improve breathing efficiency by reducing airway collapse during exhalation, maintaining positive pressure in the airways, and promoting oxygenation. This technique is particularly beneficial for patients with respiratory conditions like COPD, as it helps control breathing rate, decrease shortness of breath, and improve oxygen exchange. Option A) Encouraging coughing and deep breathing may be helpful in some situations to clear secretions and promote lung expansion, but it does not specifically address Mr. Puff's breathing pattern issue. Option B) Providing nasal O₂ at 6 L/min may improve oxygenation but does not directly address the breathing pattern concern. Option C) Sitting him in a chair may help with comfort and lung expansion but does not target the specific breathing pattern concern. Educationally, understanding and teaching patients techniques like pursed-lip breathing is crucial for nurses in managing respiratory issues effectively. By selecting the correct answer, nurses can improve patient outcomes, enhance comfort, and promote optimal respiratory function.

Correct Answer: D

Rationale: In the case of Mr. Puff, who is likely being discharged with specific dietary needs, the most appropriate diet option is D) Soft, with small frequent feedings. This choice is correct because Mr. Puff may have undergone a medical or surgical procedure that requires a soft diet to aid in easier digestion and prevent complications. Small, frequent feedings can also help prevent discomfort and promote better nutrient absorption in such cases. Option A) Low-calorie, low-sodium is incorrect because there is no indication in the scenario provided that Mr. Puff needs a low-calorie diet. Option B) Regular, with an increase in milk and milk products, is incorrect as increasing dairy may not align with Mr. Puff's specific dietary needs or restrictions. Option C) Regular, with an increase in onions, peas, and cabbage, is incorrect as these foods may be difficult for Mr. Puff to digest if he requires a soft diet. Educationally, understanding the rationale behind dietary recommendations for patients post-medical or surgical interventions is crucial for nursing students and healthcare professionals. It highlights the importance of tailoring diets to individual patient needs based on their condition, treatment, and recovery process to support optimal health outcomes.