NURS 405 Final Exam WITH VERIFIED QUESTIONS AND
ANSWERS 100% A+ SCORE GUARANTEED.
What test is done for definitive diagnosis
Correct answer is lung
... [Show More] biopsy
What is the biggest concern with a Thoracentesis?
Correct answer is spontaneous pneumothorax
Will there be lung sounds with a pneumonectomy
Correct answer is no
What is the primary thing to do if a patient with lung cancer cannot
tolerate surgery?
Correct answer is radiation
What are you worried about what radiation for lung cancer?
Correct answer is skin integrity brittle ribs are so easy to fracture
Primary treatment for small cell lung cancer.
Correct answer is chemotherapy
A patient receiving radiation therapy for lung cancer is having
difficulty sleeping. The nurse should:
A. Suggest that the patient stop drinking coffee until the therapy is
completed
B. Suggest the patient stop watching television before bed
C. Assess the patient's usual sleep patterns, amount of sleep, and
bedtime rituals
D. Tell the patient sleeplessness is expected with radiation therapy
Correct answer is C
The healthcare provider is assessing a patient with a diagnosis of
lung cancer after a left lobectomy. Which of the following
assessments is an early indication the patient has developed
atelectasis? (select all that apply)
A. central cyanosis
B. inspiratory wheezing bilaterally
C. inter-coastal retractions
D. low grade fever
E. decreased breath sounds in the right lung
Correct answer is D AND E
A patient whose lung cancer has metastasized to the bone reports
lethargy, nausea, and vomiting. The healthcare provider monitor
suspects the patient is experiencing hypercalcemia. Which of the
following assessments associated with hypercalcemia would confirm
the healthcare provider's suspicion?
A. Serum calcium level 10mg/dl
B. Decreased deep tendon reflexes
C. Presence of Chvosteck’s sign
D. Abdominal cramps and diarrhea
Correct answer is B
Following surgery for a radial neck dissection for laryngeal cancer,
the priority for nursing care is:
A. Maintaining complete bed rest until post-surgical swelling
decreases
B. Starting a clear liquid diet at 48 hours
C. Taking vital signs once a shift until the patient is stable
D. Suctioning the laryngectomy tube as often as needed
Correct answer is D
The patient has been diagnosed with head and neck cancer. Along
with the treatment for the cancer, what other treatment should the
nurse expect?
A. Epistaxis ballon
B. Gastrostomy tube
C. Application of ice to the neck
D. Nasal packing
Correct answer is B
The patient with which of the following types of lung cancer has the
best prognosis?
A. Small cell
B. Epithelial cell
C. Adenocarcinoma
D. Squamous cell
Correct answer is D
A nurse is caring for a client who has lung cancer and is scheduled
for a lobectomy. The nurse should prepare the client to expect which
of the following after the procedure?
A. A sternal incision
B. Moderate pain
C. Chest tube
D. Pulmonary function tests
Correct answer is C
A nurse is assessing a client who has undergone a left lobectomy to
treat lung cancer. The client tells the nurse that she is scared and
wishes she had never smoked. Which of the following responses
should the nurse make?
A. "Your doctor is a great surgeon. You will be fine"
B. "I understand your fears. I was a smoker also"
C. "It's okay to feel scared. Let's talk about what you are afraid of"
D. "Don't worry. The most important thing is you have now quit
smoking"
Correct answer is C
A nurse is assessing a client who has a long history of smoking and is
suspected of having laryngeal cancer. The nurse should anticipate
that the client will report that her earliest manifestation was
A. hoarseness
B. weight loss
C. dyspnea
D. dysphagia
Correct answer is A
A client has had radical neck dissection due to laryngeal cancer, and
begins to hemorrhage at the incision site. Which actions by the nurse
would be indicated? (Select all that apply)
A. monitor the client's airway
B. remove the dressing from the site
C. apply manual pressure over the site
D. call a rapid response
E. place the client in supine position
Correct answer is A,C and D
What is Calculi?
Correct answer is stones in the urinary tract or kidney
What is Urolithiasis?
Correct answer is calculi that form in the urinary tract or bladder
Nephrolothiasis
Correct answer is calculi that form in the kidneys
Urolithasis and Nephrolithiasis form because of the increase in what
concentrations?
Correct answer is; Calcium oxalate,
Calcium phosphate,
Uric acid
What syndrome may cause an increase in uric acid levels
Correct answer is Tumor Lysis Syndrome
What type of climate can increase the risk of Urinary Tract Calculi
Correct answer is warm climates that cause fluid loss, low urine
volume and increase concentrations.
What type of diet increases the risk of Urinary Tract Calculi
Correct answer is -large amount of protein
Excess amounts of tea and fruit juice, large intake of calcium and
oxalate, low fluid intake, large intake of dietary protein can cause
what?
Correct answer is increased uric acid
Excess amounts of tea and fruit juices can increase what?
Correct answer is urinary oxalate levels
Would you recommend a low or high protein diet?
Correct answer is low
What renal calculi test can be done to look for stones?
Correct answer is KUB
what can you do to check for calcium, uric acid, creatinine, sodium,
pH, and total volume of urine
Correct answer is 24hours urine
What would you need to check for before you do an IVP?
Correct answer is shellfish allergies
Do stones usually cause pain when they are in the kidneys?
Correct answer is no
When do stones start to cause sudden and intense pain?
Correct answer is when they move from the kidneys to the bladder
Signs/Symptoms of kidney stones
Correct answer is;
severe abdominal pain
pain in lower back
fever and chills
What is presented if the stone is in the renal pelvis?
Correct answer is deep ache in the costovertebtral region and
hematuria with pyuria.
Renal colic
Correct answer is pain suddenly becomes acute pain with tenderness
over the costoveretral area with nausea and vomiting [Show Less]