A Nurse Assesses a Client After an Open Lung Biopsy

question 8

Multiple Choice

A nurse assesses a client after an open lung biopsy.Which assessment finding is matched with the correct intervention?

• A) Client states he is dizzy.- Nurse applies oxygen and pulse oximetry.
• B) Client's heart rate is 55 beats/min.- Nurse withholds pain medication.
• C) Client has reduced breath sounds.- Nurse calls physician immediately.
• D) Client's respiratory rate is 18 breaths/min.- Nurse decreases oxygen flow rate.

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Definitions:

Depression

A psychiatric condition characterized by an ongoing low mood or a decrease in pleasure in tasks, severely affecting life on a day-to-day basis.

Anxiety

A feeling of worry, nervousness, or unease about something with an uncertain outcome, often accompanied by physical symptoms.

Dissociation

Process whereby different facets of an individual’s sense of self, memories, or consciousness become split off from one another.

Catatonic

A behavioral syndrome marked by an inability to move normally, which can include motor immobility and excessive motor activity.