A female client is anticipating a visit with her parents over the Thanksgiving holidays. She has recently begun experiencing periods of extreme shortness of breath, which her physician has labeled as panic attacks. Which of the following statements by the nurse would enhance therapeutic communication?

• A."Why do you feel this way?"
• B."Tell me about your dislike for your parents."
• C."Don't worry, everything will be all right on your visit with your parents."
• D."Perhaps you and I can discover what produces your anxiety."

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A client is having a pneumonectomy done today, and the nurse is planning her postoperative care. Nursing interventions for a postoperative left pneumonectomy would include:

• A.Monitoring the chest tubes
• B.Positioning the client on the right side
• C.Positioning the client in semi-Fowler position with a pillow under the shoulder and back
• D.Monitoring the right lung for an increase in rales

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A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

• A.Smoke low-tar, filtered cigarettes
• B.Smoke cigars instead
• C.Smoke only right after meals
• D.Chew gum instead

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When teaching a class of nursing students, the nurse asks why the embryonic period (weeks 4-8) of pregnancy is so critical.

• A.Duplication of genetic information takes place.
• B.Organogenesis occurs.
• C.Subcutaneous fat builds up steadily.
• D.Kidneys begin to secrete urine.

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In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

• A.First trimester
• B.Second trimester
• C.Third trimester
• D.Every trimester

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