RESPIRATORY 2 2025

Mr. R has a pleural effusion. Doctor plans for active intervention to reduce his problem. The active intervention can be carried out to him are

• Thoracentesis

• refer to physiotherapy

• administer oxygen through nasal cannula based on level of dyspnea

• insert tunneled indwelling pleural catheter with intermittent drainage.

Mr. P was diagnosed with lung adenocarcinoma with dysphagia due to compression of the tumor and unable to swallow the meals. The nursing assessments to carry out by

• serving patients with nourishing fluid

• assessing the patient’s level of appetite

• referring to dieticians for a full dietetic assessment

• assessing malnutrition using Malnutrition Screening Tool (MST).

Madam G had stage IV lung cancer and was depressed due to her condition. Psychosocial support that can be given are

• self-care activity.

• group therapy counseling

• teach relaxation techniques

• isolate the patient to give her space

Mr. F was informed by the doctors regarding his lung cancer disease. Health education that may be given to him are

• eat a well-balanced diet

• encourage him to take beta carotene vitamin.

• able to involve people who smoke without restrictions

• quit smoking reduce symptoms such as cough and shortness of breath.

Madam X had a malignant pleural effusion for 2 weeks and she also had a severe case of dyspnea. The treatment that can be given to her are

• fibrinolytics.

• pleurodesis.

• thoracentesis

• indwelling pleural catheter.

Mr. K had a chest tube inserted on the right side for pleural effusion caused by metastatic cancer. Which of the following actions should the nurse take to ensure proper chest tube care?

• monitoring the fluctuating and bubbling

• Strip the chest tube frequently to promote drainage

• skip the wound dressing since it was not a major operation

• ensure the underwater seal is placed at the flat surface area

Mr. J, a 65-year-old patient with non-small cell lung cancer, has experienced massive hemoptysis. Which of the following are appropriate management in this situation?

• monitor for respiratory distress

• place the patient with the supine position.

• monitor for any increase of blood loss changes

• avoid administering cough suppression with an opioid

Madam L underwent a lobectomy for non-small cell lung cancer. After surgery, she was placed in an upright position with her head elevated to 30–40 degrees. The primary reason for this position is to

• promote venous return and prevent leg edema

• prevent aspiration due to nausea from anesthesia

• reduce postoperative pain and promote wound healing.

• enhance lung expansion and reduce the risk of postoperative respiratory complications

Miss B was diagnosed with Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) developed water retention and hyponatremia. Which of the following nursing interventions are appropriate for managing this condition?

• Monitor intake and output charting

• Do daily weight (same time every day, same clothes, same scale).

• Encourage high fluid intake to promote diuresis

• Monitor serum sodium levels and implement fluid restrictions as prescribed

Bilobectomy is a surgical procedure to remove

• one lung

• a portion of the lung called a lobe

• an area of the lung that includes part of one or more lobes

• two pulmonary lobes on the right side, including the middle lobe