Author Question: Following a visit from his family, the 55-year-old male patient with terminal cancer tearfully says, ... (Read 141 times)

luvbio · **on:** Jun 25, 2018

Following a visit from his family, the 55-year-old male patient with terminal cancer tearfully says, I am so afraid and begins to cry. Which response is most supportive?

a. Would you like to have your pain medication now?
b. Let's talk about the things that make you afraid.
c. Would you like for me to call the hospital chaplain.
d. I will leave to give you some privacy.

Question 2

The nurse is performing an occupational history as part of the respiratory assessment. Which occupation(s) place the patient at increased risk for an occupational lung disorder? (Select all that apply.)

a. A firefighter
b. A cotton gin worker
c. A construction contractor
d. A bartender
e. A landscaper

leeeep · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Verbalizing fears to a caring nurse is comforting. Offering medications, chaplains, and privacy is not helpful or supportive as a first nursing response in this situation.

Answer to Question 2

A, B, C
Firefighters, cotton gin workers, and construction contractors all come into contact with occupa-tional hazards that could increase risks for lung disorders. Coal dust, dust from hemp, flax, and cotton processing, and exposure to silica in the air all can cause work-related lung disorders. As-bestos exposure may cause mesothelioma and scarring of lung tissue. The other exposures cause obstruction of small airways or scarring and loss of elasticity and compliance. A bartender and landscaper are not at increased risk of occupational lung disorders.