Author Question: The nurse is caring for a client who is undergoing diagnostic tests to rule out lung cancer. The ... (Read 114 times)

Zulu123 · **on:** Jun 25, 2018

The nurse is caring for a client who is undergoing diagnostic tests to rule out lung cancer. The client asks the nurse why a computed tomography (CT) scan was ordered. What is the best response by the nurse?

A) The doctor prefers this test.
B) To rule out the possibility that your problems are caused by pneumonia.
C) It is more specific in diagnosing your condition.
D) Why are you concerned about this test?

Question 2

An older school-age child is brought to the emergency department after a car accident. The parents witness and stare at the resuscitation scene unfolding before them. The child is not responding to the resuscitative efforts after 30 minutes.

Which is the best communication strategy for the nurse to use in this situation?
A) Ask the parents whether they would like resuscitative efforts to be continued at this point.
B) Ask the parents to stand at the foot of the cart to watch.
C) Inform the parents that resuscitative efforts have not been effective and are not beneficial to the child.
D) Ask the parents to leave until the child has stabilized.

C.mcnichol98 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Computed tomography (CT) is used to evaluate and localize tumors, particularly tumors in the lung parenchyma and pleura. It also is done before needle biopsy to localize the tumor. In addition, CT scanning can detect distant tumor metastasis and evaluate tumor response to treatment. A chest x-ray can be used to diagnose pneumonia. The client's question is valid and should not be minimized by asking why the client is having concerns about the test.

Answer to Question 2

Answer: C

Care must be used in how the parents are asked to withdraw therapies. An effective communication strategy is to inform the parents that an intervention was initiated to give the child the best chance of recovery, but it has not been effective and is not beneficial to the child. When asking to withhold therapy such as cardiopulmonary resuscitation, it is helpful to indicate that the therapy is not effective in reversing overwhelming illness or brain damage. All other interventions mentioned are not effective communication strategies in this situation.