Author Question: A nurse is caring for a 73-year-old woman who just arrived on the medical surgical floor following a ... (Read 53 times)

karateprodigy · **on:** Jul 23, 2018

A nurse is caring for a 73-year-old woman who just arrived on the medical surgical floor following a radical mastectomy for breast cancer. The nurse will encourage the patient to cough and breathe deeply to help prevent what?

A) Atelectasis
B) Asthma
C) Bronchiectasis
D) Sinusitis

Question 2

The nurse anticipates a reduced dosage due to cultural differences when caring for patients from what cultural groups? (Select all that apply.)

A) Arab Americans
B) Asian Americans
C) African Americans
D) White American
E) Native American

jomama · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Atelectasis most commonly occurs as a result of airway blockage, which prevents air from entering the alveoli, keeping the lung expanded. This occurs when a mucous plug, edema of the bronchioles, or a collection of pus or secretions occludes the airway and prevents the movement of air. Patients may experience atelectasis after surgery, when the effects of anesthesia, pain, and decreased coughing reflexes can lead to a decreased tidal volume and accumulation of secretions in the lower airways. Asthma, bronchiectasis, and sinusitis are not directly related to surgery but instead result from other conditions.

Answer to Question 2

A, B
Feedback:
Because of differences in liver enzyme functioning among Arab Americans and Asian Americans, patients in these ethnic groups may not metabolize antiseizure agents in the same way as patients in other ethnic groups. They may require not only lower doses to achieve the same therapeutic effects but also frequent dose adjustment. Nothing indicates a need to alter dosage for African Americans, Whites, or Native Americans.