Chapter 32--Lower Airway Dysfunction: Nursing Management

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Chapter 32--Lower Airway Dysfunction: Nursing Management MULTIPLE CHOICE 1. The nurse is reviewing clients for risk factors in the development of pneumonia. Which of the following clients would ... be at the highest risk for developing this disorder? 1. A 48-year-old client experiencing menopause 2. An 18-year-old client with abdominal pain 3. A 23-year-old client diagnosed with sickle-cell anemia and a cough 4. A 3-year-old client with fever PTS: 1 DIF: Analyze REF: Box 32-1 High-Risk Indicators for Acquiring Pneumonia 2. A client diagnosed with chronic obstructive pulmonary disease is experiencing pneumonia. The nurse applies oxygen at 2 L/min via nasal cannula. When the nurse leaves the room, a family member increases the oxygen to 5 L. Which complication may occur? 1. Angina 2. Apnea 3. Metabolic acidosis 4. Respiratory alkalosis PTS: 1 DIF: Analyze REF: Safety First: Oxygen Therapy 3. The nurse has a positive PPD during the last testing cycle for tuberculosis. Which of the following is indicated for this nurse? 1. Nothing 2. Chest x-rays every 2 months 3. Pharmacological treatment 4. Admission for inpatient treatment PTS: 1 DIF: Apply REF: Tuberculosis: Pathophysiology 4. A client undergoes a purified protein derivative (PPD) test. The test should be read: 1. immediately after the test. 2. 24 to 48 hours after the test. 3. 48 to 72 hours after the test. 4. anytime after 72 hours. PTS: 1 DIF: Apply REF: Tuberculosis: Diagnostic Tests 5. The nurse is instructing a client on ways to reduce the transmission of tuberculosis. Which of the following should be included in these instructions? 1. The disease is transmitted by inhaling droplets exhaled by an infected person. 2. The disease is transmitted by not fully cooking foods. 3. The disease is transmitted by not washing hands. 4. The disease is transmitted by sexual contact. PTS: 1 DIF: Apply REF: Tuberculosis: Patient and Family Teaching 6. A client receiving oral medications for the treatment of tuberculosis develops hepatitis. Which of the following medications would be indicated for the client at this time? 1. Ethambutol 2. Isoniazid 3. Rifampin 4. Streptomycin PTS: 1 DIF: Apply REF: Tuberculosis: Pharmacology 7. The spouse of a client diagnosed with tuberculosis is to begin isoniazid prophylactic therapy. Which of the following should the nurse instruct the spouse regarding length of time to take this medication? The medication should be taken for: 1. 10 to 24 days. 2. 1 to 3 months. 3. 4 to 7 months. 4. 6 to 12 months. PTS: 1 DIF: Apply REF: Table 32-4 Treatment Regimens and Nursing Considerations for Tuberculosis 8. A client diagnosed with a lung abscess is being prescribed antibiotic therapy. Which of the following medications would be indicated if this client has a history of penicillin allergy? 1. Metronidazole 2. Clindamycin 3. Ampicillin 4. Steroid PTS: 1 DIF: Analyze REF: Lung Abscess: Pharmacology 9. A client diagnosed with a hemothorax has had a chest tube inserted and attached to a portable water-seal drainage system. Which of the following interventions would be inappropriate for this client? 1. Clamp the tubing when ambulating. 2. Date and mark the amount of drainage in the collection chamber every shift. 3. Monitor the suction chamber for continuous bubbling. 4. Watch the water-seal chamber for fluctuation. PTS: 1 DIF: Apply REF: Pneumothorax: Planning and Implementation 10. A client’s chest tube has been accidentally dislodged while the client was being transferred from the bed to a stretcher. Which of the following should the nurse do to help this client? 1. Cover the site with occlusive petroleum jelly gauze and tape to four sides. 2. Cover the site with occlusive petroleum jelly gauze and tape to three sides. 3. Cover the site with occlusive petroleum jelly gauze and tape to two sides. 4. Cover the site with occlusive petroleum jelly gauze and tape to one side. PTS: 1 DIF: Apply REF: Red Flag: Ensuring Chest Tube Connections 11. A client is diagnosed with fractured ribs. Which of the following should the nurse instruct this client? 1. Engage in routine activities of daily living after taking pain medication. 2. Splint the rib cage when deep breathing and coughing. 3. Restrict fluids. 4. Stay on bed rest until the ribs heal. PTS: 1 DIF: Apply REF: Fractured Rib: Planning and Implementation; Patient and Family Teaching 12. A client is prescribed a diuretic for treatment of pulmonary hypertension. Which of the following should the nurse instruct the client regarding this medication? 1. This medication expands the blood vessels. 2. This medication causes smooth muscle relaxation to reduce pulmonary engorgement. 3. This medication reduces the amount of water in the body. 4. This medication keeps the blood from clotting. PTS: 1 DIF: Apply REF: Pulmonary Arterial Hypertension: Pharmacology 13. The nurse is assessing a client experiencing manifestations of cor pulmonale. Which of the following will the nurse most likely assess in this client? 1. Low blood pressure 2. Low heart rate 3. Hoarseness 4. Lumbar pain PTS: 1 DIF: Apply REF: Cor Pulmonale: Assessment with Clinical Manifestations MULTIPLE RESPONSE 1. The nurse is caring for a client diagnosed with pneumonia. Which of the following signs and symptoms would the nurse most likely assess in this client? (Select all that apply.) 1. Abdominal pain 2. Anorexia 3. Cough 4. Dyspnea 5. Fever 6. Frequent wiping of the nose PTS: 1 DIF: Apply REF: Pneumonia: Assessment with Clinical Manifestations 2. The nurse is planning to administer the pneumococcus vaccination to a client. Which of the following would indicate that a client is a candidate for this vaccination? (Select all that apply.) 1. Age 70 2. Age 55 3. Diagnosis of heart failure 4. Recovering from knee replacement surgery 5. Diagnosis of asthma 6. Recovering from an appendectomy PTS: 1 DIF: Analyze REF: Pneumonia: Pharmacology 3. The nurse is planning care for a client diagnosed with bronchiolectasis. Which of the following would be goals for this client’s care? (Select all that apply.) 1. Treat the infection. 2. Reduce the heart rate. 3. Minimize further damage. 4. Improve urine output. 5. Promote breathing. 6. Remove secretions. PTS: 1 DIF: Apply REF: Bronchiolectasis: Planning and Implementation 4. The nurse, planning care for a client diagnosed with a pneumothorax, identifies which types of pneumothorax? (Select all that apply.) 1. Spontaneous 2. Radical 3. Traumatic 4. Incomplete 5. Iatrogenic 6. Tension PTS: 1 DIF: Analyze REF: Pneumothorax: Etiology 5. Which of these instructions are for a client diagnosed with a pneumothorax? (Select all that apply.) 1. Remove air from the pleural space. 2. Correct acid-base imbalances. 3. Treat infection. 4. Minimize damage. 5. Reexpand the lung. 6. Improve fluid balance. PTS: 1 DIF: Apply REF: Pneumothorax: Planning and Implementation [Show More]

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