Ch. 23 Prep U- Med surg 2 #2

question

The ICU nurse caring for a 2-year-old near drowning victim monitors for what possible complication?
answer

Acute respiratory distress syndrome
question

A client with suspected severe acute respiratory syndrome (SARS) comes to the emergency department. Which physician order should the nurse implement first?
answer

Institute isolation precautions.
question

A nurse is administering a purified protein derivative (PPD) test to a client. Which statement concerning PPD testing is true?
answer

A positive reaction indicates that the client has been exposed to the disease.
question

A nurse is caring for a patient diagnosed with empyema. Which of the following interventions does a nurse implement for patients with empyema?
answer

Encourage breathing exercises.
question

You are caring for a client status post lung resection. When assessing your client you find that the bubbling in the water-seal chamber for the chest tubes is more than you expected. What should you check when bubbling in the water-seal chamber is excessive?
answer

See if there are leaks in the system.
question

What is the reason for chest tubes after thoracic surgery?
answer

Draining secretions, air, and blood from the thoracic cavity is necessary.
question

Which of the following is a true statement regarding severe acute respiratory syndrome (SARS)?
answer

It is the most contagious during the second week of illness
question

You are caring for a client who has just been diagnosed with lung cancer. What is a cardinal sign of lung cancer?
answer

Mucopurulent sputum
question

A nurse is caring for a client with chest trauma. Which nursing diagnosis takes the highest priority?
answer

Impaired gas exchange
question

A nurse reading a chart notes that the patient had a Mantoux skin test result with no induration and a 1-mm area of ecchymosis. How does the nurse interpret this result?
answer

Negative
question

You are an occupational nurse completing routine assessments on the employees where you work. What might be revealed by a chest radiograph for a client with occupational lung diseases?
answer

Fibrotic changes in lungs
question

What dietary recommendations should a nurse provide a patient with a lung abscess?
answer

A diet rich in protein
question

Resistance to one of the first-line antituberculotic agents in people who have not had previous treatment is
answer

primary drug resistance.
question

Which vitamin is usually administered with isoniazid (INH) to prevent INH-associated peripheral neuropathy?
answer

Vitamin B6
question

The nurse knows the mortality rate is high in lung cancer clients due to which factor?
answer

Few early symptoms
question

After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against tuberculosis. The client’s daughter asks the nurse how long the drug must be taken. What is the usual duration of prophylactic isoniazid therapy?
answer

6 to 12 months
question

A nurse is assessing a client who comes to the clinic for care. Which findings in this client suggest bacterial pneumonia?
answer

Dyspnea and wheezing
question

Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery?
answer

Record the observation
question

A client has been hospitalized for treatment of acute bacterial pneumonia. Which outcome indicates an improvement in the client’s condition?
answer

The client has a partial pressure of arterial oxygen (PaO2) value of 90 mm Hg or higher
question

A 65-year-old client who works construction, and has been demolishing an older building,is diagnosed with pneumoconiosis. The nurse is aware that his lung inflammation is most likely caused by exposure to which of the following?
answer

Asbestos
question

A client who has just had a triple-lumen catheter placed in his right subclavian vein complains of chest pain and shortness of breath. His blood pressure is decreased from baseline and, on auscultation of his chest, the nurse notes unequal breath sounds. A chest X-ray is immediately ordered by the physician. What diagnosis should the nurse suspect?
answer

Pneumothorax
question

A nurse is caring for a client who is at high risk for developing pneumonia. Which intervention should the nurse include on the client’s care plan?
answer

Using strict hand hygiene

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