CMSRN-Pulmonary Exam; Questions and Answers 100% Pass
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Course
CMSRN
Institution
CMSRN
CMSRN-Pulmonary Exam;Questions and Answers 100%
Pass
while performing a hospital admission assessment, the nurse identifies which of the following
factors that increases the patients risk for TB
ocompromised state
2. pneumonia and SLE
3. refusal of the influenza vaccine during the current f...
CMSRN-Pulmonary Exam;Questions and Answers 100%
Pass
while performing a hospital admission assessment, the nurse identifies which of the following
factors that increases the patients risk for TB
1.immunocompromised state
2. pneumonia and SLE
3. refusal of the influenza vaccine during the current flu season
4. African American race Correct-1. an Immunocompromised state is a risk factor for TB,
normal defense mechanisms are not functioning to combat i nfection.
The nurse is evaluating results of the TB skin test using purified protein derivative. which of
the following patients would the nurse determine to have a positive reaction with a response
of 5mm induration
1. 32 yo who moved from equador last year
2. 30 yo with ESKD
3. 27 yo who use IV drugs
4. 24 yo with active HIV Correct-4. a pt. with HIV has a positive response to PPD with an
induration of 5mm or more.
,CMSRN-Pulmonary Exam;Questions and Answers 100%
Pass
anyone who has moved within the last 5 years from a country with prevalence of TB would
have a positive response with induration 10mm or more. for persons at low risk for TB a
positive response is noted with induration of 15mm or more
a patient recently diagnosed with mild obstructive sleep apnea asks the nurse if he can make
lifestyle changes to improve his condition. which of the following changes does the nurse
identify as contributing to improvement in symptoms
1. daytime napping
2. weight loss
3. use of sedatives at bedtime
4. decrease in activity level Correct-2. weight loss. mild OSA can be improved by weight
loss. sedatives and alcohol should be avoided 3-4 hours before bedtime. Daytime napping and
decreased activity do not have an effect on OSA
a patient expresses frustration to the nurse about the inability to tolerate the mask for her tx
with CPAP. the nurse expects the patient may be more tolerant of BiPAP tx bc
1. lower inspiratory pressure and higher expiratory pressure can be used
2. BiPap provides symptom relief
3. higher inspiratory pressure and lower expiratory pressure can be used
, CMSRN-Pulmonary Exam;Questions and Answers 100%
Pass
4. mean pressure is higher using BiPAP Correct-3. this results in lower mean pressure that
is often tolerated better
in screening a 72 yo to recieve influenza and pneumonia vaccines, the nruse determines both
vaccines are indicated. what would be the correct action by the nurse
1. administer one vaccine and then schedule the other for 3 months later
2. administer both vaccines in the same arm
3. draw up both vaccines in the same syringe for one injection
4. administer each vaccine in a different arm Correct-4. you can wait 1 month in between
james cantrell, age 82 is admitted to the medical unit with a dx of bacterial pneumona.
Treatment is initiated with IV Keflex 400 mg every 12 hours.
The Nurse knows Mr. Cantrell's risk of developing the PNA was increased because admission
assessment revealed he also:
a. is home bound
b. has DM
c. is African american
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