A client has a new diagnosis of tuberculosis and has a multi medication regimen. Which of the
following instructions should the nurse give the client related to ethambutol?
A. Your urine can turn dark orange
B. Watch for any change in the sclera of your eye
C. Watch for any changes in vision
D. Take vitamin B6 daily - ANS - C
\A home health nurse is teaching a client who has active tuberculosis and is following a
medication regimen that includes a combination of isoniazid, rifampin, pyrazinamide, and
ethambutol. Which of the following client statements indicate understanding? (Select all that
apply)
A. I can substitute one of my medications for another if they run out because they all fight
infection
B. I will wash my hands each time I cough
C. I will wear a mask when I am in a public area
D. I am glad I don't have to have any more sputum specimens
E. I don't need to worry where I go once I start taking my medications - ANS - B, C
\A nurse at a provider's office is reviewing information with a client scheduled for pulmonary
function tests. Which of the following information should the nurse include?
A. Do not use inhaler medications for 6 hours following the test
B. Do not smoke tobacco for 6-8 hours following the test
C. You will be asked to bear down and hold your breath during the procedure
D. The arterial blood flow to your hand will be evaluated as part of the test - ANS - B
\A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques
should the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - ANS - D
\A nurse in the emergency department is assessing a client who sustained multiple rib fractures
and has flail chest. Which of the following findings should the nurse expect? (Select all that
apply)
A. Bradycardia
B. Cyanosis
C. Hypotension
D. Dyspnea
, E. Paradoxical chest movements - ANS - B, C, D, E
\A nurse in the emergency department is assessing a client who was in a motor vehicle crash.
Findings include absent breath sounds in the left lower lobe with dyspnea, BP 118/68 mm Hg,
HR 124/min, RR 38/min, temp 101.4 F, and SaO2 92% on room air. Which of the following
actions should the nurse take first?
A. Obtain a chest x-ray
B. Prepare for a chest tube insertion
C. Administer oxygen via a high-flow mask
D. Initiate IV access - ANS - C
\A nurse is assessing a client following a bronchoscopy. Which of the following findings should
the nurse report to the provider?
A. Blood-tinged sputum
B. Dry, non-productive cough
C. Sore throat
D. Bronchospasms - ANS - D
\A nurse is assessing a client for a gunshot wound to the chest. Which of the following signs
should the nurse monitor for to detect pneumothorax? (Select all that apply)
A. Tachypnea
B. Deviation of the trachea
C. Bradycardia
D. Decreased use of accessory muscles
E. Pleuritic pain - ANS - A, B, E
\A nurse is assessing a client who has a history of asthma. Which of the following factors should
the nurse identify as a risk for asthma?
A. Sex
B. Environmental allergies
C. Alcohol use
D. History of diabetes - ANS - B
\A nurse is assisting a provider caring for a client who had a spontaneous pneumothorax. Which
of the following actions should the nurse perform first?
A. Assess the client's pain
B. Obtain a large bore IV needle for decompression
C. Administer lorazepam
D. Prepare for chest tube insertion - ANS - B
\A nurse is assisting a provider with the removal of a chest tube. Which of the following actions
should the nurse take?
A. Instruct the client to lie prone with arms at his sides
B. Complete a surgical checklist on the client
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