Exam (elaborations)
Brunner & Suddarth's textbook of medical-surgical Nursing (13th) ch23
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Brunner & Suddarth's textbook ofmedical-surgical Nursing (13th) ch23
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?
3 to 5 days
1 to 3 weeks
6 to 12 months
2 to 4 months - Correct Answer 6-12 months
Prophylactic isoniazid therapy must continue for 6 to 12 months at a
daily dosage of 300 mg. Taking the drug for less than 6 months may not
provide adequate protection against tuberculosis.
A nurse is caring for a client with chest trauma. Which nursing diagnosis
takes the highest priority?
Ineffective tissue perfusion (cardiopulmonary)
,Brunner & Suddarth's textbook of
medical-surgical Nursing (13th) ch23
Impaired gas exchange
Anxiety
Decreased cardiac output - Correct Answer Impaired gas exchange
For a client with chest trauma, a diagnosis of Impaired gas exchange
takes priority because adequate gas exchange is essential for survival.
Although the other nursing diagnoses — Anxiety, Decreased cardiac
output, and Ineffective tissue perfusion (cardiopulmonary) — are
possible for this client, they are lower priorities than Impaired gas
exchange.
A nurse is assessing a client who comes to the clinic for care. Which
findings in this client suggest bacterial pneumonia?
Dyspnea and wheezing
Nonproductive cough and normal temperature
Hemoptysis and dysuria
Sore throat and abdominal pain - Correct Answer Dyspnea and
wheezing
, Brunner & Suddarth's textbook of
medical-surgical Nursing (13th) ch23
In a client with bacterial pneumonia, retained secretions cause
dyspnea, and respiratory tract inflammation causes wheezing. Bacterial
pneumonia also produces a productive cough and fever, rather than a
nonproductive cough and normal temperature. Sore throat occurs in
pharyngitis, not bacterial pneumonia. Abdominal pain is characteristic
of a GI disorder, unlike chest pain, which can reflect a respiratory
infection such as pneumonia. Hemoptysis and dysuria aren't associated
with pneumonia.
When caring for a client with acute respiratory failure, the nurse should
expect to focus on resolving which set of problems?
Hypotension, hyperoxemia, and hypercapnia
Hyperoxemia, hypocapnia, and hyperventilation
Hypercapnia, hypoventilation, and hypoxemia
Hyperventilation, hypertension, and hypocapnia - Correct Answer
hypercapnia, hypoventilation, and hypoxemia
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