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NUR350 Final Summer Exam Questions And 100% Correct Answers
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NUR350 Final Summer Exam Questions And100% Correct Answers
What are the nursing interventions and treatments for URIs? - Answer - rest
- fluids (H2O, thin out mucous)
- antipyretics (Tylenol, 103F)
- analgesia
- decongestants
- cough suppressants
What do we do for a patient in respiratory distress with a URI? - Answer - high Fowler
- incentive spirometer
What are the nursing interventions for bronchodilators? - Answer - Assess BP, pulse,
respiration, and lung sounds
- secretions
- ECG and chest pain
What breathing exercised promote airway clearance? -Answer- pursed lip breathing-
diaphragmatic breathing
What is important with nutrition in patients with pneumonia? -Answer- adequate
hydration
-increase calories
-increase nutrients
What do we as nurses encourage for those woth pneumonia? -Answer- coughing
,-deep breathing
-incentive spirometer
6. You are instructing a patient who has pneumonia on the use of an incentive
spirometer to provide deep breathing exercises. Which of the following represents the
correct use of this device?*
A. Have the patient use the device twice daily.
B. The patient exhales rapidly into the device and then coughs.
C. The patient inhales slowly from the device until unable to take in any more air and
then holds the breath for 6 seconds and exhales.
D. The patient quickly takes 10 breaths from the device - Answer C. The patient inhales
slowly from the device until unable to do so and then holds breath for 6 s and exhales
9. Which of the following statements are incorrect regarding discharge teaching that
you would give to a patient with COPD? Select-all-that-apply:*
A. "It is best to eat three large meals a day that are relatively low in calories."
B. "Stay indoors on days when it is extremely hot or extremely cold outside."
C. "You should get the Pneumovax vaccine every year"
D. "You will feel better if you quit smoking." - Response The correct answers are A and
C. The patient should eat frequent, small meals that are high in calories and protein. The
Pneumovax is certainly indicated for the patient with COPD, but every 5 years (not
yearly).
10. The physician orders the patient to take Pulmicort and Spiriva via inhaler. How does
the patient take this medication? *A. The patient should use the medications every 2
hours for acute episodes of shortness of breath. B. The patient uses the Spiriva first and
then 5 minutes later the Pulmicort. C. The patient uses the Pulmicort first and then the
Spiriva 5 minutes later. D. The patient can take the medications at the same exact time
without regard to which order. -Answer The answer is B. The patient should use the
bronchodilator first which is the Spiriva to open the airways and THEN the Pulmicort
which is a corticosteroid.
This is the correct order of using the inhalers so that the corticosteroid will be able to do
, its job after the lung fields are opened due to bronchodilation.
What are the safety concerns that staff needs to be aware of with "active TB" infection?
-Answer- neg pressure iso room
- N95, gown, gloves
What is the NI for pneumonia? -Answer- chest physiotherapy,
- high fowlers
- cough deep breath
- antibiotics
- monitoring O2
- get up and move
- PO fluids
14. You are caring for a patient with COPD who is medically treated for exacerbation.
This patient has a history of diabetes, hypertension, and hyperlipidemia. The patient is
exhibiting extremely high hyperglycemia. In addition, the patient exhibits many areas of
bruising on the arms and legs. Which medication ordered for this patient may cause
hyperglycemia and bruising?*
A. Prednisone
B. Atrovent
C. Flagyl
D. Levaquin - Answer A. Prednisone
A patient is receiving Streptomycin. Which of the following findings would the nurse
need to notify the physician about?*
A. Patient complains of a change in vision.
B. Patient complains of a metallic taste in mouth
C. The patient experiences ringing in the ears.
D. The patient complains of a nonproductive cough. - Answer The best answer is C. This
is a potentially ototoxic medication, related to cranial nerve 8. Ringing in the ears,
therefore could represent ototoxicity, which would be concerning.
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