LEWIS MED SURGE EXAM LATEST 2024-2025 TEST BANK
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
Med-Surg: Lewis version 1
Question:The nurse evaluates that discharge teaching for a patient hospitalized
with pneumonia has been effective when the patient makes which statement
about measures to prevent a relapse?
A. "I will seek immediate medical treatment for any upper respiratory infections."
B. "I should continue to do deep-breathing and coughing exercises for at least 12
weeks."
C. "I will increase my food intake to 2400 calories a day to keep my immune
system well."
D. "I must have a follow-up chest x-ray in 6 to 8 weeks to evaluate the
pneumonia's resolution." - CORRECT ANSWER✔✔D. "I must have a follow-up
chest x-ray in 6 to 8 weeks to evaluate the pneumonia's resolution."
The follow-up chest x-ray will be done in 6 to 8 weeks to evaluate pneumonia
resolution. A patient should seek medical treatment for upper respiratory
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infections that persist for more than 7 days. It may be important for the patient to
continue with coughing and deep breathing exercises for 6 to 8 weeks, not 12
weeks, until all of the infection has cleared from the lungs. Increased fluid intake,
not caloric intake, is required to liquefy secretions.
Question: The nurse assesses the chest of a patient with pneumococcal
pneumonia. Which finding would the nurse expect?
a. Increased tactile fremitus
b. Dry, nonproductive cough
c. Hyperresonance to percussion
d. A grating sound on auscultation - CORRECT ANSWER✔✔ANS: A
Increased tactile fremitus over the area of pulmonary consolidation is expected
with bacterial pneumonias. Dullness to percussion would be expected.
Pneumococcal pneumonia typically presents with a loose, productive cough.
Adventitious breath sounds such as crackles and wheezes are typical. A grating
sound is more representative of a pleural friction rub rather than pneumonia.
Question: The nurse provides discharge instructions to a patient who was
hospitalized for pneumonia. Which statement, if made by the patient, indicates a
good understanding of the instructions?
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a. "I will call the doctor if I still feel tired after a week."
b. "I will continue to do the deep breathing and coughing exercises at home."
c. "I will schedule two appointments for the pneumonia and influenza vaccines."
d. "I'll cancel my chest x-ray appointment if I'm feeling better in a couple weeks." -
CORRECT ANSWER✔✔ANS: B
Patients should continue to cough and deep breathe after discharge. Fatigue is
expected for several weeks. The Pneumovax and influenza vaccines can be given
at the same time in different arms. Explain that a follow-up chest x-ray needs to be
done in 6 to 8 weeks to evaluate resolution of pneumonia
Question: A patient with right lower-lobe pneumonia has been treated with IV
antibiotics for 3 days. Which assessment data obtained by the nurse indicates that
the treatment has been effective?
a. Bronchial breath sounds are heard at the right base.
b. The patient coughs up small amounts of green mucus.
c. The patient's white blood cell (WBC) count is 9000/µL.
d. Increased tactile fremitus is palpable over the right chest. - CORRECT
ANSWER✔✔ANS: C
The normal WBC count indicates that the antibiotics have been effective. All the
other data suggest that a change in treatment is needed.
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Question: A patient is admitted with active tuberculosis (TB). The nurse should
question a health care provider's order to discontinue airborne precautions unless
which assessment finding is documented?
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Three sputum smears for acid-fast bacilli are negative. - CORRECT
ANSWER✔✔ANS: D
Negative sputum smears indicate that Mycobacterium tuberculosis is not present
in the sputum, and the patient cannot transmit the bacteria by the airborne route.
Chest x-rays are not used to determine whether treatment has been successful.
Taking medications for 6 months is necessary, but the multidrug-resistant forms of
the disease might not be eradicated after 6 months of therapy. Repeat Mantoux
testing would not be done because the result will not change even with effective
treatment.
Question: The nurse teaches a patient about the transmission of pulmonary
tuberculosis (TB). Which statement, if made by the patient, indicates that teaching
was effective?
a. "I will avoid being outdoors whenever possible."
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