Exam (elaborations)
NURS 219 EXAM 1 QUESTIONS WITH CORRECT ANSWERS
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NURS 219 EXAM 1 QUESTIONS WITH CORRECT ANSWERS
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NURS 219 EXAM 1 QUESTIONS WITHCORRECT ANSWERS
A ggpatient ggwith ggacute ggshortness ggof ggbreath ggis ggadmitted ggto ggthe gghospital.
ggWhich ggaction ggshould ggthe ggnurse ggtake ggduring ggthe gginitial ggassessment ggof
ggthe ggpatient? gg- ggAnswer ggPerform gga ggrespiratory ggsystem ggassessment ggand
ggask ggspecific ggquestions ggabout ggthis ggepisode ggof ggrespiratory ggdistress.
When ggpreparing ggthe ggpatient ggwith gga ggright-sided ggpleural ggeffusion ggfor gga
ggthoracentesis, gghow ggwill ggthe ggnurse ggposition ggthe ggpatient? gg- ggAnswer ggSitting
ggupright ggwith ggthe ggarms ggsupported ggon ggan ggover ggbed ggtable.
A ggpatient ggis ggadmitted ggwith gga ggmetabolic ggacidosis ggof ggunknown ggorigin.
ggBased ggon ggthis ggdiagnosis, ggthe ggnurse ggwould ggexpect ggthe ggpatient ggto gghave?
gg- ggAnswer ggKussmaul ggrespirations.
On ggauscultation ggof gga ggpatient's gglungs, ggthe ggnurse gghears ggshort, gghigh-pitched
ggsounds ggduring ggexhalation ggin ggthe gglower gg1/3 ggof ggboth gglungs. ggThe ggnurse
ggrecords ggthis ggfinding ggas? gg- ggAnswer ggExpiratory ggwheezes ggin ggboth gglungs.
Following ggassessment ggof gga ggpatient ggwith ggpneumonia, ggthe ggnurse ggidentifies gga
ggnursing ggdiagnosis ggof ggineffective ggairway ggclearance. ggWhich gginformation ggbest
ggsupports ggthis ggdiagnosis? gg- ggAnswer ggWeak, ggnonproductive ggcough ggeffort.
During ggassessment ggof ggthe ggchest ggin gga ggpatient ggwith ggpneumococcal
ggpneumonia, ggthe ggnurse ggwould ggexpect ggto ggfind? gg- ggAnswer ggincreased ggtactile
ggfremitus.
A ggpatient ggwith ggbacterial ggpneumonia gghas ggrhonchi ggand ggthick ggsputum. ggWhich
ggaction ggwill ggthe ggnurse gguse ggto ggpromote ggairway ggclearance? gg- ggAnswer
ggAssist ggthe ggpatient ggto ggsplint ggthe ggchest ggwhen ggcoughing.
Which ggstatement ggby gga ggpatient ggwho gghas ggbeen gghospitalized ggfor ggpneumonia
ggindicates gga gggood ggunderstanding ggof ggthe ggdischarge gginstructions gggiven ggby
ggthe ggnurse? gg- ggAnswer gg"I ggwill ggcontinue ggto ggdo ggthe ggdeep ggbreathing ggand
ggcoughing ggexercises ggat gghome."
Which ggnursing ggaction ggwill ggbe ggmost ggeffective ggin ggpreventing ggaspiration
ggpneumonia ggin ggpatients ggwho ggare ggat ggrisk? gg- ggAnswer ggPlace ggpatients ggwith
ggaltered ggconsciousness ggin ggside-lying ggpositions.
,After gga ggpatient ggwith ggright gglower-lobe ggpneumonia gghas ggbeen ggtreated ggwith
ggintravenous gg(IV) ggantibiotics ggfor gg2 ggdays, ggwhich ggassessment ggdata ggobtained
ggby ggthe ggnurse ggindicates ggthat ggthe ggtreatment gghas ggbeen ggeffective? gg- ggAnswer
ggThe ggpatient's ggwhite ggblood ggcell gg(WBC) ggcount ggis gg9000/µl.
The gghealth ggcare ggprovider ggwrites ggan ggorder ggfor ggbacteriologic ggtesting ggfor gga
ggpatient ggwho gghas gga ggpositive ggtuberculosis ggskin ggtest. ggWhich ggaction ggwill ggthe
ggnurse ggtake? gg- ggAnswer ggObtain ggconsecutive ggsputum ggspecimens ggfrom ggthe
ggpatient ggfor gg3 ggdays.
Which gginformation ggabout gga ggpatient ggwho gghas gga ggrecent gghistory ggof
ggtuberculosis gg(TB) ggindicates ggthat ggthe ggnurse ggcan ggdiscontinue ggairborne
ggisolation ggprecautions? gg- ggAnswer ggThree ggsputum ggsmears ggfor ggacid-fast ggbacilli
ggare ggnegative.
The ggnurse ggrecognizes ggthat ggthe gggoals ggof ggteaching ggregarding ggthe
ggtransmission ggof ggpulmonary ggtuberculosis gg(TB) gghave ggbeen ggmet ggwhen ggthe
ggpatient ggwith ggTB: gg- ggAnswer ggcovers ggthe ggmouth ggand ggnose ggwhen ggcoughing.
Which gginformation ggwill ggthe ggnurse gginclude ggin ggthe ggpatient ggteaching ggplan ggfor
gga ggpatient ggwho ggis ggreceiving ggrifampin gg(Rifadin) ggfor ggtreatment ggof
ggtuberculosis? gg- ggAnswer gg"Your ggurine, ggsweat, ggand ggtears ggwill ggbe ggorange
ggcolored."
When ggteaching ggthe ggpatient ggwho ggis ggreceiving ggstandard ggmultidrug ggtherapy
ggfor ggtuberculosis gg(TB) ggabout ggpossible ggtoxic ggeffects ggof ggthe ggantitubercular
ggmedications, ggthe ggnurse ggwill gggive gginstructions ggto ggnotify ggthe gghealth ggcare
ggprovider ggif ggthe ggpatient ggdevelops: gg- ggAnswer ggyellow-tinged ggskin.
An ggalcoholic ggand gghomeless ggpatient ggis ggdiagnosed ggwith ggactive ggtuberculosis
gg(TB). ggWhich ggintervention ggby ggthe ggnurse ggwill ggbe ggmost ggeffective ggin
ggensuring ggadherence ggwith ggthe ggtreatment ggregimen? gg- ggAnswer ggArranging ggfor
gga ggdaily ggnoontime ggmeal ggat gga ggcommunity ggcenter ggand gggiving ggthe
ggmedication ggthen.
After gg2 ggmonths ggof ggtuberculosis gg(TB) ggtreatment ggwith gga ggstandard ggfour-drug
ggregimen, gga ggpatient ggcontinues ggto gghave ggpositive ggsputum ggsmears ggfor ggacid-
fast ggbacilli gg(AFB). ggWhich ggaction ggshould ggthe ggnurse ggtake ggnext? gg- ggAnswer
ggAsk ggthe ggpatient ggwhether ggmedications gghave ggbeen ggtaken ggas ggdirected.
A ggstaff ggnurse gghas gga ggtuberculosis gg(TB) ggskin ggtest ggof gg16-mm gginduration. ggA
ggchest ggradiograph ggis ggnegative, ggand ggthe ggnurse gghas ggno ggsymptoms ggof ggTB.
ggThe ggoccupational gghealth ggnurse ggwill ggplan ggon ggteaching ggthe ggstaff ggnurse
ggabout ggthe: gg- ggAnswer gguse ggand ggside ggeffects ggof ggisoniazid gg(INH).
, Which ggaction ggby ggthe ggoccupational gghealth ggnurse ggat gga ggmanufacturing ggplant
ggwhere ggthere ggis ggpotential ggexposure ggto gginhaled ggdust ggwill ggbe ggmost gghelpful
ggin ggreducing ggincidence ggof gglung ggdisease? gg- ggAnswer ggRequire ggthe gguse ggof
ggprotective ggequipment.
When ggdeveloping gga ggteaching ggplan ggfor gga ggpatient ggwith gga gg42 ggpack-year
gghistory ggof ggcigarette ggsmoking, ggit ggwill ggbe ggmost ggimportant ggfor ggthe ggnurse ggto
gginclude gginformation ggabout: gg- ggAnswer ggoptions ggfor ggsmoking ggcessation.
A gglobectomy ggis ggscheduled ggfor gga ggpatient ggwith ggstage ggI ggnon-small ggcell gglung
ggcancer. ggThe ggpatient ggtells ggthe ggnurse, gg"I ggwould ggrather gghave ggradiation ggthan
ggsurgery." ggWhich ggresponse ggby ggthe ggnurse ggis ggmost ggappropriate? gg- ggAnswer
gg"Tell ggme ggwhat ggyou ggknow ggabout ggthe ggvarious ggtreatments ggavailable."
An gghour ggafter gga ggthoracotomy, gga ggpatient ggcomplains ggof ggincisional ggpain ggat
gga gglevel gg7 ggout ggof gg10 ggand gghas ggdecreased ggleft-sided ggbreath ggsounds. ggThe
ggpleural ggdrainage ggsystem gghas gg100 ggmL ggof ggbloody ggdrainage ggand gga gglarge
ggair ggleak. ggWhich ggaction ggis ggbest ggfor ggthe ggnurse ggto ggtake ggnext? gg- ggAnswer
ggAdminister ggthe ggprescribed ggPRN ggmorphine.
The gghealth ggcare ggprovider gginserts gga ggchest ggtube ggin gga ggpatient ggwith gga
gghemopneumothorax. ggWhen ggmonitoring ggthe ggpatient ggafter ggthe ggchest ggtube
ggplacement, ggthe ggnurse ggwill ggbe ggmost ggconcerned ggabout: gg- ggAnswer gg400 ggmL
ggof ggblood ggin ggthe ggcollection ggchamber.
A ggpatient ggexperiences gga ggsteering ggwheel gginjury ggas gga ggresult ggof ggan
ggautomobile ggaccident. ggDuring ggthe gginitial ggassessment, ggthe ggemergency
ggdepartment ggnurse ggwould ggbe ggmost ggconcerned ggabout gg- ggAnswer ggparadoxic
ggchest ggmovement.
When ggassessing gga gg24-year-old ggpatient ggwho gghas ggjust ggarrived ggafter ggan
ggautomobile ggaccident, ggthe ggemergency ggdepartment ggnurse ggnotes ggthat ggthe
ggbreath ggsounds ggare ggabsent ggon ggthe ggright ggside. ggThe ggnurse ggwill gganticipate
ggthe ggneed ggfor: gg- ggAnswer gginsertion ggof gga ggchest ggtube ggwith gga ggchest
ggdrainage ggsystem.
A ggpatient ggwho gghas gga ggright-sided ggchest ggtube ggfollowing gga ggthoracotomy gghas
ggcontinuous ggbubbling ggin ggthe ggsuction-control ggchamber ggof ggthe ggcollection
ggdevice. ggThe ggmost ggappropriate ggaction ggby ggthe ggnurse ggis ggto: gg- ggAnswer
ggtake ggno ggfurther ggaction ggwith ggthe ggcollection ggdevice.
To ggdetermine ggthe ggeffectiveness ggof ggprescribed ggtherapies ggfor gga ggpatient ggwith
ggcor ggpulmonale ggand ggright-sided ggheart ggfailure, ggwhich ggassessment ggwill ggthe
ggnurse ggmake? gg- ggAnswer ggPeripheral ggedema.
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