NCLEX PN RESPIRATORY Exam Review Questions with complete Answers 2024/2025
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Course
Nclex
Institution
Nclex
NCLEX PN RESPIRATORY Exam Review Questions with complete Answers 2024/2025
The nurse is reinforcing instructions to a hospitalized client with a diagnosis of emphysema about positions that will enhance the effectiveness of breathing during dyspneic episodes.
Which position should the nurse instr...
NCLEX PN RESPIRATORY Exam Review
Questions with complete Answers 2024/2025
The nurse is reinforcing instructions to a hospitalized client with
a diagnosis of emphysema about positions that will enhance the
effectiveness of breathing during dyspneic episodes.
Which position should the nurse instruct the client to assume?
A) side-lying position
B) sitting in a recliner chair
C) sitting up in bed at a 90 degree angle
D) sitting on the side of the bed, leaning on an overbed table -
correct answer d) sitting on the side of the bed, leaning on an
overbed table
Rationale
Positions that will assist the client with breathing include sitting
up and leaning on an overbed table, sitting up and resting with
the elbows on the knees, or standing or leaning against the wall.
The other options offer positions that will not enhance the
effectiveness of breathing.
The nurse is gathering data on a client with a diagnosis of
tuberculosis (TB).
The nurse should review the results of which diagnostic test to
confirm this diagnosis?
,A) chest x-ray
B) bronchoscopy
C) sputum culture
D)tuberculin skin test - correct answer c) sputum culture
Rationale
A definitive diagnosis of TB is confirmed through culture and
isolation of mycobacterium tuberculosis.
A presumptive diagnosis is made on the basis of a tuberculin skin
test, a sputum smear that is positive for acid-fast bacteria, a
chest x-ray, and histologic evidence of granulomatous disease on
biopsy.
The nurse is preparing a list of home care instructions for the
client who has been hospitalized and treated for tuberculosis.
Which instructions should the nurse reinforce?
Select all that apply
Activities should be resumed gradually
Avoid contact with other individuals, except family members, for
at least 6 months
,A sputum culture is needed every 2 to 4 weeks once medication
therapy is initiated
Respiratory isolation is not necessary because family members
have already been exposed
Cover the mouth and nose when coughing or sneezing and
confine used tissues to a plastic bag
When one sputum culture is negative, the client is no longer
considered infectious and can usually return to his or her former
employment - correct answer activities should be resumed
gradually // a sputum culture is needed every 2 to 4 weeks once
medication therapy is initiated // respiratory isolation is not
necessary because family members have already been exposed //
cover the mouth and nose when coughing or sneezing and
confine used tissues to plastic bags
Rationale
The nurse should provide the client and family with information
about tuberculosis and allay concerns about the contagious
aspect of the infection.
The client is reassured that after 2 to 3 weeks of medication
therapy, it is unlikely that the client will infect anyone.
The client is also informed that activities should be resumed
gradually.
The client and family are informed that respiratory isolation is
not necessary, because family members have already been
exposed.
, The client is instructed about thorough hand washing and to
cover the mouth and nose when coughing and sneezing and
confine used tissues to plastic bags.
The client is informed that a sputum culture is needed every 2 to
4 weeks once medication therapy is initiated and that when the
results of three sputum cultures are negative, the client is no
longer considered infectious and can usually return to his or her
former employment.
The nurse is instructing a client about pursed lip breathing, and
the client asks the nurse about its purpose.
The nurse should tell the client that the primary purpose of
pursed lip breathing is which?
Rationale
Pursed lip breathing facilitates maximal expiration for clients
with obstructive lung disease and promotes carbon dioxide
elimination.
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