Management of Respiratory Diseases: A Case Study Approach, Exams of Nursing

Download Management of Respiratory Diseases: A Case Study Approach and more Exams Nursing in PDF only on Docsity! 1 NUR2502 Exam Questions and Answers 2024 A client presents with sign and symptoms that are often associated with lung cancer. Which clinical manifestations does the nurse expect to observe in the client? SATA A. Peripheral edema B. Hypothermia C. Chest tightness D. Frank hemoptysis E. hoarseness c, d, e A client was recently diagnosed with laryngeal cancer. When the nurse begins taking the clients history. The client asks.'' Did you know that I have throat cancer and may not survive? What is the appropriate nursing response? a. Tell me more about your concerns b. Have you told your family yet? c. Are you having difficulty swallowing d. Why are you so worried about not surviving a. tell me more about your concerns Anxiety is common among client who are diagnosed with chronic obstructive pulmonary disease. Which of the following intervention can assist in reducing a client anxiety? (Select all that apply) A. Written plan for dealing with anxiety B. Professional counseling C. Relaxation techniques D. Starting a vigorous exercise routine 2 E. Plan out periods of rest throughout the day a, b, c, e .During an admission assessment the client tells the nurse that she was recently prescribed a new medication called montelukast, but she forgot to pick it up at the pharmacy. What is the best response by the nurse to assess the client's understanding of the montelukast? A. Don't you know that montelukast would have prevented you from coming to the hospital B. Why didn't you remember to get the prescription filled? C. Have you been taking the medication on a scheduled basis? D. Don't worry about it, you probably have been busy c. have you been taking the medication on a scheduled basis? A client has a positive Mantoux skin test result. What explanation does the nurse give to the client? A. There is active disease, but you are not infectious to others. B. There is active disease, and you need immediate treatment. C. You have been infected, but this does not mean active disease is present D. A repeat skin test is necessary because the test could give a false- positive result. c. you have been infected, but this does not mean active disease is present The nurse knows which of the following is the purpose of a montelukast inhaler for a client with asthma? A. constricts the smooth muscles of the airway and bronchioles B. Act as a bronchodilator in severe asthmatics episodes C. Reduces obstruction of the airways by decreasing agent D. Reduces histamine effect of the triggering agent. d. reduces histamine effect of the triggering agent 5 C. Improve the client's systemic blood pressure with vasoconstriction D. Increase the pulmonary vascular pressure to slow cor pulmonia a. reduce the pulmonary vascular pressure to slow cor pulmonia A client with a recent diagnosis of sinus cancer states that he wants another course of antibiotics because he believes he has severe sinus infection. What is the nurse best response? A. I will tell the physician to order an antibiotic B. Why are you doubting your doctor's diagnostic C. Let me bring you a brochure about sinus cancer D. Tell me more about your understanding of sinus cancer symptoms d. tell me more about your understanding of sinus cancer symptoms A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (select all that apply) A. Weight gain B. Barrel chest C. Tachypnea D. Wheezing E. Distended jugular veins b, c A client arrives in the emergency department with epistaxis. What is the nurse's priority intervention? A. Position the client upright with the head forward. B. Apply an ice pack to the nose. C. Monitor the color and amount of blood. D. Place nasal packing 6 a. position the client upright with the head forward A nurse is caring for several older clients in the hospital that the nurse identifies as being at high risk for healthcare-associated pneumonia. To reduce this risk, what activity should the nurse delegate to the unlicensed assistive personal (UAP)? A. Encourage between-meal snacks B. Monitor temperature every 4 hours. C. Provide oral care every 4 hours D. Report any new onset of cough c. provide oral care every 4 hours The nurse is providing discharge instructions for a client diagnosed with pneumonia. Which information is the nurse sure to include? A. Complete antibiotics as prescribed, rest, drink fluid and minimize contact with crowds. B. Take all antibiotic as order, resume diet and all activities as before hospitalization. C. No restrictions regarding activities, diet, and rest because the client is fully recovered when discharged. D. Continue antibiotic only no further signs of pneumonia are present avoid exposing immunosuppressed individuals. a. complete antibiotics as prescribed, rest, drink fluid, and minimize contact with crowds The nurse is caring for the client with cystic fibrosis. Which of the following are common assessment findings for a client with this disorder? (select all that apply) A. Decreased forced vital capacity (FVC) B. Thick sticky mucus C. Gastroesophageal reflux D. Recurrent respiratory infections E. Steatorrhea 7 a?, b, c, d, e The nurse is caring for a client 1 day after receiving radiation therapy for neck cancer. What finding would the nurse expect after radiation therapy? a. Mucus secretion b. Voice hoarseness c. Expressive aphasia d. Excessive saliva b. voice hoarseness A 47-year-old male client presented to the emergency room with complaints of nasal and facial pain and bloody discharge. He states the symptom age and have gotten progressively worse. He states that it feels like his nose is blocked up all the time. Based on these symptoms. What of the following order will the nurse expect the provider to order? A. Computed tomography (CT) scan of the face B. Liver function test C. Complete blood count D. Tumor mapping a. computed tomography (CT) scan of the face An 84-year-older client is diagnosed with rhinosinusitis. The nurse is reviewing the client's medication history and is asking about any over the counter medication he is using to treat his symptoms. The nurse understand that which of the following medication may be inappropriate for a geriatric client? A. Analgesic B. Antipyretic C. Antihistamine D. Nasal spray a. analgesic 10 B. I should begin treatment only if my snoring impacts my partner C. Sleep apnea only has an impact on my mental concentration D. I should contact the provider if my oxygen level is below 90% d. i should contact the provider if my oxygen level is below 90% Which of the following is a common problem associated with cystic fibrosis in adults? A. Obesity B. Osteoporosis C. Hypertension D. Asthma b. osteoporosis The nurse knows that which of the following test is needed to confirm a tuberculosis diagnosis? A. Complete blood count B. Chest x-ray C. Mantoux skin test D. Sputum culture d. sputum culture A nurse is caring for a 60- year-old client recently diagnosed with neck cancer. Which of the following assessment findings is most consistent with this diagnosis? A. Difficulty swallowing B. Weight gain C. Aphonia D. Nausea a. difficulty swallowing 11 A nurse admitted a client from the emergency department with new onset of dyspnea and productive cough with suspected pneumonia, the client has an oxygen saturation of 96% on and 2 L of O2 via nasal cannula and crackles in bilateral bases. Oral temperature 98.9 degrees F, heart rate 103 beats per minute and respiration rate 18 breaths per minute. The provider enters the following orders, which the nurse perform first? A. Administer broad spectrum antibiotic through Iv B. Collect sputum sample for culture C. Administer oral antipyretic for temperature over 101 degrees fahrenheit D. Collect blood sample for complete blood count b. collect sputum sample for culture In planning care for a client with chronic obstructive pulmonary disease (COPD) the nurse acknowledges what statement is true regarding nutritional needs? a. COPD has no effect on calorie and protein needs, meals tolerance, appetite, and weight b. COPE can cause an anabolic state, which creates conditions for building body strength and muscle mass. c. COPD can increase metabolism, and the client should consume supplement for additional calories and protein d. A client with COPD should decrease intake of calories and protein as dyspnea causes actively intolerance. c. COPD can increase metabolism and the client should consume supplement for additional calories and protein Which intervention promotes comfort in dyspnea management for a client with lung cancer? A. Administer morphine only when the client requests it B. Place the client in a supine position with a pillow under the knees and legs C. Encourage exercise and independent ambulation around the room D. Provide supplemental oxygen via nasal cannula or mask. 12 d. provide supplemental oxygen via nasal cannula or mask A client presented to the emergency room with difficulty breathing. Upon examination, the client has pus behind the tonsils and swelling on the right side of her nick. She is diagnosed with peritonsillar abscess. Which of the following is a treatment priority for this client? A. Maintain a patent airway B. Oxygen therapy C. Analgesics D. Antibiotics a. maintain a patent airway A client has been taking isoniazid for tuberculosis for 3 weeks. What information gathered by the public health nurse needs to be reported to the healthcare provider immediately? A. Client has been taking isoniazid daily as prescribed B. Client is drinking 4-6 alcoholic beverages per day C. Client smokes 1,5 pack of cigarettes per day D. Client was recently started on varenicline to quit smoking b. client is drinking 4-6 alcoholic beverages per day A client is being discharged on long-term therapy for tuberculosis (TB). What referral by the nurse is most appropriate? A. Department of health for community infection control isolation B. Occupational therapy for employment placement and housing C. Physical therapy for muscle strengthening to prevent home falls D. Outpatient public health visiting nurses for direct observation d. outpatient public health visiting nurses for direct observation 15 B. Pain management C. Prepare the client for testing D. Draw labs a. maintain a patent airway!!!! always airway airway airway!! 1. What is the pathophysiological mechanism that occur in the lung parenchyma which allows pneumonia to develop? a. Atelectasis b. Bronchiectasis c. Effusion d. Inflammation d. inflammation 1. The nurse is monitoring a patient with oxygen toxicity. What are the clinical manifestation of oxygen toxicity? Select all that apply. a. dyspnea b. productive cough c. Nausea/vomiting d. Crackles e. edema a, c, e What is the benefit of exercise in patients with COPD? a. It enhances cardiovascular fitness. 16 b. It improves respiratory muscle strength. c. It reduces the number of acute attacks. d. It worsens respiratory function and is discouraged. b. it improves respiratory muscle strength Why is proper oral care important for hospitalized patients. a. Prevention of inspissated secretions. b. Need to continue the same routine the patient had at home. c. Oral care is not necessary in the hospital. d. Reduces secretions. a. prevention of inspissated secretions When teaching a client with COPD to conserve energy, the nurse should teach the client to lift the objects, doing what technique? a. Lift while inhaling through an open mouth. b. Lift while exhaling through pursed lips. c. After exhaling but before inhaling d. While taking a deep breath and holding it. b. lift while exhaling through pursed lips Clients with chronic illnesses are more likely to contract pneumonia in what type of situations? a. Dehydration b. Group living c. Malnutrition d. Severe periodontal disease b. group living 17 1. What organism occurs most commonly in community-acquired pneumonia in adults? a. Haemophilus pneumoniae b. Klebsiella pneumoniae c. Streptococcus pneumoniae d. Klebsiella oxytoca c. streptococcus pneumoniae 1. Mr. Jones has returned to his room following a radiation treatment. Which side effects will the nurse educate the client to monitor for? Select all that apply. a. Dry mouth b. Hoarseness c. Excessive hair growth d. Fatigue e. Skin problems a, b, d, e 1. The client has return from a rhinoplasty, what should the nurse observe for in the client? Select all that apply. a. Edema b. Bleeding c. Skin integrity d. Anxiety e. Coping a, b, c 20 d. contact, airborne, and droplet precautions 1. When a client is diagnosed with a healthcare-acquired infection, the infection must be acquired within what time frame? a. <52 hours b. <48 hours c. <72 hours d. <90 hours b. <48 hours 1. During the lecture, the nursing instructor showed an x-ray of lungs with pneumonia. The student asked about consolidation. How would the instructor explain consolidation? a. An abnormal solidification with lack of air spaces b. Swelling of soft tissue c. Invasion of pathogens into the body and causes disease or illness d. Respiratory infection caused by an organism a. an abnormal solidification with lack of air spaces 1. Upper airway obstruction would include what structures? Select all that apply. a. Nose b. Mouth c. Ear d. Pharynx e. Larynx a, b, d, e 21 1. When dealing with facial trauma, the nurse needs to anticipate what type of intervention? a. Intubation b. Specimen collection c. Bleeding d. Swelling a. intubation 1. Which risk factor for puts patients at higher risk of tuberculosis (tb)? a. Drug/alcohol b. Low socioeconomic groups c. Reduced immunity d. Constant, frequent contact with untreated d. constant, frequent contact with untreated 1. What information should the nurse give a patient on Bedaquiline? a. Frequent ECG monitoring will be needed b. Yearly check up c. Take on empty stomach d. No need to monitor at this time a. frequent ECG monitoring will be needed 1. When assessing the client with tb what manifestation will the nurse document? Select all that apply. a. Crackles b. Bronchial breath sounds c. Bronchovesicular sounds around the sternum 22 d. Dullness with percussion e. Tactile fremitus absent a, b d, e