NURS 433- Exam 1 Quiz Questions

A client recovered from influenza 2 days ago and informs the nurse that she is feeling better but now has a fever, chills, pain when breathing, and a productive cough. What complication does the nurse anticipate the client will be treated for?

A secondary bacterial pneumonia

When preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge to home, the nurse should be sure to include which instruction?

"Avoid sharing such articles as toothbrushes and razors."

A nurse is teaching a client who is receiving radiation treatment for left lower lobe lung cancer. Which client statement indicates a need for further teaching?

"I'll use hats to protect my head from the sun when my hair falls out."

A client is diagnosed with a viral illness and requests an antibiotic to "cure" the illness. When the request is refused by the physician, the client states to the nurse, "I will never get better." What is the best response by the nurse?

"Prescribing antibiotics for a viral infection may result in drug-resistant bacteria."

Which client is most at risk of becoming infected with human immunodeficiency virus (HIV)?

A person having casual intercourse with multiple partners

***A client is admitted to the hospital with a medical diagnosis of terminal lung cancer. Which question is most important for the nurse to ask first?

"What have you been told about your condition?"

After teaching a client with immunodeficiency about ways to prevent infection, the nurse determines that teaching was successful when the client makes which statement?

After teaching a client with immunodeficiency about ways to prevent infection, the nurse determines that teaching was successful when the client makes which statement?

Other than abstinence, what is the only proven method of decreasing the risk of sexual transmission of HIV infection?

Consistent and Appropriate Use of Condoms

***The nurse is having an information session with a women's group at the YMCA about lung cancer. What frequent and commonly experienced symptom should the nurse be sure to include in the session?

Coughing

***The nurse is providing primary prevention education to a group of clients. What actions by the nurse would indicate primary prevention activities? Select all that apply.

Counseling a client about smoking cessation and making a plan Teaching clients about a healthy nutritional plan

Which condition may contact tracing be used to prevent or slow the spread of infection.

Covid-19

The nurse has admitted a new client to the unit. This client complains of calf soreness. What diagnostic test would the nurse anticipate being ordered?

D-Dimer

A client with lung cancer develops pleural effusion. During chest auscultation, which breath sound should the nurse expect to hear?

Decreased breath sounds

For a client with pleural effusion, what does chest percussion over the involved area reveal?

Dullness over the involved area

Which intervention does a nurse implement for clients with empyema?

Encourage breathing exercises

What important instruction should the nurse give a pregnant client with tuberculosis?

Maintain adequate hydration.

A client is admitted to the facility with a productive cough, night sweats, and a fever. Which action is most important in the initial care plan?

Placing the client in respiratory isolation

A nursing student wears a mask when communicating with a patient diagnosed with Covid 19. What part of the chain of infection does this interrupt?

Portal of entry

A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD?

Respiratory failure

When a disease infects a host a portal of entry is needed for an organism to gain access. What has been identified as the usual portal of entry for Covid 19?

Respiratory system

When developing the plan of care for a client with a primary immunodeficiency, which nursing diagnosis would be the priority?

Risk for Infection

***A client admitted with tuberculosis reports concerns about paying for needed medications. The nurse should:

collaborate with the social worker to investigate possible availability of funds.

A nurse has performed disease prevention teaching with a female client who has Covid-19. Which client behavior indicates that the teaching has been successful?

The client returns home and self-isolates for 5 days from the onset of symptoms.

A client suspected of having human immunodeficiency virus (HIV) asks the nurse what causes AIDS. What is the best response by the nurse?

The human immunodeficiency virus

You are teaching a health class in the local public health center. What instructions should you provide as the single most important measure to prevent the spread of infection?

Thorough hand washing

Which of the following is the single largest preventable cause of cancer?

Tobacco

The nurse is caring for a group of five clients at the hospital. To control infections when caring for the group of clients, what intervention can the nurse perform?

Use standard precautions with all clients.

***A client with lung cancer has responded well to chemotherapy. The nurse should explain that the medication has been therapeutic because it has:

changed the way that certain cells function.

An intubated client with Covid-19 is placed in isolation. Which action should the nurse take when entering the client's room?

Wear an N95 respirator.

The nurse has four clients that come to the clinic for healthcare. Which client has the highest risk factor for HIV infection?

a 26-year-old inmate who receives tattoos in prison

***The nurse understands that tuberculosis (TB) can affect other organs of the body. The term used for TB outside the lungs called which?

extrapulmonary

Tuberculosis (TB) is a leading killer among people who have which concurrent medical diagnosis?

human immunodeficiency virus (HIV)

A client reports dyspnea, fatigue, and having had a persistent productive cough for the last few months, which the client attributes to a bout with the flu. The nurse suspects that this client may have:

lung cancer.

A nursing assistant is caring for a client with Covid-19 and asks the charge nurse, "How can I keep from catching this from the client?" The nurse reminds the nursing assistant to wash her hands, wear appropriate personal protective equipment, and to ensure that the client is placed:

on droplet precautions.

***A nurse is assessing a client with lung cancer. The nurse anticipates diagnostic testing for which complication commonly associated with lung cancer?

pleural effusion

***What does a positive Mantoux test indicate?

production of an immune response

A client with acquired immunodeficiency syndrome is admitted with Pneumocystis carinii pneumonia. During a bath, the client begins to cry and says that most friends and relatives have stopped visiting and calling. What should the nurse do?

Listen and show interest as the client expresses feelings.

During a routine mammogram, a client asks the nurse whether breast cancer causes the most deaths. Which type of cancer is the leading cause of death in the United States?

Lung

A client at the walk-in clinic reports exposure to human immunodeficiency virus (HIV). The client wants to know the precise sources through which the HIV infection is transmitted. What is the nurse's best response?

Semen

A new nursing graduate is working at the hospital in the medical-surgical unit. The preceptor observes the nurse emptying a patient's wound drain without gloves on. What important information should the preceptor share with the new graduate about standard precautions?

Standard precautions should be used with all patients to reduce the risk of transmission of bloodborne pathogens.