1350 Nclex ch 48

A nurse has reinforced discharge teaching with a client who is diagnosed with TB and has been on medication 1 1/2 weeks. The nurse determines that the client has understood the information if the client makes which statement?

"I should not be contagious after 2 to 3 weeks of medication therapy.

A nurse is caring for a client with emphysema who is recieving oxygen. The nurse checks the oxygen flow rate to ensure that it does not exceed:

2 L/minute

A nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following would the nurse expect to note in evaluating this client?

A hyperinflated chest on x-ray.

a nurse working on a respiratory nursing unit is caring for several clients with respiratory disorders. The nurse would identify which of the following clients as being the least risk for developing infection with TB?

A man who is an inspector for the U.S. Postal Service.

The nurse is preparing a list of home care instructions for the client who has been hospitalized and treated for TB. Choose the instructions that the nurse will include on the list.

Activities should be resumed gradually, A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated, Respiratory isolation is not neccessary because family members have already been exposed, Cover mouth and nose when coughing or sneezing and confine the use of tissues to plastic bags.

A client with AIDS has histoplasmosis. A nurse checks the client for which sign/symptom?

Dyspnea

A nurse is gathering data on a client with a diagnosis of TB. The nurse reviews the results of which diagnostic test that will confirm this diagnoisis?

Sputum culture

A nurse is preparing to obtain a sputum specimen from the client. Which nursing action will facilitate obtaining the specimen?

Having the client take three deep breaths

A nurse is taking the nursing history of a client with silicosis. The nurse checks whether the client wears with of the following items during periods of exposure to silica particles?

Mask

A nurse is reading the results of a Mantoux skin test on a client woth no documentad health problems. The site has no induration an a 1-mm area of ecchymosis. The nurse interprets that the result is:

Negative

A nurse is assisting in planning care for a client scheduled for insertion of a tracheostomy. What equipment would the nurse plan to have at the bedside when the client returns from surgery?

Obturator

A nurse assigned to care for a client following a left pneumonectomy. The nurse would avoid positioning the client:

On the side.

A nurse preparing to give a bed bath to an immobilized client with TB. The nurse should plan to wear which of the following items when performing care?

Particulate respirator, gown, and gloves.

A nurse is instructing a client about pursed lip breathing and the client asks the nurse about its purpose. The nurse tells the client that the primary purpose of pursed lip breathing is to:

Promote carbon dioxide elimination.

A nurse is caring for a client who had a Mantoux skin test implantation 48 hours ago on admission to the nursing unit that reads the result of the skin test as positive. Which action by the nurse is the priority?

Report the findings.

A nusre is caring for a client following pulmonary angiography via catheter insertion into the left groin. The nurse monitors for an allergic reaction to the contrast medium by noting the presence of:

Respitory distress

A nurse is provinding discharge instructions to the client with pulmonary sarcoidosis. The nurse determines that the client understands the information if the client verbalizes which early sign of exacerbation?

Shortness of breath

An emergency room nurse is caring for a client who sustained a blunt injury to the chest wall. Which sign, if noted in the client, would indicate the presence of pneumothorax?

Shortness of breath

A nurse is providing instructions to a hospitalized client with a diagnosis of emphysema about positions that will enhance the effectiveness of breathing during dyspneic periods. Which position will the nurse instruct the client to assume.

Sitting on the side of the bed, leaning on an overbed table.

A nurse is caring for a client with an endotracheal tube attached to a ventilator. The high-pressure alarms sounds ont he ventilator. The nurse prepares to perform which nursing intervention?

Suction the client

Which of the following identifies the route of transmission of TB?

The airbourne route

client with TB asks a nurse about precautions to take after discharge from the hospital to prevent infection of others. The nurse develops a response to the client's question based on the understanding that:

The disease is transmitted by droplet nuclei

A client being discharged fromt he hospital to home diagnosis of TB is worried about the possibility of infecting the family and others, The nurse determines that the client would get the most reassurance from the knowledge that:

The family will be treated prophylactically, and the client will not be contagious after 2 to 3 consecutive weeks of medication therapy.

A client with TB, whose status is being monitored in an ambulatory care clinic, asks the nurse when it is permissable to return to work. The nurse replies that the client may resume employment when:

Three sputum cultures are negative

The low-pressure alarm sounds on the ventilator. The nurse checks the client and the attempts to determinethe cause of the alarm but is unsuccessful. Which initial action will the nurse take?

Ventilate the client manually.