Med Surg 2 exam 2 prep u

A nurse admits a new client with acute respiratory failure. What are the clinical findings of a client with acute respiratory failure? A. Sudden onset of lung impairment in a client who had compromised lung function B. Sudden onset of lung impairment in a client who had normal lung function C. Insidious onset of lung impairment in a client who had compromised lung function D. Insidious onset of lung impairment in a client who had normal lung function

B

A client who underwent surgery 12 hours ago has difficulty breathing. He has petechiae over his chest and complains of acute chest pain. What action should the nurse take first? A. Administer a heparin bolus and begin an infusion at 500 units/hour. B. Perform nasopharyngeal suctioning. C. Administer analgesics as ordered. D. Initiate oxygen therapy.

D

The nurse is educating a patient who will be started on an antituberculosis medication regimen. The patient asks the nurse, "How long will I have to be on these medications?" What should the nurse tell the patient A. 6 to 12 months B. 3 to 5 months C. 13 to 18 months D. 3 months

A

A patient comes to the clinic with fever, cough, and chest discomfort. The nurse auscultates crackles in the left lower base of the lung and suspects that the patient may have pneumonia. What does the nurse know is the most common organism that causes community-acquired pneumonia? A. Mycobacterium tuberculosis B. Streptococcus pneumoniae C. Staphylococcus aureus D. Pseudomonas aeruginosa

B

Which should a nurse encourage in clients who are at the risk of pneumococcal and influenza infections? A. Using incentive spirometry B. Receiving vaccinations C. Mobilizing early D. Using prescribed opioids

B

Which statement indicates a client understands teaching about the purified protein derivative (PPD) test for tuberculosis? A. "I will come back in 1 week to have the test read." B. "Because I had a previous reaction to the test, this time I need to get a chest X-ray." C. "I will avoid contact with my family until I am done with the test." D. "If the test area turns red that means I have tuberculosis."

B

A client is brought to the emergency department following a motor vehicle accident. Which of the following nursing assessments is significant in diagnosing this client with flail chest? A. Clubbing of fingers and toes B. Respiratory acidosis C. Paradoxical chest movement D. Chest pain on inspiration

C

A client with pulmonary hypertension has a positive vasoreactivity test. What medication does the nurse anticipate administering to this client? A. Angiotensin converting enzyme inhibitor B. Angiotensin receptor blockers C. Calcium channel blockers D. Beta blockers

C

After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against tuberculosis. The client's daughter asks the nurse how long the drug must be taken. What is the usual duration of prophylactic isoniazid therapy? A. 3 to 5 days B. 2 to 4 months C. 6 to 12 months D. 1 to 3 weeks

C

You are caring for a client status post lung resection. When assessing your client you find that the bubbling in the water-seal chamber for the chest tubes is more than you expected. What should you check when bubbling in the water-seal chamber is excessive? A. See if the chest tube is clogged. B. See if a kink has developed in the tubing. C. See if the wall suction unit has malfunctioned. D. See if there are leaks in the system.

D