AH Chap 23 Prep U

s/s of pulmonary HTN

Dyspnea, weakness, hemoptysis, and right-sided heart failure

Which statement indicates a client understands teaching about the purified protein derivative (PPD) test for tuberculosis? a. because I had a previous reaction to the test, I need to get a chest x ray b. I should return in a week to have the test read c. the test is positive if the area gets red d. I should avoid contact w. ppl

a. because I had a previous reaction to the test, I need to get a chest x ray

A patient is admitted to the hospital with pulmonary arterial hypertension. What assessment finding by the nurse is a significant finding for this patient? a. ascites b. dyspnea c. syncope

b. dyspnea

s/s of empyema

acutely ill and have signs of acute respiratory infection or pneumonia

s/s of COPD

chronic cough, dyspnea on exertion, and sputum production

s/s of TB

low-grade fever, night sweats, fatigue, cough, and weight loss.

A patient has a Mantoux skin test prior to being placed on an immunosuppressant for the treatment of Crohn's disease. What results would the nurse determine is not significant for holding the medication?

0-4 mm A reaction of 5 mm or greater may be significant in people who are considered to be at risk. (HIV pt)

Which of the following interventions does a nurse implement for patients with empyema? a. encourage breathing exercises b. implement droplet precautions c. place w. other empyema pt

a. encourage breathing exercises

Which of the following is a true statement regarding severe acute respiratory syndrome (SARS)? a. it is most contagious during 2nd week b. hypothermia will occur c. contact precautions should be implemented

a. it is most contagious during 2nd week

Resistance to one of the first-line antituberculotic agents in people who have not had previous treatment is a. primary b. secondary c. tertiary d. multidrug

a. primary Secondary or acquired drug resistance

A client presents to a physician's office complaining of dyspnea with exertion, weakness, and coughing up blood. Further examination reveals peripheral edema, crackles, and jugular vein distention. The nurse anticipates the physician will make which diagnosis? a. pulmonary HTN b. TB c. empyema d. COPD

a. pulmonary HTN

After 48 hours, a Mantoux test is evaluated. At the site, there is a 10 mm induration. This finding would be considered: a. significant b. insignificant c. negative d. normal

a. significant

The nurse caring for a patient with tuberculosis anticipates administering which vitamin with isoniazid (INH) to prevent INH-associated peripheral neuropathy? a. vit B6 b. vit D c. vit C d. vit K

a. vit B6 Vitamin B6 (pyridoxine) is usually administered with INH to prevent INH-associated peripheral neuropathy.

A nurse is preparing instructions for a patient with a lung abscess regarding dietary recommendations. Which of the following statements would be included in the plan of care? a. low calorie diet b. low carb diet c. low fat diet d. high protein diet

d. high protein diet