Health challenges book questions

The community health nurse is conducting an educational session with community members regarding the signs and symptoms associated with tuberculosis the nurse informed the participants that tuberculosis is considered as a diagnosis if which signs and symptoms are present 1 dyspnea 2. Headache 3. Night sweats 4. A bloody productive cough 5. A cough with the expectoration of muccid sputum

1 3 4 5

The nurse is Preparing a list of home care instructions for a client who has been hospitalized and treated for tuberculosis which instruction should the nurse include on the list select all that apply 1. Activities should be resumed gradually 2. Avoid contact with other individuals except family members for at least six months 3.Sputum cultures needed every 2 to 4 weeks once medication therapy is initiated 4.Respiratory isolation is not necessary because family members already have been exposed 5.Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags 6.When one sputum cultures negative the client is no longer considered infectious and usually can return to former employment

1 3 4 5

The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client 1. A low arterial PCo2 2. A hyperinflated chest noted on X-ray 3. Decreased oxygen saturation with mild exercise 4. A widened diaphragm noted on X-ray 5. Pulmonary function tests that demonstrate increased vital capacity

2 3

The nurse is caring for a client after a bronchoscopy and biopsy. which finding if noted in the client should be reported immediately to the primary healthcare provider 1. Dry cough 2. Hematuria 3. Bronchospasm 4. Blood-streaked sputum

Bronchospasm

A client has experienced pulmonary embolism dinner should assess for which symptom which is most commonly reported 1. Hot flushed feeling 2. Sudden chills and fever 3. Chest pain that occurs suddenly 4. Dyspnea when deep breaths are taken

Chest pain that occurs suddenly

The emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall. Which finding indicates the presence of a pneumothorax A: a low respiratory rate B: diminished breath sounds C: the presence of a barrel chest D: a sucking sound at the site of injury

Diminished breath sounds

A client with acquired immunodeficiency syndrome has histoplasmosis the nurse should assess the client for which expected finding 1. Dyspnea 2. Headache 3. Weight gain 4. Hypothermia

Dyspnea

The nurse has conducted discharge teaching with the client diagnosed with tuberculosis who has been receiving medication for two weeks the nurse determines that the client has understood the information if the client makes which statement 1. I need to continue medication therapy for one month 2. I can't shop at the mall for the next six months 3. I can return to work if a sputum culture comes back negative 4. I should not be contagious after 2 to 3 weeks of medication therapy

I should not be contagious after 2-3 weeks of medication therapy

The nurse is assessing a client with multiple traumas who is at risk for developing acute respiratory distress syndrome the nurse should assess for which earliest sign of acute respiratory distress syndrome 1. Bilateral wheezing 2. Inspiratory crackles 3. Intercostal retractions 4. Increased respiratory rate

Increased respiratory rate

The nurses taking the history of a client with occupational lung disease the nurse should assess whether the client where is which item during periods of exposure to silica particles 1. Mask 2. Gown 3. Gloves 4. Eye protection

Mask

The nurse is assessing the respiratory status of a client who has suffered a fractured rib the nurse should expect to note which findings. 1. Slow deep respiration's 2. Rapid deep respiration's 3. Paradoxical respiration's 4. Pain especially with inspiration

Pain especially with inspiration

A client with a chest injury has suffered flail chest the nurse assesses the client for which most distinctive sign a flail chest 1. Cyanosis 2. Hypotension 3. Paradoxical chest movement 4. Dyspnea especially on exhalation

Paradoxical chest movement

The nurse is preparing to give a bed bath to an immobilized client with tuberculosis the nurse should wear which items when performing this care 1. Surgical mask and gloves 2. Particulate respirator, gown, and gloves 3. Particulate respirator and protective eye wear 4. Surgical mask, gown, and protective eye wear

Particulate respirator, gown, and gloves

A client who is human immunodeficiency virus positive has had a tuberculin skin test the nurse notes a 7 mm area of induration at the side of the skin test and interprets the result is which of the following. 1. Positive 2. Negative 3. Inconclusive 4. Need for repeat testinf

Positive

The nurse provides discharge instructions to a client with pulmonary sarcoidosis the nurse concludes that the client understands the information if the client indicates to report which early sign of exacerbation 1. Fever 2. Fatigue 3. Weight loss 4. Shortness of breath

Shortness of breatg

The nurse is instructing a hospitalized client with a diagnosis of emphysema about measures that will enhance the affectiveNess of breathing during dyspneic periods Which position should the nurse instruct the client to assume 1. Sitting up in bed 2. Side lying in bed 3. Sitting in a recliner chair 4. Sitting up and leaning on an over bed table

Sitting up and leaning on an over bed table

The nurse performed an admission assessment on a client with a diagnosis of tuberculosis the nurse should check the results of which diagnostic test that will confirm this diagnosis 1 chest X-ray 2. Bronchoscopy 3. Sputum culture 4. Tuberculin skin test

Sputum culture