Saunders NCLEX Practice Questions for Exam 3

The nurse is reinforcing discharge teaching to a client diagnosed with tuberculosis who has been taking medication for 1 1/2 weeks. The nurse knows that the client has understood the information if which statement is made?

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

A client has a prescription to take sustained-released guaifenesin every 4 hours, as needed. The nurse determined that the client understands how to most effectively use this medication if the client makes which statement?

"I will take the tablet with a full glass of water"

The nurse is preparing a list of home care instructions for the client who has been hospitalized and treated for the client who has been hospitalized and treated for tuberculosis. Which instructions would the nurse reinforce? (SATA)

1. Activities need to be resumed gradually 3. A sputum culture is needed every 2-4 weeks once medication therapy is initiated 4. respiratory isolation is not necessary because family members have already been exposed 5. cover the mouth and nose when coughing or sneezing and confine used tissues to plastic bags

The client is diagnosed with pleurisy. The nurse would expect to see which signs/symptoms? (SATA)

1. Pleural friction rub 2. Sharp, knife-like pain 5. Pain occurs most often during inspiration

The nurse is caring for several clients with respiratory disorders. Which client is at least risk for developing a tuberculosis infection?

A man who is an inspector for the US Postal Service

A client is receiving acetylcysteine, 20% solution diluted in 0.9% NS by nebulizer. The nurse needs to have which item available for a possible adverse event after giving this medication?

Suction equipment

The nurse is caring for a client after a bronchoscope and biopsy. Which finding needs to be reported immediately to the primary health care provider (PHCP)?

Bronchospasm

The nurse is assigned to care for a client after a left pneumonectomy. Which position is contraindicated for this client?

Lateral position

A client with Tb is being started on anti tuberculosis therapy with isoniazid. Before giving the client the first dose, the nurse ensures that which baseline study has been completed?

Liver enzyme levels

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?

Peripheral neuritis

The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states to report which occurrence immediately?

Problems with visual acuity

The nurse is instructing a client about pursed lip breathing, and the client asks the nurse about its purpose. The nurse would tell the client that the primary purpose of pursed lip breathing is which?

Promote carbon dioxide elimination

A client has been started on long-term therapy with rifampin. Which information about this medication would the nurse provide to client?

Red-orange discoloration of sweat, tears, urine, and feces may occur

The nurse notes that a hospitalized client has experienced a positive reaction to the tuberculin skin test. Which action by the nurse is the priority?

Report the findings

A client is to begin a 6-month course of therapy with isoniazid. The nurse would plan to provide which information to the client?

Report yellow eyes or skin immediately

The nurse is caring for a client after pulmonary angiography via catheter insertion into the left groin. The nurse monitors for an allergic reaction to the contrast medium by observing for the presence of which?

Respiratory distress

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

Shortness of breath

The nurse is reinforcing instructions to a hospitalized client with a diagnosis of emphysema about positions that will enhance the effectiveness of breathing during dyspneic episodes. Which position would the nurse instruct the client to assume?

Sitting on the side of the bed leaning on an over bed table

The nurse is gathering data on a client with a diagnosis of tuberculosis. The nurse would review the results of which diagnostic test to confirm this diagnosis?

Sputum culture

A postoperative client has recieved a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the PACI. After administration of the medic, the nurse needs to check the client for which sign/symptom?

Sudden lung wheezes

Cycloserine is added to the medication regimen for a client with TB. Which instruction would the nurse reinforce in the client-teaching plan regarding this medication?

To return to the clinic weekly for serum drug-level testing

A client being discharged from the hospital to home with a diagnosis of tuberculosis is worried about the possibility of infecting family members and others. Which information would reassure the client that contaminating family members and others is not likely?

The family will recieve prophylactic therapy, and the client will not be contagious after 2-3 consecutive weeks of medication therapy

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

Ventilate the client manually

Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease with TB. The nurse needs to monitor for which side/adverse effects of the medication? (SATA)

1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 5. Ocular pain or blurred vision

The nurse is caring for a client with emphysema receiving oxygen. The nurse would consult with the registered nurse if the oxygen flow rate exceeded how many L/min of oxygen?

2 L/min