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Respiratory System and Advanced Pulmonology Unit of a Medical-Surgical Nursing curriculum

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Respiratory System and Advanced Pulmonology Unit of a Medical-Surgical Nursing curriculum

Institution
Bsn Nursing
Course
Bsn Nursing

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Respiratory System and Advanced Pulmonology Unit of a

Medical-Surgical Nursing curriculum

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1. Pathophysiology & Complications




A patient with clear pleural fluid and cirrhosis has a serum albumin level of

1.5g/dL. Which abnormal factor for pleural fluid balance would the nurse

suspect in this patient?

Decreased oncotic pressure

A patient is hospitalized with symptoms of tuberculosis (TB). At which time of

the day does at least one of the sputum specimens for acid-fast bacilli (AFB)

need to be obtained?

6 a.m.

Which food will the nurse suggest for a patient with oral mucositis?

Cherry yogurt

When a patient has a prescription for albuterol 5mg via nebulizer and the

albuterol is available as a solution containing 2.5mg/3mL, how many mL will

the nurse use for the correct dose?

6mL

Which intervention by the nurse would provide stabilization for a patient with

cor pulmonale who has an enlarged liver, distended neck veins, and clear fluid

accumulated in the pleural space?

Restricting dietary sodium

Which condition is a late complication of cystic fibrosis (CF) caused by

pulmonary hypertension?

, Page 3 of 29


Cor pulmonale and respiratory failure

The nurse assesses a patient with right ventricular hypertrophy and notes an

increase in S2 upon auscultation. Laboratory datum reveals a hematocrit of

70%. Which treatment would the nurse anticipate the healthcare provider to

prescribe?

Phlebotomy

Which diagnostic finding will the nurse expect when caring for a patient who is

experiencing worsening of asthma symptoms?

Positive skin test for allergens, serum and sputum eosinophilia, and chest x-ray

indicating hyperinflation

How will the nurse interpret arterial blood gas results including pH 7.36,

PaCO2 49 mmHg, HCO3 27 mEq/L, and PaO2 61 mmHg for a patient with

chronic obstructive pulmonary disease (COPD)?

Compensated respiratory acidosis

The nurse caring for a patient with a diagnosis of active tuberculosis (TB).

Which item would the nurse anticipate will be included in the patient's

treatment plan?

Avoid alcohol because it increases the hepatotoxicity associated with isoniazid (INH)

Which subcutaneous medication will be included in the treatment plan for a

patient with an acute pulmonary embolism?

Enoxaparin

Which factor on this patient's health history is a known trigger for asthma

attacks?



Demographics: 49-year-old African American male

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Institution
Bsn Nursing
Course
Bsn Nursing

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