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Exam (elaborations)

Primary Care Final Exam – Comprehensive Review and Exam Preparation

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Primary Care Final Exam – Comprehensive Review and Exam Preparation

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Final Exam Primary care {100%Success}
Final Exam: Primary care
Study online at https://quizlet.com/_6jchng

1. A client tells you she "This finding does not confirm TB; it may indicate a recent exposure to
had a "positive" tu- tuberculosis."
berculin skin test. The
patient is upset and
states: "I can't believe I
have TB!" Which state-
ment by the nurse is ap-
propriate?
• "You'll need to put
on a mask and wear
it whenever you are
around other people."
• "The doctor will pre-
scribe Isoniazid (INH)
for you to take for the
next 9 months."
• "This finding does not
confirm TB; it may indi-
cate a recent exposure
to tuberculosis."
• "We'll need to do a
chest x-ray. This may be
falsely positive because
of your family history."

2. Following assessment SpO2 of 86%
of a patient with pneu-
monia, the nurse iden-
tifies a nursing diagno-
sis of impaired gas ex-
change based on which
finding?


, Final Exam Primary care {100%Success}
Final Exam: Primary care
Study online at https://quizlet.com/_6jchng

• SpO2 of 86%
• Crackles in both lower
lobes
• Temperature of
101.40F (38.60C)
• Production of green-
ish purulent sputum

3. The nurse assesses Administer oxygen and prepare for chest tube insertion.
a client admitted for
chest trauma who re-
ports dyspnea. The
nurse finds tracheal de-
viation and a pulse
oximetry reading of
86%. What is the
nurse's priority inter-
vention?
• Notify the health care
provider and document
the symptoms.
• Intubate the client
and prepare for me-
chanical ventilation.
• Administer oxygen
and prepare for chest
tube insertion.
• Administer an inter-
mittent positive-pres-
sure breathing treat-
ment.



, Final Exam Primary care {100%Success}
Final Exam: Primary care
Study online at https://quizlet.com/_6jchng

4. A postoperative pa- Pulmonary embolism
tient reports sudden
onset of shortness of
breath and pleurit-
ic chest pain. Assess-
ment findings include
diaphoresis, hypoten-
sion, crackles in the left
lower lobe and a pulse
ox of 85%. The nurse
suspects the patient is
experiencing which of
the following?
• Atelectasis
• Pulmonary em-
bolism
• Flail chest
• Hemothorax

5. A client newly diag- Limit exposure to sources that trigger an asthma attack
nosed with asthma
is preparing for dis-
charge. Which point
should the nurse em-
phasize during the
client's teaching?
• Contact the HCP if
nighttime wheezing be-
comes a concern
• Limit exposure to
sources that trigger an
asthma attack

Document information

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