NICC - Understanding Medical Surgical Nursing - Chapter 30 Review Questions

NICC - Understanding Medical Surgical Nursing - Chapter 30 Review Questions and answers A+ score guaranteed. Which is the best explanation by a nurse for why a physician did not prescribe antibiotics for influenza? a. "Most cases of influenza are caused by antibiotic-resistant bacteria." b. "Influenza is caused by viruses." c. "Antibiotics have too many serious side effects." d. "Antibiotics can interact with other medications used for influenza." - correct answers.b. "Influenza is caused by viruses." After a laryngectomy, which of the following assessments takes priority? a. Airway patency. b. Nutritional status. c. Lung sounds. d. Patient acceptance of surgery. - correct answers.a. Airway patency. Which of the following responses is correct when a patient asks why her physician didn't order a new antiviral drug for flu symptoms that started 3 days ago? a. "Antiviral drugs are for AIDS, not the flu." b. "The side effects of the antiviral drugs are worse than having the flu." c. "Antiviral drugs are only for children." d. "These drugs work only if you start them within 48 hours after flu symptoms start." - correct answers.d. "These drugs work only if you start them within 48 hours after flu symptoms start." Which of the following positions is recommended for a patient experiencing a nosebleed? a. Lying down with feet elevated b. Sitting up with neck fully extended. c. Lying down with a small pillow under the head. d. Sitting up leaning slightly forward. - correct answers.d. Sitting up leaning slightly forward. The nurse knows that the patient understands teaching related to prevention of influenza transmission when the patient demonstrates which behaviors. Select all that apply. a. Washing hands frequently. b. Covering the nose and mouth during coughing or sneezing. c. Taking acetaminophen as ordered. d. Drinking extra fluids e. Avoiding sharing eating utensils with others. f. Taking antibiotics until the entire prescription is finished. - correct answers.a, b and e Which of the following communication methods will not work for the patient with a laryngectomy? a. Placing a finger over the stoma. b. Providing a special valve that diverts air into the esophagus. c. Obtaining a picture board. d. Teaching the patient esophageal speech. - correct answers.a. Placing a finger over the stoma. The patient would suffocate if a finger is placed over the stoma. The nurse recorded a temperature of 103.5 F in a patient hospitalized for acute bronchitis. Two hours later, the patient reports feeling chilled. What should be the nurse's first intervention? 1. Give the patient acetaminophen 2. Provide the patient with extra blankets. 3. Recheck the temperature when chilling subsides. 4. Decrease fluid intake. - correct answers.3. Recheck the temperature when chilling subsides. A patient presents to the emergency department reporting a headache, muscle aches, a dry cough, and a feeling of extreme fatigue, all of which began suddenly 2 days ago. On assessment, the nurse finds a temperature of 102.5 F, blood pressure 110/72 mm Hg, pulse 88 beats per minute, and respiratory rate 36 breaths per minute. Which assessment finding requires immediate attention? 1. Extreme fatigue 2. Headache 3. Respiratory rate 36 breaths per minute. 4. Temperature 102.5 F - correct answers.3. Respiratory rate 36 breaths per minute. The nurse is assisting with care of a patient who just returned from surgery for a total laryngectomy. Which assessment take priority in this patient? 1. Assess airway patency.