RASMUSSEN LPN PN1 EXAM 3

RASMUSSEN LPN PN1 EXAM 3 1. The question got cut off but the answer is below: -He took a culture of your wound to see if there are bacteria present -The doctor is making sure you do not have an infection present in your system 2. The nurse is changing the dressing on a clients wound. The nurse understands which of the following symptoms indicate a wound infection? Redness over 1 cm wide on periwound skin and tenderness 3. The nurse is developing a teaching plan for a client who is going home with a tracheostomy tube. Which of the following is the MOST important part of the teaching plan? The family of a client should know what to do in a case of emergency, i.e.: clogged tracheostomy tube and how to suction the client. 4. A 64-year-old male client comes to the provider’s office and complains of both legs hurting him when he walks a few blocks in his neighborhood. He states “When I sit down for a while, the pain eases off, but if I start walking a few blocks more, the pain comes back. The nurse recognizes this symptom may be related to peripheral vascular disease and is called what? Intermittent claudication 5. A narrowing and hardening of the arteries is called: Arteriosclerosis 6. A client has clusters of small vesicles over the thoracic region and describes severe pain and itching of the affected areas. Herpes zoster is diagnosed, and the client will be treated with which of these medications? Acyclovir (Zorivax) 7. When administrating oxygen to clients with conditions such as emphysema, it is important for the nurse to remember which one of the following facts as most important The drive to breathe may be dependent on low levels of oxygen in the blood 8. The nurse is preparing to instruct the client with pneumonia on managing the disease after discharge from the hospital. Which of the following is consistent with appropriate discharge planning for this client? Take all medications until they are finished, as ordered by MD 9. Immediately after sustaining severe burn wounds, the nurse would anticipate the client’s initial nutritional needs would usually be met by which of these methods? Total parenteral nutrition (TPN) 10. Which of the following measures should the nurse take when care for a client with TB in an acute care facility? Double-bag and dispose of client secretions as infectious waste 11. When the nurse is collecting subjective data, while caring for a client with asthma, one of the most important history items to know is which of the following? What stimulus triggers the asthma response? 12. The nurse is about to teach a client ideas to prevent coronary artery disease from resulting in angina. She knows it is best to recommend the client participate in which of the following health promotion ideals? Walk 30 minutes per day three to four days per week 13. An 88 year old gentleman comes into the doctor’s office and tells the nurse “he thinks he is in heart failure. He has had left-sided heart failure before a couple years ago”. Choose the most common signs and symptoms of left-sided heart failure the nurse may anticipate to see in this client from the list below. (Select all that apply) -Breath sounds have moist crackles -Tachycardia and low blood pressure -Pink, frothy sputum and shortness of breath 14. Client teaching in Raynaud’s disease should include which of the following? Avoid temperature extremes, especially cold 15. The nurse is aware that course crackles, sonorous and sibilant wheezes, pleural friction rub, and stridor are examples of what type of breath sounds? Adventitious 16. A 72 year old female client is about to be discharged home after being in the hospital for 3 days with bronchitis. She is weak and lives alone. She voices concern “over not having much support and would like to know what she can do to get better really soon and prevent this from happening again”? As the nurse, choose the nest intervention below to give her. Avoid respiratory irritants, large crowds, and people who are coughing 17. A nurse is planning preventative care for a client who has pressure ulcers and is confined to bed. Which of the following is an appropriate nursing action? Reposition the client every 1-2 hours 18. The nurse should consider which of the following as being normal occurrences in children with asthma? (select all that apply) -Children should use their inhaled bronchodilators 15 to 20 minutes before exercising -Asthma attacks are often associated with definite allergies -Oral bronchodilators should be taken 30 to 60 min before exercising 19. Which of the following defense mechanisms are involved in the protection of the respiratory system? (select all that apply) -Coughing is a respiratory defense mechanism used to keep the airway open -Sneezing helps to expel foreign particles -Mucous produced by goblet cells helps to trap foreign particles -Surfactant reduces surface tension and helps to keep alveoli open 20. The nurse is about to measure her client’s venous ulcer on the left lower extremity. The nurse should be aware to always measure wounds in what measurement value? Centimeter 21. A client with tonsillitis is having trouble swallowing her antibiotic medicine. The provider has ordered the following liquid antibiotic: Ampicillin 500mg every 6 hours po. The medication on hand is 125mg/ 5ml. How many milliliters will the client receive with each dose? 20ml 22. The provider orders a dressing for a client with a wound. The student nurse is aware that the purpose of applying dressings includes which of the following? (Select all that apply) -To promote support for the wound -To support healing by absorbing drainage -To promoting a moist wound environment for epithelialization 23. A nurse is preparing to teach the client about management of varicose veins. Which of the following instructions are considered best advice? (Select all that apply) -Do not fold down your stockings from the top, as it may cut off your circulation. -Remove support hose daily, so you can wash and dry your legs -Apply your support hose before you get out of bed in the morning 24. Which of the following lung structures is the primary site for gas exchange? Alveoli 25. Which of the following types of exudate should the nurse know is not considered “normal” when completing her nursing wound assessment? Purulent