Rasmussen - MDC III Exam 2 Questions and Answers 100% Pass

Rasmussen - MDC III Exam 2 Questions and Answers 100% Pass A nursing student is teaching a client about their new diagnosis of pulmonary fibrosis. The student would include which of the following in their teaching? A. A sputum culture may show the presence of mycobacterium B. This is incurable, autosomal recessive genetic disease that affects many organs. C. Inflammation of the mucous membranes in the airways can trigger an attack. D. Most clients have progressive disease with a life expectancy of less than5 years. - Answer-C. Inflammation of the mucous membranes in the airways can trigger an attack. 2. A nurse is providing discharge instructions to a client recently diagnosed with Tb. Which statement by the client indicates correct understanding of the teaching? SATA A. "I will follow up with my healthcare provider regularly." B. "My family does not require testing" C. "I need to strictly adhere to my medication schedule." D. " I will avoid alcoholic beverages while on this treatment plan". E. " I will visit the clinic every week for injections of medication" -Answer-A. "I will follow up with my healthcare provider regularly." B. "My family does not require testing" C. "I need to strictly adhere to my medication schedule." D. " I will avoid alcoholic beverages while on this treatment plan". 3. The nurse is teaching the client about post-rhinoplasty care. Which statement by the client indicates an understanding of the instructions? A. " I should remain supine if possible." B. " I should take over-the counter-nonsteroidal anti-inflammatory drug ( NSAIDs)." C. " I will have nasal packing and mustache dressing." D. " I will be able to breathe only from my nose" -Answer-C. " I will have nasal packing and mustache dressing." 4. Which statement from a client with seasonal influenza requires additional teaching? A. " I'm contagious only when symptoms are present. B. "I can reduce my risk by implementing good hand hygiene." C. I should receive a new influenza vaccine every year" D. "I can be diagnosed on presentation of symptoms" -Answer-A. " I'm contagious only when symptoms are present. A nurse is providing teaching to a client recently diagnoses with sleep apnea. Which of the following statements by the client indicates an understanding of the teaching. A. Sleep apnea only has an impact on my mental concentration." B. " I should contact the provider if my oxygen level is below 90%. C. " I should begin treatment only if my snoring impacts my partner." D. " I should contact the provider for a prescription for sleep medication." -Answer-B. " I should contact the provider if my oxygen level is below 90%. 6. A nurse is preparing to administer dextromethorphan 30mg PO now. The amount available is dextromethorphan oral liquid 7.5 mg/5ml. How many ml should the nurse administer per dose? ( Record answer as a whole number) -Answer-20 7. A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? SATA. A. Weight gain B. Wheezing C. Tachypnea D. Barrel chest E. Distended jugular vein -Answer-B. Wheezing C. Tachypnea D. Barrel chest E. Distended jugular vein 8. A client with suspected TB is admitted to the hospital. A long with a private room, which of the following is appropriate related to isolation procedures? A. Respiratory isolation and contact isolation for sputum only B. Respiratory isolation with surgical masks until diagnosis is confirmed C. No respiratory isolation necessary until diagnosis is confirmed. D. Negative airflow room with a specially fitted respirator -Answer-D. Negative airflow room with a specially fitted respirator 9. A nurse admits a client from the emergency department with new onset of dyspnea and productive cough with suspected pneumonia. The client has an oxygen saturation of 96% on 2L of O2 via nasal canula, and crackles in bilateral lung bases. Oral temperature 98.9 F, heart rate 103, respiratory rate 18. The provider enters the following orders, which will the nurse perform First? A. Collect blood sample for complete blood count B. Administer PO antipyretic for temperature over 101 degrees 101 degrees Fahrenheit C. Administer broad spectrum antibiotic D. Collect sputum sample for culture -Answer-d. Collect sputum sample for culture 10. An 84-year-old client is diagnosed with rhinosinusitis. The nurse questions which medication that she sees on the client's PRN medication list? a. Analgesic b. Nasal spray c. Antihistamine d. Antipyretic -Answer-c. Antihistamine 11. A nurse caring for a 60-year-old male client recently diagnosed with neck cancer. Which of the following assessment findings is not consistent with this diagnosis? A. Aphonia B. Difficulty swallowing C. Nausea D. Weight gain -Answer-A. Aphonia 12. The nurse is assessing a client who reports being struck in the face and head several times. During this assessment, the nurse observes pink-tinged drainage from the client's nares. What nursing.. data? (Select One) A. Test the drainage with a regent to check the pH B. Place a drop of drainage on filter paper and look for a yellow ring C. Ask the client to describe the appearance of the face before the injury D. Have the client gently blow their nose and observe for bloody mucus -Answer-B. Place a drop of drainage on filter paper and look for a yellow ring 13. The nurse knows which of the following tests is needed to confirm a tuberculosis diagnosis? A. Mantoux skin test B. Sputum culture C. Complete blood count D. Chest X-RAY -Answer-B. Sputum culture 14. A homeless client is being discharged from a long-term therapy floor for tuberculosis (TB). What referral by the nurse is most appropriate? A. Outpatient public health visiting nurses for direct observation. B. Physical therapy for muscle strengthening to prevent home falls. C. Department of health for community infection control isolation D. Occupational therapy for employment placement and housing -Answer-A. Outpatient public health visiting nurses for direct observation. 15. The nurse knows which of the following is the purpose of montelukast for a client with asthma? A. Constricts the smooth muscles of the airway and bronchioles. B. Acts as a rapid bronchodilator in severe asthmatic episodes. C. Blocks leukotriene receptors to decrease inflammation. D. Reduces the histamine effect of the triggering agents. -Answer-C. Blocks leukotriene receptors to decrease inflammation. 16. The nurse is providing discharge instruction for a client diagnosed with pneumonia. Which information is the nurse sure to include? A. Complete antibiotics as prescribed, rest, drink fluids, and minimize contact with crowds. B. Take all antibiotics as ordered, resumed at an all activity as before hospitalization. C. No restrictions regarding activities, diet, and rest because the client is fully recovered when discharge. D. Continue antibiotics only also no further sign of pneumonia is present avoid exposing immunosuppressant individuals. -Answer-A. Complete antibiotics as prescribed, rest, drink fluids, and minimize contact with crowds. 17. A Patient with a recent diagnosis of sinus cancer states that he wants another course of antibiotics because he believes he has a