Complex Care Final Exam Practice
Questions With 100% Correct
Answers.
The nurse is caring for a patient with pneumonia unresponsive to two
different antibiotics. Which action is most important for the nurse to
complete before administering a newly prescribed antibiotic?
a. Teach the patient to cough and deep breathe.
b. Take the temperature, pulse, and respiratory rate.
c. Obtain a sputum specimen for culture and Gram stain.
d. Check the patient's oxygen saturation by pulse oximetry. Answer- c.
Obtain a sputum specimen for culture and Gram stain.
A sputum specimen for culture and Gram stain to identify the organism
should be obtained before beginning antibiotic therapy. However,
antibiotic administration should not be delayed if a specimen cannot be
readily obtained because delays in antibiotic therapy can increase
morbidity and mortality risks.
The nurse is teaching the patient with human immunodeficiency virus
(HIV) about the diagnosis of Candida albicans. What statement made by
the patient indicates to the nurse that further teaching is required?
a. "I will be given amphotericin B to treat the fungus."
b. "I got this fungus because I am immunocompromised."
c. "I need to be isolated from my family and friends so they won't get it."
d. "The effectiveness of my therapy can be monitored with fungal
serology titers." Answer- c. "I need to be isolated from my family and
friends so they won't get it."
The patient with an opportunistic fungal infection does not need to be
isolated because it is not transmitted from person to person. This
immunocompromised patient will be likely to have a serious infection so
it will be treated with IV amphotericin B. The effectiveness of the therapy
can be monitored with fungal serology titers.
A patient is diagnosed with a lung abscess. What should the nurse
include when teaching the patient about this diagnosis?
a. Lobectomy surgery is usually needed to drain the
abscess. b. IV antibiotic therapy will be used for a 6-
month period of time.
c. Oral antibiotics will be used until there is evidence of improvement.
d. Culture and sensitivity tests are needed for 1 year after resolving
the abscess Answer- c. Oral antibiotics will be used until there is
evidence of improvement.
IV antibiotics are used until the patient and radiographs show evidence of
improvement. Then oral antibiotics are used for a prolonged period of
time. Culture and sensitivity testing is done during the course of
,antibiotic therapy to ensure that the infecting organism is not becoming
resistant to the antibiotic as well as at the completion of the antibiotic
therapy. Lobectomy surgery is only needed when
,reinfection of a large cavitary lesion occurs or to establish a diagnosis
when there is evidence of a neoplasm or other underlying problem.
The nurse is caring for a patient with an alteration in airway clearance.
What nursing actions would be a priority to promote airway clearance
(select all that apply.)?
a. Maintain adequate fluid
intake. b. Maintain a 30-
degree elevation. c. Splint the
chest when coughing.
d. Maintain a semi-Fowler's position.
e. Instruct patient to cough at end of exhalation. Answer- a. Maintain
adequate fluid intake.
c. Splint the chest when coughing.
e. Instruct patient to cough at end of exhalation.
Maintaining adequate fluid intake liquefies secretions, allowing easier
expectoration. The nurse should instruct the patient to splint the chest
while coughing. This will reduce discomfort and allow for a more effective
cough. Coughing at the end of exhalation promotes a more effective
cough. The patient should be positioned in an upright sitting position (high
Fowler's) with head slightly flexed.
The nurse evaluates that discharge teaching for a patient hospitalized
with pneumonia has been effective when the patient makes which
statement about measures to prevent a relapse?
a. "I will seek immediate medical treatment for any upper respiratory
infections." b. "I should continue to do deep breathing and coughing
exercises for at least 12 weeks."
c. "I will increase my food intake to 2400 calories a day to keep my
immune system well."
d. "I must have a follow-up chest x-ray in 6 to 8 weeks to evaluate the
pneumonia's resolution." Answer- d. "I must have a follow-up chest x-ray
in 6 to 8 weeks to evaluate the pneumonia's resolution."
The follow-up chest x-ray examination will be done in 6 to 8 weeks to
evaluate pneumonia resolution. A patient should seek medical treatment
for upper respiratory infections that persist for more than 7 days. It may
be important for the patient to continue with coughing and deep
breathing exercises for 6 to 8 weeks, not 12 weeks, until all of the
infection has cleared from the lungs. Increased fluid intake, not caloric
intake, is required to liquefy secretions.
The nurse is caring for a patient with unilateral malignant lung disease.
What is the priority nursing action to enhance oxygenation in this
patient?
a. Positioning patient on right
side b. Maintaining adequate
fluid intake
c. Positioning patient with "good lung" down
d. Performing postural drainage every 4 hours Answer- c. Positioning
patient with "good lung" down
, Therapeutic positioning identifies the best position for the patient, thus
assuring stable oxygenation status. Research indicates that positioning
the patient with the unaffected lung (good lung) dependent best
promotes oxygenation in patients with
Questions With 100% Correct
Answers.
The nurse is caring for a patient with pneumonia unresponsive to two
different antibiotics. Which action is most important for the nurse to
complete before administering a newly prescribed antibiotic?
a. Teach the patient to cough and deep breathe.
b. Take the temperature, pulse, and respiratory rate.
c. Obtain a sputum specimen for culture and Gram stain.
d. Check the patient's oxygen saturation by pulse oximetry. Answer- c.
Obtain a sputum specimen for culture and Gram stain.
A sputum specimen for culture and Gram stain to identify the organism
should be obtained before beginning antibiotic therapy. However,
antibiotic administration should not be delayed if a specimen cannot be
readily obtained because delays in antibiotic therapy can increase
morbidity and mortality risks.
The nurse is teaching the patient with human immunodeficiency virus
(HIV) about the diagnosis of Candida albicans. What statement made by
the patient indicates to the nurse that further teaching is required?
a. "I will be given amphotericin B to treat the fungus."
b. "I got this fungus because I am immunocompromised."
c. "I need to be isolated from my family and friends so they won't get it."
d. "The effectiveness of my therapy can be monitored with fungal
serology titers." Answer- c. "I need to be isolated from my family and
friends so they won't get it."
The patient with an opportunistic fungal infection does not need to be
isolated because it is not transmitted from person to person. This
immunocompromised patient will be likely to have a serious infection so
it will be treated with IV amphotericin B. The effectiveness of the therapy
can be monitored with fungal serology titers.
A patient is diagnosed with a lung abscess. What should the nurse
include when teaching the patient about this diagnosis?
a. Lobectomy surgery is usually needed to drain the
abscess. b. IV antibiotic therapy will be used for a 6-
month period of time.
c. Oral antibiotics will be used until there is evidence of improvement.
d. Culture and sensitivity tests are needed for 1 year after resolving
the abscess Answer- c. Oral antibiotics will be used until there is
evidence of improvement.
IV antibiotics are used until the patient and radiographs show evidence of
improvement. Then oral antibiotics are used for a prolonged period of
time. Culture and sensitivity testing is done during the course of
,antibiotic therapy to ensure that the infecting organism is not becoming
resistant to the antibiotic as well as at the completion of the antibiotic
therapy. Lobectomy surgery is only needed when
,reinfection of a large cavitary lesion occurs or to establish a diagnosis
when there is evidence of a neoplasm or other underlying problem.
The nurse is caring for a patient with an alteration in airway clearance.
What nursing actions would be a priority to promote airway clearance
(select all that apply.)?
a. Maintain adequate fluid
intake. b. Maintain a 30-
degree elevation. c. Splint the
chest when coughing.
d. Maintain a semi-Fowler's position.
e. Instruct patient to cough at end of exhalation. Answer- a. Maintain
adequate fluid intake.
c. Splint the chest when coughing.
e. Instruct patient to cough at end of exhalation.
Maintaining adequate fluid intake liquefies secretions, allowing easier
expectoration. The nurse should instruct the patient to splint the chest
while coughing. This will reduce discomfort and allow for a more effective
cough. Coughing at the end of exhalation promotes a more effective
cough. The patient should be positioned in an upright sitting position (high
Fowler's) with head slightly flexed.
The nurse evaluates that discharge teaching for a patient hospitalized
with pneumonia has been effective when the patient makes which
statement about measures to prevent a relapse?
a. "I will seek immediate medical treatment for any upper respiratory
infections." b. "I should continue to do deep breathing and coughing
exercises for at least 12 weeks."
c. "I will increase my food intake to 2400 calories a day to keep my
immune system well."
d. "I must have a follow-up chest x-ray in 6 to 8 weeks to evaluate the
pneumonia's resolution." Answer- d. "I must have a follow-up chest x-ray
in 6 to 8 weeks to evaluate the pneumonia's resolution."
The follow-up chest x-ray examination will be done in 6 to 8 weeks to
evaluate pneumonia resolution. A patient should seek medical treatment
for upper respiratory infections that persist for more than 7 days. It may
be important for the patient to continue with coughing and deep
breathing exercises for 6 to 8 weeks, not 12 weeks, until all of the
infection has cleared from the lungs. Increased fluid intake, not caloric
intake, is required to liquefy secretions.
The nurse is caring for a patient with unilateral malignant lung disease.
What is the priority nursing action to enhance oxygenation in this
patient?
a. Positioning patient on right
side b. Maintaining adequate
fluid intake
c. Positioning patient with "good lung" down
d. Performing postural drainage every 4 hours Answer- c. Positioning
patient with "good lung" down
, Therapeutic positioning identifies the best position for the patient, thus
assuring stable oxygenation status. Research indicates that positioning
the patient with the unaffected lung (good lung) dependent best
promotes oxygenation in patients with
