Med Surg Respiratory and Renal exam questions with answers

Med Surg Respiratory and Renal exam |\ |\ |\ |\ |\ |\




questions with answers |\ |\




The nurse is reviewing clients for risk factors in the development
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of pneumonia. Which of the following clients would be at the
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highest risk for developing this disorder?
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A. A 48-year-old client experiencing menopause
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B. An 18-year-old client with abdominal pain
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C. A 23-year-old client diagnosed with sickle-cell anemia and a
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cough
D. A 3-year-old client with fever - CORRECT ANSWERS ✔✔C. A 23-
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year-old client diagnosed with sickle-cell anemia and a cough
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A client diagnosed with chronic obstructive pulmonary disease is
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experiencing pneumonia. |\




The nurse applies oxygen at 2 L/min via nasal cannula. When the
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nurse leaves the room, a family
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member increases the oxygen to 5 L. Which complication may
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occur?
A. Angina |\




B. Apnea |\




C. Metabolic acidosis
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D. Respiratory alkalosis - CORRECT ANSWERS ✔✔B. Apnea
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.The nurse has a positive PPD during the last testing cycle for
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tuberculosis. Which of the following is indicated for this nurse? |\ |\ |\ |\ |\ |\ |\ |\ |\

,A. Nothing
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B. Chest x-rays every 2 months
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C. Pharmacological treatment
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D. Admission for inpatient treatment - CORRECT ANSWERS ✔✔C.
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Pharmacological treatment |\




A client undergoes a purified protein derivative (PPD) test. The
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test should be read:
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A. immediately after the test.
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B. 24 to 48 hours after the test.
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C. 48 to 72 hours after the test.
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D. anytime after 72 hours. - CORRECT ANSWERS ✔✔C. 48 to 72
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hours after the test. |\ |\ |\




The nurse is instructing a client on ways to reduce the
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transmission of tuberculosis. Which of |\ |\ |\ |\




the following should be included in these instructions?
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A. The disease is transmitted by inhaling droplets exhaled by an
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infected person. |\




B. The disease is transmitted by not fully cooking foods.
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C. The disease is transmitted by not washing hands.
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D. The disease is transmitted by sexual contact. - CORRECT
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ANSWERS ✔✔A. The disease is transmitted by inhaling droplets
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exhaled by an infected person. |\ |\ |\ |\




A client receiving oral medications for the treatment of
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tuberculosis develops hepatitis. Which |\ |\ |\

,of the following medications would be indicated for the client at
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this time? |\




A. Ethambutol
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B. Isoniazid
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C. Rifampin
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D. Streptomycin - CORRECT ANSWERS ✔✔D. Streptomycin
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The spouse of a client diagnosed with tuberculosis is to begin
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isoniazid prophylactic therapy. |\ |\




Which of the following should the nurse instruct the spouse
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regarding length of time to take this |\ |\ |\ |\ |\ |\




medication? The medication should be taken for: |\ |\ |\ |\ |\ |\




A. 10 to 24 days.
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B. 1 to 3 months.
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C. 4 to 7 months.
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D. 6 to 12 months. - CORRECT ANSWERS ✔✔D. 6 to 12 months.
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A client diagnosed with a lung abscess is being prescribed
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antibiotic therapy. Which of the following medications would be
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indicated if this client has a history of penicillin allergy?
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A. Metronidazole
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B. Clindamycin
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C. Ampicillin
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D. Steroid - CORRECT ANSWERS ✔✔B. Clindamycin
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, A client diagnosed with a hemothorax has had a chest tube
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inserted and attached to a portable water-seal drainage system.
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Which of the following interventions would be inappropriate for
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this
client?
A. Clamp the tubing when ambulating.
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B. Date and mark the amount of drainage in the collection
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chamber every shift. |\ |\




C. Monitor the suction chamber for continuous bubbling.
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D. Watch the water-seal chamber for fluctuation. - CORRECT
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ANSWERS ✔✔A. Clamp the tubing when ambulating. |\ |\ |\ |\ |\ |\




A clients chest tube has been accidentally dislodged while the
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client was being transferred from the bed to a stretcher. Which of
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the following should the nurse do to help this client?
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A. Cover the site with occlusive petroleum jelly gauze and tape to
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four sides.
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B. Cover the site with occlusive petroleum jelly gauze and tape to
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three sides.
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C. Cover the site with occlusive petroleum jelly gauze and tape to
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two sides.
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D. Cover the site with occlusive petroleum jelly gauze and tape
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to one side. - CORRECT ANSWERS ✔✔B. Cover the site with
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occlusive petroleum jelly gauze and tape to three sides.
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A client is diagnosed with fractured ribs. Which of the following
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should the nurse instruct this client?
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