NURSE NURS 671;CHAPTERS 31,32.58,59,68 latest
Chapter 31: Care of Patients with infectious Respiratory
Problems
1. Which patient is at most risk for development of rhinosinusitis?
Patient with a deviated nasal septum
2. Which signs and symptoms suggest that a patient’s rhinosinusitis is bacterial?
Purulent drainage
Fever
no response to decongestion
3. Which statement by a patient indicates correct understanding of drug therapy for rhinosinusitis?
My decongestant will decrease the swelling so I can breathe
4. An adult patient is diagnosed with rhinosinusitis. What does the nurse instruct the patient to
do? SELECT ALL THAT APPLY
Get plenty of rest, at least 8-10 hours/day
Use a humidifier to help relieve congestion
Use nasal saline irrigation to safely relieve symptoms
Limit exposure to any allergic causes
5. A patient comes to the walk-in clinic reporting seasonal nasal congestion, sneezing, rhinorrhea, and
itchy, watery eyes. The nurse identifies that the patient most likely has rhinosinusitis and should also
be assessed for sinusitis. Which manifestations does the nurse assess in a patient with rhinosinusitis?
SELECT ALL THAT APPLY
Pain over the cheek radiating to the teeth
Generalized musculoskeletal achiness
Generalized facial pain when bending over
Referred pain to the temple or back of the head
Generalized swelling of the face and neck
6. A patient reports throat soreness and swelling, purulent nasal drainage, post-nasal drip, fever,
dental pain and ear pressure Which disorder does the nurse suspect?
Bacterial rhinosinusitis
7. For which complications does the nurse monitor when a patient is diagnosed with
rhinosinusitis? SELECT ALL THAT APPLY
Meningitis
Abscess
Cellulitis
8. Which factors can contribute to acute
rhinosinusitis? SELECT ALL THAT APPLY
Viruses
Irritants
Bacteria
Facial trauma
,NURSE NURS 671;CHAPTERS 31,32.58,59,68 latest
9. Which patients are at risk for developing health care acquired
pneumonia? SELECT ALL THAT APPLY
Confused patient
Patient with gram negative colonization of the mouth
Patient with hyperthyroid disease
Malnourished patient
10. Which statement BEST describes pneumonia?
A serious inflammation of the bronchioles, alveoli, and interstitial spaces from various causes
11. A patient is seen in the HCP office and is diagnosed with community acquired pneumonia
(CAP). What is the MOST common symptoms associate with CAP?
SELECT ALL THAT APPLY
Dyspnea
Chest discomfort
Increased sputum production
Fever
12. Which diagnostic tests are most likely to be done for an older patient suspected of
having pneumonia?
SELECT ALL THAT APPLY
Sputum gram stain
Chest x-ray
CBC
13. The nurse is reviewing lab results for a patient who has pneumonia Which lab value does the
nurse expect to see for this patient?
Increased in White Blood Cells WBCs
14. A patient is diagnosed with pneumonia During auscultation of the lower lung fields, the nurse
hears hoarse crackles and identifies the pts problem of impaired oxygenation. What is the underlying
physiologic condition associated with the patient's condition?
Hypoxemia
, NURSE NURS 671;CHAPTERS 31,32.58,59,68 latest
15. Which patient is the least likely to be at risk for developing pneumonia?
Postoperative patient with bedside commode
16. A patient is admitted to the hospital with pneumonia What does the nurse expect the chest x-ray
to reveal?
Patchy areas of increased density
17. What nursing intervention may help to prevent the complications of pneumonia for a
surgical patient?
Teaching coughing, deep-breathing exercises, and use of incentive Spirometry
18. The nurse is conducting an in-service for the hospital staff about practices that help
prevent pneumonia among at-risk pts. Which nursing intervention is encouraged as standard
practice? Administering vaccines to patients at risk
19. A patient hospitalized for pneumonia has ineffective airway clearance related to fatigue, chest
pain, excessive secretions, and muscle weakness. What nursing intervention helps to correct this
problem? Administer bronchodilator therapy in a timely manner to decrease bronchospasms
20. A patient is admitted to the hospital for treatment of pneumonia Which nursing assessment
finding BEST indicates that the patient is responding to ABX?
Cough, Clear Sputum, Temp 99F, Pulse OX at 96% on room air
21. The nurse is reviewing the lab results for an older adult patient with pneumonia Which lab
value frequently seen in patients with pneumonia may NOT be seen in this patient?
WBC 12,000-18,000 cell/microliter
22. What condition INCREASES the risk for the patient to develop community acquired pneumonia?
Patient received influenza shot in Nov rather than Sept
23. The nurse has identified the problem of ineffective airway clearance with bronchospasms for a
patient with pneumonia the patient has no previous history of chronic respiratory disorders. The
nurse obtains an order for which nursing intervention?
Scheduled and prn aerosol nebulizer bronchodilator treatments
Chapter 31: Care of Patients with infectious Respiratory
Problems
1. Which patient is at most risk for development of rhinosinusitis?
Patient with a deviated nasal septum
2. Which signs and symptoms suggest that a patient’s rhinosinusitis is bacterial?
Purulent drainage
Fever
no response to decongestion
3. Which statement by a patient indicates correct understanding of drug therapy for rhinosinusitis?
My decongestant will decrease the swelling so I can breathe
4. An adult patient is diagnosed with rhinosinusitis. What does the nurse instruct the patient to
do? SELECT ALL THAT APPLY
Get plenty of rest, at least 8-10 hours/day
Use a humidifier to help relieve congestion
Use nasal saline irrigation to safely relieve symptoms
Limit exposure to any allergic causes
5. A patient comes to the walk-in clinic reporting seasonal nasal congestion, sneezing, rhinorrhea, and
itchy, watery eyes. The nurse identifies that the patient most likely has rhinosinusitis and should also
be assessed for sinusitis. Which manifestations does the nurse assess in a patient with rhinosinusitis?
SELECT ALL THAT APPLY
Pain over the cheek radiating to the teeth
Generalized musculoskeletal achiness
Generalized facial pain when bending over
Referred pain to the temple or back of the head
Generalized swelling of the face and neck
6. A patient reports throat soreness and swelling, purulent nasal drainage, post-nasal drip, fever,
dental pain and ear pressure Which disorder does the nurse suspect?
Bacterial rhinosinusitis
7. For which complications does the nurse monitor when a patient is diagnosed with
rhinosinusitis? SELECT ALL THAT APPLY
Meningitis
Abscess
Cellulitis
8. Which factors can contribute to acute
rhinosinusitis? SELECT ALL THAT APPLY
Viruses
Irritants
Bacteria
Facial trauma
,NURSE NURS 671;CHAPTERS 31,32.58,59,68 latest
9. Which patients are at risk for developing health care acquired
pneumonia? SELECT ALL THAT APPLY
Confused patient
Patient with gram negative colonization of the mouth
Patient with hyperthyroid disease
Malnourished patient
10. Which statement BEST describes pneumonia?
A serious inflammation of the bronchioles, alveoli, and interstitial spaces from various causes
11. A patient is seen in the HCP office and is diagnosed with community acquired pneumonia
(CAP). What is the MOST common symptoms associate with CAP?
SELECT ALL THAT APPLY
Dyspnea
Chest discomfort
Increased sputum production
Fever
12. Which diagnostic tests are most likely to be done for an older patient suspected of
having pneumonia?
SELECT ALL THAT APPLY
Sputum gram stain
Chest x-ray
CBC
13. The nurse is reviewing lab results for a patient who has pneumonia Which lab value does the
nurse expect to see for this patient?
Increased in White Blood Cells WBCs
14. A patient is diagnosed with pneumonia During auscultation of the lower lung fields, the nurse
hears hoarse crackles and identifies the pts problem of impaired oxygenation. What is the underlying
physiologic condition associated with the patient's condition?
Hypoxemia
, NURSE NURS 671;CHAPTERS 31,32.58,59,68 latest
15. Which patient is the least likely to be at risk for developing pneumonia?
Postoperative patient with bedside commode
16. A patient is admitted to the hospital with pneumonia What does the nurse expect the chest x-ray
to reveal?
Patchy areas of increased density
17. What nursing intervention may help to prevent the complications of pneumonia for a
surgical patient?
Teaching coughing, deep-breathing exercises, and use of incentive Spirometry
18. The nurse is conducting an in-service for the hospital staff about practices that help
prevent pneumonia among at-risk pts. Which nursing intervention is encouraged as standard
practice? Administering vaccines to patients at risk
19. A patient hospitalized for pneumonia has ineffective airway clearance related to fatigue, chest
pain, excessive secretions, and muscle weakness. What nursing intervention helps to correct this
problem? Administer bronchodilator therapy in a timely manner to decrease bronchospasms
20. A patient is admitted to the hospital for treatment of pneumonia Which nursing assessment
finding BEST indicates that the patient is responding to ABX?
Cough, Clear Sputum, Temp 99F, Pulse OX at 96% on room air
21. The nurse is reviewing the lab results for an older adult patient with pneumonia Which lab
value frequently seen in patients with pneumonia may NOT be seen in this patient?
WBC 12,000-18,000 cell/microliter
22. What condition INCREASES the risk for the patient to develop community acquired pneumonia?
Patient received influenza shot in Nov rather than Sept
23. The nurse has identified the problem of ineffective airway clearance with bronchospasms for a
patient with pneumonia the patient has no previous history of chronic respiratory disorders. The
nurse obtains an order for which nursing intervention?
Scheduled and prn aerosol nebulizer bronchodilator treatments
