Med Surg Midterm
which fluids should a nurse allow the patient to initially drink after a bronchoscopy procedure and the
NPO wait period is done? >>> ice chips
the client you are caring for has a venturi mask, what is true about using a venturi mask? >>> its used for
COPD
a patient comes to the healthcare provider reporting nasal discharge, malaise, headache and a
nonproductive cough. the health care provider orders GUAIFENESIN for the patient, what should the
nurse suggest to the patient about this med? >>> humdify the air and increase fluid intake
a nurse is caring for a patient who has been hospitalized with an acute asthma exacerbation, what drugs
would the nurse expect to be ordered for this patient to gain underlying control of persistant asthma?
>>> anti inflammatory drugs
a patients severe asthma has necessitated the use of long acting beta2 agonists (LABA). which of the
patients statements suggest a need for further education? >>> "ill make sure to use this each time i feel
an asthma attack coming on"
you would want your patient to say... "ive heard that this drug sometimes gets less effective overtime, i
know that these drugs can sometimes make my heart beat faster, ive heard this drug is particularly good
at preventing asthma attacks during exercise"
a nurse is providing discharge teaching for a client with COPD. when teaching the client about breathing
exercises, what should the nurse include in teaching? >>> use diaphragmatic breathing
a patient is receiving thrombolytic therapy for treatment of pulmonary emboli. what is the best way for
the nurse to assess the patients oxygenation status at bedside? >>> monitor pulse oximetry readings
a nurse is caring for a COPD patient, the patient asks what he could have done to minimize the risk of
getting COPD, what is the nurses best answer? >>> the most important risk for COPD is cigarette
smoking
a patient with emphysema is experiencing shortness of breathe, what position should the nurse put the
patient in? >>> sitting upright, leaning forward slightly
a school nurse is caring for a 10 year old who is having an asthma attack, what is the preferred
intervention to alleviate the clients airflow? >>> administer an inhaled beta adrenergic agonist
a nurse is doing a focused respiratory assessment of a child with asthma, what finding is most closley
associated with the characteristic S/S of asthma? >>> bilateral wheezes
, a patient who is postop has shallow respiratory pattern and is reluctant to cough or to begin mobilizing,
the nurse should address the patients increasd risk for what complication? >>> atelectasis
an adult patient has tested positive for TB, what info should the nurse prioritize? >>> the importance of
adhering closley to the prescribed medication regimen
the nurse is caring for a patient at risk for atelectasis, the nurse impliments a first line measure to
prevent atelectasis, what is an example of first line measure to minimize atelectasis? >>> incentive
spirometry
the perioperative nurse is writing a care plan for a patient who has returned from surgery 2 hours ago,
which measure should the nurse implement to most decrease the patients risk of developing pulmonary
emboli? >>> early ambulation
a hosptial has been the site of an increased incidence of hospital aquired pnuemonia, what is an
important measure for the prevention of this? >>> administration of pneumococcal vaccine to
vulnerable individuals
a NP has provided care for three differet patients with chronic pharyngitis over the past several months,
what patient are at greatest risk for developing chonic pharyngitis? >>> patients who are habitual users
of alcohol and tobacco
a 45 year old obese man arrives in a clinic with complaints of daytime sleepiness, difficulty going to sleep
at night and snoring, the nurse should recognize the manifestations of what health care problem? >>>
obstructive sleep apnea
nurse is caring for a patient with epistaxis, what info should the nurse include in patient discharge
teaching as a way to prevent epistaxis? >>> humidify the indoor environment
a mother calls the clinic asking for a presciption for amoxacillin for her 2 year old son who has what the
nurse suspects is viral rhinitis, what should the nurse explain to the mother? >>> ill certainly inform the
doctor, but if its a cold, antibiotics wont be used because they do not affect the virus
the nurse is providing care for a patient who has just been admitted to the post sutgical unit following a
laryngectomy, what assessment should the nurse prioritize? >>> the patients airway patency
the nurse is completing a patients health history with regard to potential risk factors for lung disease,
what interview question addresses the most significant risk factor for respiratory diseases? >>> do you
smoke or have you ever smoked
a patient on the medical unit has told the nurse that he is experiencing significant dyspnea, despite that
he has not recently performed any physical activity, what assesment question should nurse ask the
patient while doing physical assessment? >>> on a scale of 1-10, how bad would you rate your shortness
of breath?
which fluids should a nurse allow the patient to initially drink after a bronchoscopy procedure and the
NPO wait period is done? >>> ice chips
the client you are caring for has a venturi mask, what is true about using a venturi mask? >>> its used for
COPD
a patient comes to the healthcare provider reporting nasal discharge, malaise, headache and a
nonproductive cough. the health care provider orders GUAIFENESIN for the patient, what should the
nurse suggest to the patient about this med? >>> humdify the air and increase fluid intake
a nurse is caring for a patient who has been hospitalized with an acute asthma exacerbation, what drugs
would the nurse expect to be ordered for this patient to gain underlying control of persistant asthma?
>>> anti inflammatory drugs
a patients severe asthma has necessitated the use of long acting beta2 agonists (LABA). which of the
patients statements suggest a need for further education? >>> "ill make sure to use this each time i feel
an asthma attack coming on"
you would want your patient to say... "ive heard that this drug sometimes gets less effective overtime, i
know that these drugs can sometimes make my heart beat faster, ive heard this drug is particularly good
at preventing asthma attacks during exercise"
a nurse is providing discharge teaching for a client with COPD. when teaching the client about breathing
exercises, what should the nurse include in teaching? >>> use diaphragmatic breathing
a patient is receiving thrombolytic therapy for treatment of pulmonary emboli. what is the best way for
the nurse to assess the patients oxygenation status at bedside? >>> monitor pulse oximetry readings
a nurse is caring for a COPD patient, the patient asks what he could have done to minimize the risk of
getting COPD, what is the nurses best answer? >>> the most important risk for COPD is cigarette
smoking
a patient with emphysema is experiencing shortness of breathe, what position should the nurse put the
patient in? >>> sitting upright, leaning forward slightly
a school nurse is caring for a 10 year old who is having an asthma attack, what is the preferred
intervention to alleviate the clients airflow? >>> administer an inhaled beta adrenergic agonist
a nurse is doing a focused respiratory assessment of a child with asthma, what finding is most closley
associated with the characteristic S/S of asthma? >>> bilateral wheezes
, a patient who is postop has shallow respiratory pattern and is reluctant to cough or to begin mobilizing,
the nurse should address the patients increasd risk for what complication? >>> atelectasis
an adult patient has tested positive for TB, what info should the nurse prioritize? >>> the importance of
adhering closley to the prescribed medication regimen
the nurse is caring for a patient at risk for atelectasis, the nurse impliments a first line measure to
prevent atelectasis, what is an example of first line measure to minimize atelectasis? >>> incentive
spirometry
the perioperative nurse is writing a care plan for a patient who has returned from surgery 2 hours ago,
which measure should the nurse implement to most decrease the patients risk of developing pulmonary
emboli? >>> early ambulation
a hosptial has been the site of an increased incidence of hospital aquired pnuemonia, what is an
important measure for the prevention of this? >>> administration of pneumococcal vaccine to
vulnerable individuals
a NP has provided care for three differet patients with chronic pharyngitis over the past several months,
what patient are at greatest risk for developing chonic pharyngitis? >>> patients who are habitual users
of alcohol and tobacco
a 45 year old obese man arrives in a clinic with complaints of daytime sleepiness, difficulty going to sleep
at night and snoring, the nurse should recognize the manifestations of what health care problem? >>>
obstructive sleep apnea
nurse is caring for a patient with epistaxis, what info should the nurse include in patient discharge
teaching as a way to prevent epistaxis? >>> humidify the indoor environment
a mother calls the clinic asking for a presciption for amoxacillin for her 2 year old son who has what the
nurse suspects is viral rhinitis, what should the nurse explain to the mother? >>> ill certainly inform the
doctor, but if its a cold, antibiotics wont be used because they do not affect the virus
the nurse is providing care for a patient who has just been admitted to the post sutgical unit following a
laryngectomy, what assessment should the nurse prioritize? >>> the patients airway patency
the nurse is completing a patients health history with regard to potential risk factors for lung disease,
what interview question addresses the most significant risk factor for respiratory diseases? >>> do you
smoke or have you ever smoked
a patient on the medical unit has told the nurse that he is experiencing significant dyspnea, despite that
he has not recently performed any physical activity, what assesment question should nurse ask the
patient while doing physical assessment? >>> on a scale of 1-10, how bad would you rate your shortness
of breath?
