EAQ Final Exam

EAQ Final Exam A patient with pneumonia is being treated at home and has reported fatigue to the nurse. What instructions should the nurse include when teaching the patient about care and recovery at home? Select all that apply. Get adequate rest. Restrict fluid intake. Avoid alcohol and smoking. Resume work to build strength. Take every dose of the prescribed antibiotic - Get adequate rest. Avoid alcohol and smoking. Take every dose of the prescribed antibiotic The nurse determines that additional discharge teaching is needed for a patient with pneumonia when the patient states what? "I will take all medications as prescribed." "Breathing exercises may help prevent future infections." "I should take antibiotics for all upper respiratory infections." "I will seek medical attention if I develop a fever or productive cough." - "I should take antibiotics for all upper respiratory infections." A patient has been admitted with a suspected lung abscess. During the assessment, the nurse is aware that the most common manifestation of a lung abscess is which of these? Fever Vomiting Purulent sputum that has a foul odor and taste Increased breath sounds on auscultation over the involved segment of lung. - Purulent sputum that has a foul odor and taste A patient with asthma who has undergone a total hip replacement complains on the third postoperative day of shortness of breath and slight chest pain and notes that "something is wrong." Temperature is 98.8° F, blood pressure 168/98 mm Hg, pulse 96, respirations 32, and oxygen saturation is 89% on room air. What is the priority nursing action? Notify the health care provider and document the vital signs. Apply oxygen and place the patient in a semi-Fowler's position. Obtain an electrocardiogram (ECG) and administer albuterol nebulizers. Administer the prescribed antihypertensive medication and reassess in 15 minutes. - Apply oxygen and place the patient in a semi-Fowler's position. The nurse is monitoring a patient who is having a thoracentesis for recurrent pleural effusion. Which of these assessment findings would be of most concern? Removal of 1000 mL of pleural fluid Restlessness and sudden complaint of dyspnea SpO 2 reading of 96% while on 2 L/minute of oxygen Patient complaint of pressure at the needle insertion site - Restlessness and sudden complaint of dyspnea The nurse is caring for a patient who has a nasogastric tube. What actions should the nurse perform to prevent aspiration in this patient? Select all that apply. Monitor gastric residual volumes. Feed the patient in a reclined position. Lower the head of the bed to 10 degrees. Elevate the head of the bed 30 to 45 degrees. Encourage the patient to sit upright for all meals. - Monitor gastric residual volumes. Elevate the head of the bed 30 to 45 degrees. Encourage the patient to sit upright for all meals. A 46-year-old patient who has undergone total left knee arthroplasty complains of shortness of breath and slight chest pain. Temperature is 98° F, blood pressure 140/86 mmHg, respirations 30, and oxygen saturation 92% on room air. The nurse suspects that the patient is experiencing which condition? Pneumonia Unstable angina Pulmonary embolus Chronic obstructive pulmonary disease (COPD) exacerbation - Pulmonary embolus What is the priority nursing intervention in helping a patient expectorate thick lung secretions? Humidify the oxygen as able. Administer cough suppressant. Teach the patient to splint the affected area. Increase fluid intake to 3 L/day if tolerated. - Increase fluid intake to 3 L/day if tolerated. When the patient with a persistent cough is diagnosed with pertussis (instead of acute bronchitis), the nurse knows that treatment will include which type of medication? Antibiotic Corticosteroid Bronchodilator Cough suppressant - Antibiotic To ease pleuritic pain caused by pneumonia, what nursing interventions should be performed? Instructing the patient to splint the chest when coughing Offering the patient an incentive spirometer every four hours Instructing the patient in how to perform abdominal breathing Encouraging the patient use shallow breathing during episodes of pain - Instructing the patient to splint the chest when coughing The nurse is reviewing the laboratory reports for the patient receiving cefuroxime. The nurse determines that the medication is having the intended effect by noting which laboratory result? Sodium 138 mEq/L Platelets 175,000 per μL