EAQ final exam with Complete Solutions
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 Correct Ans-
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
White blood cell count 4500/mm³
Blood urea nitrogen (BUN) 8 mmol/L Correct Ans-White blood cell count 4500/mm³
When the patient is diagnosed with a lung abscess, what should the nurse teach the patient?
Lobectomy surgery usually is needed to drain the abscess.
Intravenous (IV) antibiotic therapy will be used for a prolonged period of time.
Oral antibiotics will be used when the patient and x-ray show evidence of improvement.
, EAQ final exam with Complete Solutions
No further culture and sensitivity tests are needed if the patient takes the medication as
prescribed. Correct Ans-Oral antibiotics will be used when the patient and x-ray show
evidence of improvement.
A 70-year-old patient presents to the emergency department with a cough producing yellow
sputum, fever, chills, and shortness of breath. On examination the nurse finds that the patient
is confused, has a respiratory rate of 42/minute, and a blood pressure of 80/50 mm Hg. The
nurse expects that what will be included in the patient's treatment plan?
Admit the patient to intensive care unit.
Admit the patient to a general medical-surgical unit.
Discharge the patient and monitor for signs of worsening infection.
Admit the patient for a 23-hour observation and monitor for pulmonary embolism. Correct
Ans-Admit the patient to intensive care unit.
The health care provider has prescribed intravenous (IV) vancomycin for a patient with
pneumonia. Which action should the nurse perform first?
Obtain a full set of vital signs.
Obtain sputum cultures for sensitivity.
Administer the antibiotic over at least 60 minutes.
Draw a blood specimen to evaluate the white blood cell count. Correct Ans-Obtain sputum
cultures for sensitivity.
The nurse would determine that levofloxacin therapy has not been effective after noting
which indicator?
, EAQ final exam with Complete Solutions
Temperature 99.7° F
Increased respiratory rate
Adventitious lung sounds
White blood cell count 14,000/mm 3 Correct Ans-White blood cell count 14,000/mm 3
Which factor places a conscious patient at risk for pneumonia?
Difficulty swallowing medication
Lying supine for two consecutive hours
Effective postoperative pain management
Adequate cough and deep breathing exercises Correct Ans-Difficulty swallowing
medication
Which nursing interventions will the nurse implement to help the patient expectorate mucus
in a 72-year-old patient with bronchitis? Select all that apply.
Humidify the oxygen.
Teach pursed lip breathing.
Administer a cough suppressant.
Elevate the head of the bed to 45 degrees.
Increase fluid intake to 3 L per day if tolerated. Correct Ans-Humidify the oxygen.
Elevate the head of the bed to 45 degrees.
Increase fluid intake to 3 L per day if tolerated.
, EAQ final exam with Complete Solutions
A patient presenting with pneumonia scores 5 on the CURB-65 scale. What action should the
nurse take?
Advise no treatment.
Advise treating at home.
Consider hospital admission.
Consider admission to an intensive care unit. Correct Ans-Consider admission to an
intensive care unit.
The nurse is caring for a patient with a nonmassive pulmonary embolism (PE). What is the
best standard for treatment?
Warfarin
Alteplase
Enoxaparin
Tissue plasminogen activator Correct Ans-Enoxaparin
The nurse cares for a patient with tuberculosis who is taking isoniazid and rifampin. About
which data found in the patient's health history is the nurse most concerned?
Hepatitis B
Asthma attacks
Rheumatic fever
Allergy to penicillin Correct Ans-Hepatitis B
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 Correct Ans-
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
White blood cell count 4500/mm³
Blood urea nitrogen (BUN) 8 mmol/L Correct Ans-White blood cell count 4500/mm³
When the patient is diagnosed with a lung abscess, what should the nurse teach the patient?
Lobectomy surgery usually is needed to drain the abscess.
Intravenous (IV) antibiotic therapy will be used for a prolonged period of time.
Oral antibiotics will be used when the patient and x-ray show evidence of improvement.
, EAQ final exam with Complete Solutions
No further culture and sensitivity tests are needed if the patient takes the medication as
prescribed. Correct Ans-Oral antibiotics will be used when the patient and x-ray show
evidence of improvement.
A 70-year-old patient presents to the emergency department with a cough producing yellow
sputum, fever, chills, and shortness of breath. On examination the nurse finds that the patient
is confused, has a respiratory rate of 42/minute, and a blood pressure of 80/50 mm Hg. The
nurse expects that what will be included in the patient's treatment plan?
Admit the patient to intensive care unit.
Admit the patient to a general medical-surgical unit.
Discharge the patient and monitor for signs of worsening infection.
Admit the patient for a 23-hour observation and monitor for pulmonary embolism. Correct
Ans-Admit the patient to intensive care unit.
The health care provider has prescribed intravenous (IV) vancomycin for a patient with
pneumonia. Which action should the nurse perform first?
Obtain a full set of vital signs.
Obtain sputum cultures for sensitivity.
Administer the antibiotic over at least 60 minutes.
Draw a blood specimen to evaluate the white blood cell count. Correct Ans-Obtain sputum
cultures for sensitivity.
The nurse would determine that levofloxacin therapy has not been effective after noting
which indicator?
, EAQ final exam with Complete Solutions
Temperature 99.7° F
Increased respiratory rate
Adventitious lung sounds
White blood cell count 14,000/mm 3 Correct Ans-White blood cell count 14,000/mm 3
Which factor places a conscious patient at risk for pneumonia?
Difficulty swallowing medication
Lying supine for two consecutive hours
Effective postoperative pain management
Adequate cough and deep breathing exercises Correct Ans-Difficulty swallowing
medication
Which nursing interventions will the nurse implement to help the patient expectorate mucus
in a 72-year-old patient with bronchitis? Select all that apply.
Humidify the oxygen.
Teach pursed lip breathing.
Administer a cough suppressant.
Elevate the head of the bed to 45 degrees.
Increase fluid intake to 3 L per day if tolerated. Correct Ans-Humidify the oxygen.
Elevate the head of the bed to 45 degrees.
Increase fluid intake to 3 L per day if tolerated.
, EAQ final exam with Complete Solutions
A patient presenting with pneumonia scores 5 on the CURB-65 scale. What action should the
nurse take?
Advise no treatment.
Advise treating at home.
Consider hospital admission.
Consider admission to an intensive care unit. Correct Ans-Consider admission to an
intensive care unit.
The nurse is caring for a patient with a nonmassive pulmonary embolism (PE). What is the
best standard for treatment?
Warfarin
Alteplase
Enoxaparin
Tissue plasminogen activator Correct Ans-Enoxaparin
The nurse cares for a patient with tuberculosis who is taking isoniazid and rifampin. About
which data found in the patient's health history is the nurse most concerned?
Hepatitis B
Asthma attacks
Rheumatic fever
Allergy to penicillin Correct Ans-Hepatitis B
