Chapter 30: Nursing Management:
Lower Respiratory Problems Lewis et
al.: Medical-Surgical Nursing in Canada,
3rd Edition
1. Following evaluation of a patient with pneumonia, the nurse files a nursing prognosis of
ineffective airway clearance. On which of the subsequent data could the nurse base this nursing
prognosis?
A. SpO2 of 85%
b. Respiratory fee of 28 breaths/min
c. Presence of greenish sputum
d. Weak, nonproductive cough - ANS-ANS: D
The vulnerable, nonproductive cough indicates that the affected person is unable to clear the
airway effectively.
PTS: 1 DIF: Cognitive Level: Application
REF: web page 667, Nursing Care Plan 30-1 OBJ: 2
TOP: Nursing Process: Diagnosis MSC: CRNE: CH-15
10. Which of the following is a standard time period used for lung diseases resulting from the
inhalation and retention of dust particles?
A. Berylliosis
b. Byssinosis
c. Paraneoplastic syndrome
d. Pneumoconiosis - ANS-ANS: D
Pneumoconiosis is a preferred time period for lung diseases as a result of the inhalation and
retention of dust debris.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 678
OBJ: 6 TOP: Nursing Process: Assessment MSC: CRNE: CH-eight
eleven. What have to the nurse train patients at danger for pneumonia to obtain?
A. Staphylococcal vaccine
b. Measles, mumps, rubella (MMR) vaccine
c. Pneumococcal vaccine
d. Bacille Calmette-Guérin (BCG) vaccine - ANS-ANS: C
Individuals at risk for pneumonia (e.G., the chronically ill, older adults) must be encouraged to
gain each influenza and pneumococcal vaccines. This is mainly important because the fee of
drug-resistant S. Pneumoniae infections is increasing. Pneumococcal vaccine may be given
, concurrently with other vaccines, which includes the flu vaccine, but each should be
administered in a separate website online.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 665
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: HW-25
12. A hospitalized affected person who may additionally have tuberculosis (TB) has an order for
a sputum specimen. When may be the high-quality time for the nurse to acquire the specimen?
A. After the patient rinses the mouth with mouthwash
b. As quickly because the order is obtained from the doctor
c. Right after the affected person receives up inside the morning
d. After the pores and skin take a look at is administered - ANS-ANS: C
If the patient has a productive cough, an early-morning sputum specimen can be required for an
acid-fast bacilli (AFB) smear, to stumble on the presence of mycobacteria.
PTS: 1 DIF: Cognitive Level: Application REF: web page 674
OBJ: three TOP: Nursing Process: Implementation MSC: CRNE: CH-four
13. A patient has just been started on chemotherapy for TB. What have to the nurse inform the
affected person concerning how long the ailment may be transmitted to others?
A. Until the night time sweats have subsided
b. Until 3 AFB smears are bad
c. Until the medications had been taken for 6 months
d. Until sputum cultures on three consecutive days are poor - ANS-ANS: B
The affected person is taken into consideration infectious till three sputum smears are bad for
AFB.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 674
OBJ: 3 TOP: Nursing Process: Implementation MSC: CRNE: HW-8
14. The nurse recognizes that the goals of coaching concerning the transmission of TB have
been met whilst the affected person with TB consists of out which of the subsequent actions?
A. Wears a masks while in contact with others
b. Reports every day to the public health branch
c. Boils dishes and personal objects between uses
d. Covers the mouth and nose when coughing or sneezing - ANS-ANS: D
Covering the mouth and nose will help decrease airborne transmission of TB. The other moves
will no longer be powerful in lowering the spread of TB.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 674
OBJ: three TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
15. A affected person is receiving isoniazid (INH) after having a fantastic tuberculin pores and
skin test. Which information will the nurse include in the patient teaching plan?
A. "Take vitamin B6 daily to prevent peripheral nerve harm."
b. "Read a newspaper every day to test for modifications in vision."
c. "Schedule an audiometric examination to screen for listening to loss."
d. "Avoid carrying smooth touch lenses to keep away from orange staining." - ANS-ANS: A
Lower Respiratory Problems Lewis et
al.: Medical-Surgical Nursing in Canada,
3rd Edition
1. Following evaluation of a patient with pneumonia, the nurse files a nursing prognosis of
ineffective airway clearance. On which of the subsequent data could the nurse base this nursing
prognosis?
A. SpO2 of 85%
b. Respiratory fee of 28 breaths/min
c. Presence of greenish sputum
d. Weak, nonproductive cough - ANS-ANS: D
The vulnerable, nonproductive cough indicates that the affected person is unable to clear the
airway effectively.
PTS: 1 DIF: Cognitive Level: Application
REF: web page 667, Nursing Care Plan 30-1 OBJ: 2
TOP: Nursing Process: Diagnosis MSC: CRNE: CH-15
10. Which of the following is a standard time period used for lung diseases resulting from the
inhalation and retention of dust particles?
A. Berylliosis
b. Byssinosis
c. Paraneoplastic syndrome
d. Pneumoconiosis - ANS-ANS: D
Pneumoconiosis is a preferred time period for lung diseases as a result of the inhalation and
retention of dust debris.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 678
OBJ: 6 TOP: Nursing Process: Assessment MSC: CRNE: CH-eight
eleven. What have to the nurse train patients at danger for pneumonia to obtain?
A. Staphylococcal vaccine
b. Measles, mumps, rubella (MMR) vaccine
c. Pneumococcal vaccine
d. Bacille Calmette-Guérin (BCG) vaccine - ANS-ANS: C
Individuals at risk for pneumonia (e.G., the chronically ill, older adults) must be encouraged to
gain each influenza and pneumococcal vaccines. This is mainly important because the fee of
drug-resistant S. Pneumoniae infections is increasing. Pneumococcal vaccine may be given
, concurrently with other vaccines, which includes the flu vaccine, but each should be
administered in a separate website online.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 665
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: HW-25
12. A hospitalized affected person who may additionally have tuberculosis (TB) has an order for
a sputum specimen. When may be the high-quality time for the nurse to acquire the specimen?
A. After the patient rinses the mouth with mouthwash
b. As quickly because the order is obtained from the doctor
c. Right after the affected person receives up inside the morning
d. After the pores and skin take a look at is administered - ANS-ANS: C
If the patient has a productive cough, an early-morning sputum specimen can be required for an
acid-fast bacilli (AFB) smear, to stumble on the presence of mycobacteria.
PTS: 1 DIF: Cognitive Level: Application REF: web page 674
OBJ: three TOP: Nursing Process: Implementation MSC: CRNE: CH-four
13. A patient has just been started on chemotherapy for TB. What have to the nurse inform the
affected person concerning how long the ailment may be transmitted to others?
A. Until the night time sweats have subsided
b. Until 3 AFB smears are bad
c. Until the medications had been taken for 6 months
d. Until sputum cultures on three consecutive days are poor - ANS-ANS: B
The affected person is taken into consideration infectious till three sputum smears are bad for
AFB.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 674
OBJ: 3 TOP: Nursing Process: Implementation MSC: CRNE: HW-8
14. The nurse recognizes that the goals of coaching concerning the transmission of TB have
been met whilst the affected person with TB consists of out which of the subsequent actions?
A. Wears a masks while in contact with others
b. Reports every day to the public health branch
c. Boils dishes and personal objects between uses
d. Covers the mouth and nose when coughing or sneezing - ANS-ANS: D
Covering the mouth and nose will help decrease airborne transmission of TB. The other moves
will no longer be powerful in lowering the spread of TB.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 674
OBJ: three TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
15. A affected person is receiving isoniazid (INH) after having a fantastic tuberculin pores and
skin test. Which information will the nurse include in the patient teaching plan?
A. "Take vitamin B6 daily to prevent peripheral nerve harm."
b. "Read a newspaper every day to test for modifications in vision."
c. "Schedule an audiometric examination to screen for listening to loss."
d. "Avoid carrying smooth touch lenses to keep away from orange staining." - ANS-ANS: A
