PNR 207 EXAM QUESTIONS AND
ANSWERS
Nursing interventions for the COPD patient that will facilitate decreased work of
breathing and increased oxygenation - Answer-Elevate the head of the bed // 2-3 liters
of oxygen // assist to tripod position leaning over the bedside table // maintain SPO2 of
88-92%
What are the risk factors of contracting tuberculosis - Answer-Children less than 5 years
// drinking unpasteurized milk from an infected cow//homeless individuals
//immigrants //individuals exposed to overcrowding such as long term care facilities ,
prisons and mental health facilities, individuals who are malnourished or
immunocompromised //substance abusers// older clients
Describe what a pneumothorax is - Answer-Collapsed lung //TENSION THORAX :threat
in a chest injury and usually presents in the period after thoracic surgery // occurs from
a blunt chest injury or from mechanical ventilation when a buildup of positive pressure
occurs in the pleural space
tension pneumothorax - Answer-A life-threatening collection of air within the pleural
space; the volume and pressure have both collasped the involved lung and caused a
shift of the mediastinal structures to the opposite side///MEDICAL EMERGENCY!!
Additional pressure is put on the heart which decreases cardiac output ! This finding
must be reported to the Rn who will
Immediately contact the provider and also follow the chain of command !!!
Discuss noninvasive ways to promote urination in the immobile patient - Answer-
Running water and pour warm water over perineum while on bedpan to promote voiding
reflex/ often done in rehab facilities as part of a bladder training program
What class of medication might be ordered for the patient with the UTI? - Answer-
Antibiotics (Cephazolin/Ancef)
What are common side effects of these drugs - Answer-Vaginitis , arrhythmias, rash,
confusion
What is cystitis - Answer-Urinary tract infection-inflammation of the bladder
What interventions can help improve cystitis - Answer-Dietary changes /increasing
vitamin c/increasing intake of water/cranberry juice/consuming Green leafy
vegetables /**don't hold the urine -if the patient needs to go to the bathroom let them
go!!
Review how urine collection technique is performed on the pediatric patient - Answer-
Clean catch -best obtained using a urine bag //catheterization-sterile feeding tube is
ANSWERS
Nursing interventions for the COPD patient that will facilitate decreased work of
breathing and increased oxygenation - Answer-Elevate the head of the bed // 2-3 liters
of oxygen // assist to tripod position leaning over the bedside table // maintain SPO2 of
88-92%
What are the risk factors of contracting tuberculosis - Answer-Children less than 5 years
// drinking unpasteurized milk from an infected cow//homeless individuals
//immigrants //individuals exposed to overcrowding such as long term care facilities ,
prisons and mental health facilities, individuals who are malnourished or
immunocompromised //substance abusers// older clients
Describe what a pneumothorax is - Answer-Collapsed lung //TENSION THORAX :threat
in a chest injury and usually presents in the period after thoracic surgery // occurs from
a blunt chest injury or from mechanical ventilation when a buildup of positive pressure
occurs in the pleural space
tension pneumothorax - Answer-A life-threatening collection of air within the pleural
space; the volume and pressure have both collasped the involved lung and caused a
shift of the mediastinal structures to the opposite side///MEDICAL EMERGENCY!!
Additional pressure is put on the heart which decreases cardiac output ! This finding
must be reported to the Rn who will
Immediately contact the provider and also follow the chain of command !!!
Discuss noninvasive ways to promote urination in the immobile patient - Answer-
Running water and pour warm water over perineum while on bedpan to promote voiding
reflex/ often done in rehab facilities as part of a bladder training program
What class of medication might be ordered for the patient with the UTI? - Answer-
Antibiotics (Cephazolin/Ancef)
What are common side effects of these drugs - Answer-Vaginitis , arrhythmias, rash,
confusion
What is cystitis - Answer-Urinary tract infection-inflammation of the bladder
What interventions can help improve cystitis - Answer-Dietary changes /increasing
vitamin c/increasing intake of water/cranberry juice/consuming Green leafy
vegetables /**don't hold the urine -if the patient needs to go to the bathroom let them
go!!
Review how urine collection technique is performed on the pediatric patient - Answer-
Clean catch -best obtained using a urine bag //catheterization-sterile feeding tube is
