NSG 320 - Med/Surg - Evolve Questions for CH 30, 31
Questions With Complete Solutions
A 70-year-old client has a complicated medical history,
including chronic obstructive pulmonary disease. Which client
statement indicates the need for further teaching about the
disease?
A "I am here to receive the yearly pneumonia shot again."
B "I am here to get my yearly flu shot again."
C "I should avoid large gatherings during cold and flu season."
D "I should cough into my upper sleeve instead of my hand."
Correct Answers A
A client comes to the emergency department with a sore throat.
Examination reveals redness and swelling of the pharyngeal
mucous membranes. Which diagnostic test does the nurse expect
will be requested first?
A Chest x-ray
B Complete blood count (CBC)
C Tuberculosis (TB) skin test
D Throat culture Correct Answers D
A client has asthma that gets worse during the summer. She tells
the nurse that she takes a medication every day so she does not
get short of breath when she walks to work. About which
medicine does the nurse need to educate the client?
A Albuterol (Proventil) inhaler
B Guaifenesin (Organidin)
C Montelukast (Singulair)
D Omalizumab (Xolair) Correct Answers C
,A client has been diagnosed with asthma. Which statement
below indicates that the client correctly understands how to use
an inhaler with a spacer?
A "I don't have to wait between the two puffs if I use a spacer."
B "If the spacer makes a whistling sound, I am breathing in too
rapidly."
C "I should rinse my mouth and then swallow the water to get
all of the medicine."
D "I should shake the inhaler only if I want to see whether it is
empty." Correct Answers B (Slow and deep breaths ensure that
the medication is reaching deeply into the lungs. The whistling
noise serves as a reminder to the client of which technique needs
to be used. The client must wait 1 minute between puffs. The
client should rinse the mouth but not swallow the water. The
mouth needs to be rinsed after using an inhaler with or without a
spacer. This is especially important if the inhaled medication is a
corticosteroid, to prevent the development of an oral fungal
infection. An empty inhaler will float on its side in water; a full
inhaler will sink. Shaking an inhaler helps ensure that the same
dose is delivered in each puff.)
A client has been diagnosed with chronic bronchitis and started
on a mucolytic. What is the rationale for ordering a mucolytic
for this client?
A Mucolytics decrease secretion production.
B Mucolytics increase gas exchange in the lower airways.
C Mucolytics provide bronchodilation in clients with chronic
obstructive pulmonary disease.
D Mucolytics thin secretions, making them easier to expectorate.
Correct Answers D
, A client has just been admitted to the intensive care unit after
having a left lower lobectomy with a video-assisted
thoracoscopic surgery. Which of these requests will the nurse
implement first?
A Adjust oxygen flow rate to keep O2 saturation at 93% to
100%.
B Administer 2 g of cephalothin (Keflin) IV now.
C Give morphine sulfate 4 to 6 mg IV for pain.
D Infuse 1 unit of packed red blood cells (PRBCs) over the next
2 hours Correct Answers A
A client has recently been released from prison and has just
tested positive for tuberculosis (TB). What teaching points does
the community health nurse want to stress for this client
regarding medications? (Select all that apply.)
A Not taking the medication could lead to an infection that is
difficult to treat or to total drug resistance.
B The medications may cause nausea. The client should take
them at bedtime.
C The client is generally not contagious after 2 to 3 consecutive
weeks of treatment.
D These medications must be taken for 2 years.
E These medications may cause kidney failure. Correct
Answers A, B
A client is admitted to the emergency department (ED) with a
possible diagnosis of avian influenza ("bird flu"). Which of
these actions included in the hospital protocol for avian
influenza will the nurse take first?
A Ensure that ED staff members receive oseltamivir (Tamiflu).
B Obtain specimens for the H5 polymerase chain reaction test.
Questions With Complete Solutions
A 70-year-old client has a complicated medical history,
including chronic obstructive pulmonary disease. Which client
statement indicates the need for further teaching about the
disease?
A "I am here to receive the yearly pneumonia shot again."
B "I am here to get my yearly flu shot again."
C "I should avoid large gatherings during cold and flu season."
D "I should cough into my upper sleeve instead of my hand."
Correct Answers A
A client comes to the emergency department with a sore throat.
Examination reveals redness and swelling of the pharyngeal
mucous membranes. Which diagnostic test does the nurse expect
will be requested first?
A Chest x-ray
B Complete blood count (CBC)
C Tuberculosis (TB) skin test
D Throat culture Correct Answers D
A client has asthma that gets worse during the summer. She tells
the nurse that she takes a medication every day so she does not
get short of breath when she walks to work. About which
medicine does the nurse need to educate the client?
A Albuterol (Proventil) inhaler
B Guaifenesin (Organidin)
C Montelukast (Singulair)
D Omalizumab (Xolair) Correct Answers C
,A client has been diagnosed with asthma. Which statement
below indicates that the client correctly understands how to use
an inhaler with a spacer?
A "I don't have to wait between the two puffs if I use a spacer."
B "If the spacer makes a whistling sound, I am breathing in too
rapidly."
C "I should rinse my mouth and then swallow the water to get
all of the medicine."
D "I should shake the inhaler only if I want to see whether it is
empty." Correct Answers B (Slow and deep breaths ensure that
the medication is reaching deeply into the lungs. The whistling
noise serves as a reminder to the client of which technique needs
to be used. The client must wait 1 minute between puffs. The
client should rinse the mouth but not swallow the water. The
mouth needs to be rinsed after using an inhaler with or without a
spacer. This is especially important if the inhaled medication is a
corticosteroid, to prevent the development of an oral fungal
infection. An empty inhaler will float on its side in water; a full
inhaler will sink. Shaking an inhaler helps ensure that the same
dose is delivered in each puff.)
A client has been diagnosed with chronic bronchitis and started
on a mucolytic. What is the rationale for ordering a mucolytic
for this client?
A Mucolytics decrease secretion production.
B Mucolytics increase gas exchange in the lower airways.
C Mucolytics provide bronchodilation in clients with chronic
obstructive pulmonary disease.
D Mucolytics thin secretions, making them easier to expectorate.
Correct Answers D
, A client has just been admitted to the intensive care unit after
having a left lower lobectomy with a video-assisted
thoracoscopic surgery. Which of these requests will the nurse
implement first?
A Adjust oxygen flow rate to keep O2 saturation at 93% to
100%.
B Administer 2 g of cephalothin (Keflin) IV now.
C Give morphine sulfate 4 to 6 mg IV for pain.
D Infuse 1 unit of packed red blood cells (PRBCs) over the next
2 hours Correct Answers A
A client has recently been released from prison and has just
tested positive for tuberculosis (TB). What teaching points does
the community health nurse want to stress for this client
regarding medications? (Select all that apply.)
A Not taking the medication could lead to an infection that is
difficult to treat or to total drug resistance.
B The medications may cause nausea. The client should take
them at bedtime.
C The client is generally not contagious after 2 to 3 consecutive
weeks of treatment.
D These medications must be taken for 2 years.
E These medications may cause kidney failure. Correct
Answers A, B
A client is admitted to the emergency department (ED) with a
possible diagnosis of avian influenza ("bird flu"). Which of
these actions included in the hospital protocol for avian
influenza will the nurse take first?
A Ensure that ED staff members receive oseltamivir (Tamiflu).
B Obtain specimens for the H5 polymerase chain reaction test.
