Complex Concepts of Nursing FINAL
EXAM Questions And 100% Correct
Answers 2025 Updated.
Precautions taken for pneumonia - Answer droplet
Assessment findings of Pneumonia - Answer - SOB
- tachypnea
- dullness upon percussion
- crackles in affected lobe
- productive cough (thick secretions)
- low O2 sat
- chest pain (d/t coughing)
- diaphoresis
- fever
- fatigue
- CONFUSION IN OLDER ADULTS D/T HYPOXIA
Nursing interventions for pneumonia - Answer humidified oxygen, position in high fowler's,
encourage coughing/intermittent suction, deep breathing and incentive spirometer, Q2 hours
cough and turn
Nutrition for pneumonia - Answer high calorie, low carb (carbs breakdown into CO2), 2-3L
fluid/day
Precautions for TB - Answer airborne precautions
- N95 when taking care of pt.
- barrier precautions when risk of hand or clothing contamination exists
- pt. wears surgical mask when being moved
- NEGATIVE pressure room
Assessment findings of TB - Answer - persistent cough lasting longer than 3 weeks
,- weight loss and anorexia
Nursing interventions for TB - Answer - heated and humidified O2 therapy
- cough sputum into tissues and into provided BH sacks
Nutrition for TB - Answer - well balanced diet
- encourage fluid intake
- high protein
- high vitamin C
- high iron
Teaching for TB - Answer - family members should be screened
- BCG vaccine prevents TB (given when isoniazid is contraindicated)
- there is no spread during the latent phase
- maintain FULL drug therapy
- sputum samples needed every 2-4 weeks
- no longer infectious after THREE negative sputum samples
TB medications - Answer treatment usually requires 4 meds at once
rifampin, isoniazid, pyrazinamide, and ethambutol hydrochloride (RIPE)
Isoniazid - Answer - TB med
- inhibits growth of mycobacteria by preventing synthesis of mycolic acid in the cell wall
- take on an EMPTY stomach
- watch for: HEPATOTOXICITY & NEUROTOXICITY (tingling in the hands and feet) --> can be
prevented with vitamin B6
- don't drink alcohol while taking
Rifampin - Answer - TB med
- inhibits and kills bacteria
- causes secretions and urine to be ORANGE (normal)
, Pyrazinamide - Answer - TB med
- kills and inhibits bacteria
- watch for: HEPATOTOXICITY & GOUT
- drink and glass of water with each dose and increase fluid intake (hyperuricaemia)
Ethambutol - Answer - TB med
- baseline visual acuity tests & determine color discrimination ability
- NOT for children < 13
- IMMEDIATELY report visual changes
Streptomycin Sulfate - Answer - TB med, used for pt. resistant to other antibiotics
- HIGHLY toxic --> only use for clients with multidrug resistance
- OTOTOXIC (monitor hearing)
- report kidney changes (output)
- maintain adequate hydration
Cholelithiasis - Answer STONES
- can be painless, pain can occur if the stones move
- N/V is possible
- pain lasts 30 min - 5 hours
- indigestion
- pain w/ deep inspiration (murphy's)
- intense pain after high fat food
- fever
Cholecystitis - Answer INFLAMMATION
- pain in RUQ (radiates to right shoulder)
- heartburn
- excessive flatulence
- pain with deep inspiration (murphy's)
- jaundice
EXAM Questions And 100% Correct
Answers 2025 Updated.
Precautions taken for pneumonia - Answer droplet
Assessment findings of Pneumonia - Answer - SOB
- tachypnea
- dullness upon percussion
- crackles in affected lobe
- productive cough (thick secretions)
- low O2 sat
- chest pain (d/t coughing)
- diaphoresis
- fever
- fatigue
- CONFUSION IN OLDER ADULTS D/T HYPOXIA
Nursing interventions for pneumonia - Answer humidified oxygen, position in high fowler's,
encourage coughing/intermittent suction, deep breathing and incentive spirometer, Q2 hours
cough and turn
Nutrition for pneumonia - Answer high calorie, low carb (carbs breakdown into CO2), 2-3L
fluid/day
Precautions for TB - Answer airborne precautions
- N95 when taking care of pt.
- barrier precautions when risk of hand or clothing contamination exists
- pt. wears surgical mask when being moved
- NEGATIVE pressure room
Assessment findings of TB - Answer - persistent cough lasting longer than 3 weeks
,- weight loss and anorexia
Nursing interventions for TB - Answer - heated and humidified O2 therapy
- cough sputum into tissues and into provided BH sacks
Nutrition for TB - Answer - well balanced diet
- encourage fluid intake
- high protein
- high vitamin C
- high iron
Teaching for TB - Answer - family members should be screened
- BCG vaccine prevents TB (given when isoniazid is contraindicated)
- there is no spread during the latent phase
- maintain FULL drug therapy
- sputum samples needed every 2-4 weeks
- no longer infectious after THREE negative sputum samples
TB medications - Answer treatment usually requires 4 meds at once
rifampin, isoniazid, pyrazinamide, and ethambutol hydrochloride (RIPE)
Isoniazid - Answer - TB med
- inhibits growth of mycobacteria by preventing synthesis of mycolic acid in the cell wall
- take on an EMPTY stomach
- watch for: HEPATOTOXICITY & NEUROTOXICITY (tingling in the hands and feet) --> can be
prevented with vitamin B6
- don't drink alcohol while taking
Rifampin - Answer - TB med
- inhibits and kills bacteria
- causes secretions and urine to be ORANGE (normal)
, Pyrazinamide - Answer - TB med
- kills and inhibits bacteria
- watch for: HEPATOTOXICITY & GOUT
- drink and glass of water with each dose and increase fluid intake (hyperuricaemia)
Ethambutol - Answer - TB med
- baseline visual acuity tests & determine color discrimination ability
- NOT for children < 13
- IMMEDIATELY report visual changes
Streptomycin Sulfate - Answer - TB med, used for pt. resistant to other antibiotics
- HIGHLY toxic --> only use for clients with multidrug resistance
- OTOTOXIC (monitor hearing)
- report kidney changes (output)
- maintain adequate hydration
Cholelithiasis - Answer STONES
- can be painless, pain can occur if the stones move
- N/V is possible
- pain lasts 30 min - 5 hours
- indigestion
- pain w/ deep inspiration (murphy's)
- intense pain after high fat food
- fever
Cholecystitis - Answer INFLAMMATION
- pain in RUQ (radiates to right shoulder)
- heartburn
- excessive flatulence
- pain with deep inspiration (murphy's)
- jaundice
