NUR 180 EXAM 2 CORRECT
QUESTIONS & SOLUTIONS
A nurse is monitoring a group of clients for increased risk for developing pneumonia.
Which of the following clients should the nurse expect to be at risk? (Select all that
apply)
a. Client who has dysphagia
b. Client who has AIDS
c. Client who was vaccinated for pneumococcus and influenza 6 months ago
d. Client who is postoperative and has received local anesthesia
e. Client who has a closed head injury receiving ventilation
f. Client who has myasthenia gravis - ANSWER A. Client who has dysphagia is at risk
of aspiration pneumonia
b. The client with AIDS is at risk of pneumonia because they have a weakened immune
system
d. The client who is postoperative is at risk of aspiration pneumonia if they drink fluid
e. This person is at risk of pneumonia because it's invasive and increases the risk of
pneumonia
f. Myasthenia gravis weakens the skeletal muscles and can make if difficult to clear
airway secretions, which increases the risk of pneumonia.
A nurse is caring for a client who has a UTI. Which of the following is the priority
intervention by the nurse?
a. Offer a warm sitz bath
b. Recommend drinking cranberry juice
c. Encourage increased fluids
d. Administer an antibiotic - ANSWER d. The greatest risk to the client is injury to the
renal system and sepsis from the UTI. The priority intervention is to administer
antibiotics
A nurse is preparing educational material to present to a female client who has frequent
urinary tract infections. Which of the following information should the nurse include?
(select all that apply)
a. Avoid sitting in a wet bathing suit
b. Wipe the perineal area back to front following elimination
c. Empty the bladder when there is an urge to void
d. Wear synthetic fabric underwear
e. Take a shower daily - ANSWER a. The patient should avoid sitting in a wet bathing
suit, as this increases the risk for a UTI by colonization of bacteria in a moist, warm
environment.
QUESTIONS & SOLUTIONS
A nurse is monitoring a group of clients for increased risk for developing pneumonia.
Which of the following clients should the nurse expect to be at risk? (Select all that
apply)
a. Client who has dysphagia
b. Client who has AIDS
c. Client who was vaccinated for pneumococcus and influenza 6 months ago
d. Client who is postoperative and has received local anesthesia
e. Client who has a closed head injury receiving ventilation
f. Client who has myasthenia gravis - ANSWER A. Client who has dysphagia is at risk
of aspiration pneumonia
b. The client with AIDS is at risk of pneumonia because they have a weakened immune
system
d. The client who is postoperative is at risk of aspiration pneumonia if they drink fluid
e. This person is at risk of pneumonia because it's invasive and increases the risk of
pneumonia
f. Myasthenia gravis weakens the skeletal muscles and can make if difficult to clear
airway secretions, which increases the risk of pneumonia.
A nurse is caring for a client who has a UTI. Which of the following is the priority
intervention by the nurse?
a. Offer a warm sitz bath
b. Recommend drinking cranberry juice
c. Encourage increased fluids
d. Administer an antibiotic - ANSWER d. The greatest risk to the client is injury to the
renal system and sepsis from the UTI. The priority intervention is to administer
antibiotics
A nurse is preparing educational material to present to a female client who has frequent
urinary tract infections. Which of the following information should the nurse include?
(select all that apply)
a. Avoid sitting in a wet bathing suit
b. Wipe the perineal area back to front following elimination
c. Empty the bladder when there is an urge to void
d. Wear synthetic fabric underwear
e. Take a shower daily - ANSWER a. The patient should avoid sitting in a wet bathing
suit, as this increases the risk for a UTI by colonization of bacteria in a moist, warm
environment.
