Lewis's Medical-Surgical Nursing (12th Ed) by M.
Harding nursing test bank
The nurse teaches a patient about the
transmission of pulmonary tuberculosis
(TB).Which statement by the patient indicates that
teaching was effective?
a. I will take the bus instead of driving
b. I will stay indoors whenever possible
c. My spouse will sleep in another room
d. I will keep the windows closed at home -
correct answer-C
Which finding by the nurse most specifically
indicates that a patient is not able to effectively
clear the airway?
a. Weak cough effort
b. Profuse green sputum
c. Respiratory rate of 28 breaths/min
,d. Resting pulse oximetry (SpO2) of 85% - correct
answer-A
The nurse assesses the chest of a patient with
pneumococcal pneumonia. Which finding would
the nurse expect?
a. Increased tactile fremitus
b. Dry, nonproductive cough
c. Hyperresonance to percussion
d. A grating sound on auscultation - correct
answer-A
A patient with bacterial pneumonia has coarse
crackles and thick sputum.Which action would the
nurse plan to promote airway clearance?
a. Restrict oral fluids during the day.
b. Encourage pursed-lip breathing technique.
c. Help the patient to splint the chest when
coughing.
d. Encourage the patient to wear the nasal O2
cannula. - correct answer-C
The nurse provides discharge instructions to a
patient who was hospitalized for pneumonia.
Which statement by the patient indicates a good
understanding of the instructions?
, a. I will call my health care provider if I still feel
tired after a week
b. I will cancel my follow-up chest x-ray
appointment if I feel better
c. I will continue to do deep breathing and
coughing exercises at home
d. I will schedule two appointments for the
pneumonia and influenza vaccines - correct
answer-C
Which action would the nurse plan to prevent
aspiration in a high-risk patient?
a. Turn and reposition an immobile patient at least
every 2 hours.
b. Raise the head of the bed for a patient who is
receiving tube feedings.
c. Insert a nasogastric tube for feeding a patient
with high-calorie needs.
d. Monitor respiratory symptoms in a patient who
is immunosuppressed. - correct answer-B
A patient with right lower-lobe pneumonia has
been treated with IV antibiotics for 3 days.
Which assessment data indicates that the
treatment is effective?