EAQ final exam Questions and Correct
Answer
A patient with pneumonia is being treated at home and has reported fatigue to the nurse.
What instructions should the nurse include when teaching the patient about care and recovery
at home? Select all that apply.
Get adequate rest.
Restrict fluid intake.
Avoid alcohol and smoking.
Resume work to build strength.
Take every dose of the prescribed antibiotic
~: Get adequate rest.
Avoid alcohol and smoking.
Take every dose of the prescribed antibiotic
The nurse determines that additional discharge teaching is needed for a patient with
pneumonia when the patient states what?
"I will take all medications as prescribed."
"Breathing exercises may help prevent future infections."
"I should take antibiotics for all upper respiratory infections."
"I will seek medical attention if I develop a fever or productive cough."
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~: "I should take antibiotics for all upper respiratory infections."
A patient has been admitted with a suspected lung abscess. During the assessment, the nurse
is aware that the most common manifestation of a lung abscess is which of these?
Fever
Vomiting
Purulent sputum that has a foul odor and taste
Increased breath sounds on auscultation over the involved segment of lung.
~: Purulent sputum that has a foul odor and taste
A patient with asthma who has undergone a total hip replacement complains on the third
postoperative day of shortness of breath and slight chest pain and notes that "something is
wrong." Temperature is 98.8° F, blood pressure 168/98 mm Hg, pulse 96, respirations 32, and
oxygen saturation is 89% on room air. What is the priority nursing action?
Notify the health care provider and document the vital signs.
Apply oxygen and place the patient in a semi-Fowler's position.
Obtain an electrocardiogram (ECG) and administer albuterol nebulizers.
Administer the prescribed antihypertensive medication and reassess in 15 minutes.
~: Apply oxygen and place the patient in a semi-Fowler's position.
The nurse is monitoring a patient who is having a thoracentesis for recurrent pleural effusion.
Which of these assessment findings would be of most concern?
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Removal of 1000 mL of pleural fluid
Restlessness and sudden complaint of dyspnea
SpO 2 reading of 96% while on 2 L/minute of oxygen
Patient complaint of pressure at the needle insertion site
~: Restlessness and sudden complaint of dyspnea
The nurse is caring for a patient who has a nasogastric tube. What actions should the nurse
perform to prevent aspiration in this patient? Select all that apply.
Monitor gastric residual volumes.
Feed the patient in a reclined position.
Lower the head of the bed to 10 degrees.
Elevate the head of the bed 30 to 45 degrees.
Encourage the patient to sit upright for all meals.
~: Monitor gastric residual volumes.
Elevate the head of the bed 30 to 45 degrees.
Encourage the patient to sit upright for all meals.
A 46-year-old patient who has undergone total left knee arthroplasty complains of shortness
of breath and slight chest pain. Temperature is 98° F, blood pressure 140/86 mmHg,
respirations 30, and oxygen saturation 92% on room air. The nurse suspects that the patient is
experiencing which condition?
Pneumonia
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Unstable angina
Pulmonary embolus
Chronic obstructive pulmonary disease (COPD) exacerbation
~: Pulmonary embolus
What is the priority nursing intervention in helping a patient expectorate thick lung
secretions?
Humidify the oxygen as able.
Administer cough suppressant.
Teach the patient to splint the affected area.
Increase fluid intake to 3 L/day if tolerated.
~: Increase fluid intake to 3 L/day if tolerated.
When the patient with a persistent cough is diagnosed with pertussis (instead of acute
bronchitis), the nurse knows that treatment will include which type of medication?
Antibiotic
Corticosteroid
Bronchodilator
Cough suppressant
~: Antibiotic