NUR 2502 MDC3 Exam 2 with verified answers
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A |client |with |chronic |bronchitis |often |shows |signs |of |hypoxia. |Which |of |the |following |is |the |priority |to
|monitor |for |in |this |client?
A. |O2 |levels
B. |Barrel |chest
C. |Nutritional |Status
D. |Clubbing |of |fingers |- |VERIFIED |ANSWER✔✔-A. |O2 |levels
Which |of |the |following |positions |offers |no |benefit |to |relieve |dyspnea |in |a |client |with |chronic |air |flow |
limitation?
A. |sitting |at |the |edge |of |the |chair, |leaning |forward |with |his |arms |folded |and |resting |on |a |table
B. |A |low- |semi |reclining |positions |with |shoulders |back |and |niche |apart
C. |Leaning |forward |in |a |chair |with |feet |spread |apart |and |elbows |placed |on |knees
D. |upright |with |head |slightly |flexed, |with |feet |spread |apart |and |shoulders |relaxed |- |VERIFIED |
ANSWER✔✔-B. |A |low- |semi |reclining |positions |with |shoulders |back |and |niche |apart
The |nurse |knows |that |which |of |the |following |test |is |not |used |to |identify |potential |tuberculosis
A. |sputum |culture
B. |Chest |x-ray |
C. |Mantoux |skin |test |
D. |Saliva |swab |- |VERIFIED |ANSWER✔✔-D. |Saliva |swab
The |nurse |has |identified |a |nursing |diagnosis |of |ineffective |airway |clearance |with |bronchospasms |for |
client |with |pneumonia. |What |nursing |intervention |will |help |to |conduct |refractive |air |clearance |for |a |
client |with |pneumonia?
A. |increase |liters |of |humidified |oxygen |perfect |marks
B. |Scheduled |and |PRN |albuterol |nebulizer |bronchodilator |treatment
C. |Handheld |bronchodilator |always |as |needed
,D. |Prednisone |via |inhaler |or |IV |to |reduce |the |inflammation |- |VERIFIED |ANSWER✔✔-B. |Scheduled |and |
PRN |albuterol |nebulizer |bronchodilator |treatment
The |nurse |is |teaching |a |client |about |post-rhinoplasty |care. |Which |statement |by |the |clients |indicate |an
|understanding |of |the |instructions? |SATA
A. |I |will |have |a |very |large |dressing |on |my |nose
B. |I |may |have |a |very |dry |mouth |and |throat
C. |There |will |be |swelling |that |will |cause |a |loss |of |sense |of |smell
D. |I |will |have |bruising |around |my |eyes, |nose |and |face
E. |I |should |limit |coughing, |sneezing |and |blowing |my |nose
F. |I |will |be |able |to |breathing |only |from |my |nose
G. |I |should |take |a |stool |softener |to |prevent |straining |during |bowel |movements |- |VERIFIED |
ANSWER✔✔-A. |I |will |have |a |very |large |dressing |on |my |nose
B. |I |may |have |a |very |dry |mouth |and |throat
D. |I |will |have |bruising |around |my |eyes, |nose |and |face
E. |I |should |limit |coughing, |sneezing |and |blowing |my |nose
G. |I |should |take |a |stool |softener |to |prevent |straining |during |bowel |movements
A |27yr |old |male |presents |to |the |E.R |with |difficulty |breathing, |respiratory |rate |is |36 |bpm, |O2 |is |85% |
on |RA. |Breaths |are |diminished |bilaterally. |Which |of |the |following |is |a |nursing |intervention |priority?
A. |Complete |patient |history
B. |Secure |the |airway
C. |Draw |labs
D. |Starts |IV |- |VERIFIED |ANSWER✔✔-B. |Secure |the |airway
Nurse |is |teaching |a |client |with |COPD |about |energy |conservation. |What |does |the |nurse |advise |the |
patient |to |avoid?
A. |performing |activities |at |a |relaxed |pace |through |the |day |with |rest |periods
B. |Working |on |activities |that |require |using |the |arms |at |chest |level |or |lower
C. |Eating |3 |large |meals |per |day
, D. |Talking |and |performing |activity |separately |- |VERIFIED |ANSWER✔✔-C. |Eating |3 |large |meals |per |day
Which |statement |by |the |patient |indicates |understanding |about |radiation |therapy |for |neck |cancer?
A. |I |will |need |to |wear |sunscreen |or |protect |my |skin |with |clothing |at |all |times/ |my |cousin |may |initially
|be |hoarse |but |should |improve |over |time
B. |There |are |not |side |effects |other |than |a |hoarse |voice
C. |Radiation |does |not |cause |a |dry |mouth |
D. |My |throat |is |not |directly |affected |by |radiation |- |VERIFIED |ANSWER✔✔-A. |I |will |need |to |wear |
sunscreen |or |protect |my |skin |with |clothing |at |all |times/ |my |cousin |may |initially |be |hoarse |but |should |
improve |over |time
Which |intervention |promotes |comfort |in |dyspnea |management |for |a |patient |with |lung |cancer?
A. |Administer |morphine |on |a |routine, |scheduled |basis
B. |Place |the |patient |in |a |supine |position |with |a |pillow |under |the |knees |and |legs
C. |Encourage |coughing, |deep |breathing |and |independence |ambulation |
D. |Provide |nitroglycerine |as |prescribed/provide |supplemental |oxygen |via |nasal |cannula |or |mask |- |
VERIFIED |ANSWER✔✔-A. |Administer |morphine |on |a |routine, |scheduled |basis
37 |year |old |male |client |presented |to |the |emergency |room |with |complaints |of |nasal, |facial |pain |and |
bloody |discharge. |He |states |the |symptoms |started |approx. |3 |mon |ago |has |gotten |worse. |He |states |
that |he |feels |like |his |nose |is |blocked |up |all |the |time. |Based |on |symptoms |which |of |the |following |
diagnosis |test |would |the |nurse |anticipate |to |provide?
A. |CT |scan |of |the |face
B. |Liver |function |test
C. |complete |blood |counts
D, |Tumor |mapping |- |VERIFIED |ANSWER✔✔-A. |CT |scan |of |the |face
Patient |with |cystic |fibrosis |is |admitted |to |the |medicare |surgical |unit |for |elective |surgery. |Which |
infection |control |measure |is |best |for |the |patients? |
A. |Best |to |put |2 |clients |with |CF |in |the |same |room
B. |Standard |precautions, |including |handwashing |are |sufficient
C. |Client |to |be |placed |on |contact |isolation |
| | | | | | |
A |client |with |chronic |bronchitis |often |shows |signs |of |hypoxia. |Which |of |the |following |is |the |priority |to
|monitor |for |in |this |client?
A. |O2 |levels
B. |Barrel |chest
C. |Nutritional |Status
D. |Clubbing |of |fingers |- |VERIFIED |ANSWER✔✔-A. |O2 |levels
Which |of |the |following |positions |offers |no |benefit |to |relieve |dyspnea |in |a |client |with |chronic |air |flow |
limitation?
A. |sitting |at |the |edge |of |the |chair, |leaning |forward |with |his |arms |folded |and |resting |on |a |table
B. |A |low- |semi |reclining |positions |with |shoulders |back |and |niche |apart
C. |Leaning |forward |in |a |chair |with |feet |spread |apart |and |elbows |placed |on |knees
D. |upright |with |head |slightly |flexed, |with |feet |spread |apart |and |shoulders |relaxed |- |VERIFIED |
ANSWER✔✔-B. |A |low- |semi |reclining |positions |with |shoulders |back |and |niche |apart
The |nurse |knows |that |which |of |the |following |test |is |not |used |to |identify |potential |tuberculosis
A. |sputum |culture
B. |Chest |x-ray |
C. |Mantoux |skin |test |
D. |Saliva |swab |- |VERIFIED |ANSWER✔✔-D. |Saliva |swab
The |nurse |has |identified |a |nursing |diagnosis |of |ineffective |airway |clearance |with |bronchospasms |for |
client |with |pneumonia. |What |nursing |intervention |will |help |to |conduct |refractive |air |clearance |for |a |
client |with |pneumonia?
A. |increase |liters |of |humidified |oxygen |perfect |marks
B. |Scheduled |and |PRN |albuterol |nebulizer |bronchodilator |treatment
C. |Handheld |bronchodilator |always |as |needed
,D. |Prednisone |via |inhaler |or |IV |to |reduce |the |inflammation |- |VERIFIED |ANSWER✔✔-B. |Scheduled |and |
PRN |albuterol |nebulizer |bronchodilator |treatment
The |nurse |is |teaching |a |client |about |post-rhinoplasty |care. |Which |statement |by |the |clients |indicate |an
|understanding |of |the |instructions? |SATA
A. |I |will |have |a |very |large |dressing |on |my |nose
B. |I |may |have |a |very |dry |mouth |and |throat
C. |There |will |be |swelling |that |will |cause |a |loss |of |sense |of |smell
D. |I |will |have |bruising |around |my |eyes, |nose |and |face
E. |I |should |limit |coughing, |sneezing |and |blowing |my |nose
F. |I |will |be |able |to |breathing |only |from |my |nose
G. |I |should |take |a |stool |softener |to |prevent |straining |during |bowel |movements |- |VERIFIED |
ANSWER✔✔-A. |I |will |have |a |very |large |dressing |on |my |nose
B. |I |may |have |a |very |dry |mouth |and |throat
D. |I |will |have |bruising |around |my |eyes, |nose |and |face
E. |I |should |limit |coughing, |sneezing |and |blowing |my |nose
G. |I |should |take |a |stool |softener |to |prevent |straining |during |bowel |movements
A |27yr |old |male |presents |to |the |E.R |with |difficulty |breathing, |respiratory |rate |is |36 |bpm, |O2 |is |85% |
on |RA. |Breaths |are |diminished |bilaterally. |Which |of |the |following |is |a |nursing |intervention |priority?
A. |Complete |patient |history
B. |Secure |the |airway
C. |Draw |labs
D. |Starts |IV |- |VERIFIED |ANSWER✔✔-B. |Secure |the |airway
Nurse |is |teaching |a |client |with |COPD |about |energy |conservation. |What |does |the |nurse |advise |the |
patient |to |avoid?
A. |performing |activities |at |a |relaxed |pace |through |the |day |with |rest |periods
B. |Working |on |activities |that |require |using |the |arms |at |chest |level |or |lower
C. |Eating |3 |large |meals |per |day
, D. |Talking |and |performing |activity |separately |- |VERIFIED |ANSWER✔✔-C. |Eating |3 |large |meals |per |day
Which |statement |by |the |patient |indicates |understanding |about |radiation |therapy |for |neck |cancer?
A. |I |will |need |to |wear |sunscreen |or |protect |my |skin |with |clothing |at |all |times/ |my |cousin |may |initially
|be |hoarse |but |should |improve |over |time
B. |There |are |not |side |effects |other |than |a |hoarse |voice
C. |Radiation |does |not |cause |a |dry |mouth |
D. |My |throat |is |not |directly |affected |by |radiation |- |VERIFIED |ANSWER✔✔-A. |I |will |need |to |wear |
sunscreen |or |protect |my |skin |with |clothing |at |all |times/ |my |cousin |may |initially |be |hoarse |but |should |
improve |over |time
Which |intervention |promotes |comfort |in |dyspnea |management |for |a |patient |with |lung |cancer?
A. |Administer |morphine |on |a |routine, |scheduled |basis
B. |Place |the |patient |in |a |supine |position |with |a |pillow |under |the |knees |and |legs
C. |Encourage |coughing, |deep |breathing |and |independence |ambulation |
D. |Provide |nitroglycerine |as |prescribed/provide |supplemental |oxygen |via |nasal |cannula |or |mask |- |
VERIFIED |ANSWER✔✔-A. |Administer |morphine |on |a |routine, |scheduled |basis
37 |year |old |male |client |presented |to |the |emergency |room |with |complaints |of |nasal, |facial |pain |and |
bloody |discharge. |He |states |the |symptoms |started |approx. |3 |mon |ago |has |gotten |worse. |He |states |
that |he |feels |like |his |nose |is |blocked |up |all |the |time. |Based |on |symptoms |which |of |the |following |
diagnosis |test |would |the |nurse |anticipate |to |provide?
A. |CT |scan |of |the |face
B. |Liver |function |test
C. |complete |blood |counts
D, |Tumor |mapping |- |VERIFIED |ANSWER✔✔-A. |CT |scan |of |the |face
Patient |with |cystic |fibrosis |is |admitted |to |the |medicare |surgical |unit |for |elective |surgery. |Which |
infection |control |measure |is |best |for |the |patients? |
A. |Best |to |put |2 |clients |with |CF |in |the |same |room
B. |Standard |precautions, |including |handwashing |are |sufficient
C. |Client |to |be |placed |on |contact |isolation |
