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Which test is a quick and reliable aid to diagnosis latent TB? TB tine test PPD skin test Correct! (^) QFT-G Sputum smears
Question 1 1 /^1 pts
PNVN 1631 Module 5 Exam2 Respiratory
Medical Surgical Nursing I
Due Oct 25 at 10:30am Points 80 Questions
80 Available Oct 25 at 9:45am - Oct 25 at 10:30am 45
minutes Time Limit 90 Minutes Allowed
Attempts Unlimited
Instructions
Respiratory Test: Read the questions carefully and choose the best option(s) that answer the questions. Be mindful of your time. You are given 90 minutes to complete the test. Good luck! This quiz was locked Oct 25 at 10:30am.
Attempt History
Attempt Time Score LATEST Attempt 1 21 minutes 78 out of 80
Score for this attempt: 78 out
of 80 Submitted Oct 25 at 10:44am This attempt took 21 minutes.
Determine the ABG and the compensatory mechanism: metabolic alkalosis, complete compensated respiratory alkalosis, complete compensated normal ABG respiratory acidosis, partial uncompensated metabolic acidosis, partial compensated Correct! (^) metabolic alkalosis, partial uncompensated Question 2 1 /^1 pts Sputum smears, cultures and PPD skin test are still done. However, QFT-G offers a qu ABG Value pH: 7.
[HCO 3 ]: 31 mEq/L PaCO 2 : 37 mmHg
These structures of the brain are responsible for the nervous control of breathing a respirations. coronary sinus and alveoli carotid artery and aorta brachiocephalic vein and superior vena cava Correct! (^) medulla oblongata and pons A client with a chronic airflow limitation is experiencing respiratory acidosis as a com following? Correct! (^) Encouraging the client to breathe fast and shallowly Assisting the client to turn, cough, and deep breathe Keeping the head of the bed elevated Monitoring the flow rate of supplemental oxygen Question 4 1 /^1 pts
Rationale: The client with respiratory acidosis is experiencing elevated carbon dioxide insufficient ventilation. The nurse would encourage the client to breathe slowly and de Test-Taking Strategy: Note that the question contains the strategic word “avoid.” With Question 5 1 /^1 pts A client is seen in the health care clinic and a diagnosis of acute sinusitis is made. Th further education? "I should apply heat such as a wet pack over the sinuses." Correct! (^) "I will need surgery asap to drain the sinuses." "I should try to sleep with the head of the bed elevated." "I should drink large amounts of fluids."
A client has been taking isoniazid (INH) for 1 ½ months. The client complains to the n experiencing: Small blood vessel spasm Hypercalcemia Impaired peripheral circulation Question 6 1 /^1 pts
Correct! (^) Peripheral neuritis Rationale: A common side effect of isoniazid (INH) is peripheral neuritis. This is manifested by numbness, tingling, and paresthesias i intake. Question 7 1 /^1 pts The nurse has reinforced instructions with a patient with pleural effusion about strate The nurse evaluates that the patient has understood the instructions if the patient states that he or she will do which of the following? Lie as much as possible on the unaffected side Try to take only small, shallow breaths Correct! Splint the chest wall during coughing and deep breathing Take as much pain medication as possible Effective coughing out of secretions can be achieved by splinting the chest wall which also decreases pain and discomfort
In low-Fowler's Rationale: Following a wedge resection, the client should not be placed on the operative side. Lying on the operative side hinders This further impedes normal gas exchange. Question (^10 1) / 1 pts A nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following would the nurse expect to note in this client? A shortened expiratory phase of respiration Hypocapnia Increased oxygen saturation with exercise Coorrrectct! Dyspnea on exertion and activity Rationale: Clinical manifestations of COPD include hypoxemia, hypercapnia, dyspnea on exertion and at rest, oxygen desaturation with exercise, use of accessory muscles of respiration, and a prolonged expiratory phase of respiration. The chest x-ray will reveal a hyperinflated chest and a flattened diaphragm if the disease is advanced.
A nurse is caring for a client hospitalized with acute exacerbation of chronic obstruct following would the nurse expect to note in evaluating this client? Correct! (^) A hyperinflated chest on x-ray Increased oxygen saturation with exercise Question 12 1 /^1 pts Question (^11 1) / 1 pts A client is at risk of developing a pulmonary embolism. The nurse monitors for which of the following, which is the most commonly reported initial symptom? Hot, flushed feeling Sudden chills and fever Dyspnea noted when deep breaths are taken Coorrrectct! Chest pain that occurs suddenly with dyspnea Rationale: The most common initial symptom in pulmonary embolism is chest pain that is sudden in onset. The next most commonly reported symptom is dyspnea, which is accompanied by an increased respiratory rate. Other typical symptoms of pulmonary embolism include cough, tachycardia, fever, diaphoresis, anxiety, and possibly syncope.
Answer: A Rationale: (^) If the client begins to hemorrhage from the surgical site following radical neck dissection, the nurse elevates the head of the Strategy: Use the process of elimination and note the key word, contraindicated. Th incorrect action. Option 1 would not maintain airway patency. Review care of th dissection if you had difficulty with this question. A client who has laryngeal nodules being evaluated for cancer of the larynx is schedu condition? Correct! (^) Hoarseness Sore throat Swollen glands Aphonia Question 14 1 /^1 pts
Question 1 /^1 Rationale: Hoarseness is a typical symptom associated with laryngeal nodules. Aphonia is associated with laryngitis. Sore th pharyngitis. Swollen glands usually accompany tonsillitis. A nurse is assisting in caring for a client with an endotracheal tube attached to a ventilator when the high-pressure alarm sounds. The nurse checks the client and system for which most likely cause? Disconnection from the ventilator Loose connection in the system Coorrrectct! Obstruction that can be caused by accumulation of secretions in the client’s lungs Endotracheal tube cuff leak
Question 17 1 /^1 pts
A nurse is caring for a client who had a Mantoux skin test 48 hours ago on admission to the nursing unit and reads the result of the skin test as positive. Which action by the nurse is the priority? Call the employee health service department. Call the radiology department for a chest x-ray. Coorrrectct! Report the findings. Document the finding in the client's record. Answer: a Rationale: The nurse who interprets a Mantoux test as positive notifies the physician immediately. The physician would order a chest x-ray to determine whether the client has clinically active tuberculosis (TB) or old, healed lesions. A sputum culture would be done to confirm the diagnosis of active TB. The client is placed on TB precautions prophylactically until a final diagnosis is made. The findings are documented in the client's record but this action is not the highest priority. Calling the employee health service would be of no benefit to the client. Strategy: Use the process of elimination and note the key word, priority. Because the nurse may not order diagnostic tests, eliminate option 2 first. Similarly, option 4 can be eliminated, because calling the employee health service is of no benefit to the client. From the remaining options, notifying the physician should have a higher priority than the documentation, even though they may both be done in the same narrow time period. Review nursing interventions related to Mantoux testing if you had
Interpret the ABG with included compensatory mechanism normal ABG metabolic acidosis, partial compensated metabolic alkalosis, partial uncompensated Question 19 1 /^1 pts Correct! INH is hepatotoxic and therefore the client is taught to report signs and symptom immediately. Drink alcohol in small amounts only Report yellowing of the eyes or skin immediately Avoid vitamin supplements during therapy Increase intake of Swiss or aged cheese A client is to begin a 6-month course of therapy with isoniazid (INH). A nurse plans to teach the client to: Question 18 1 /^1 pts ABG Value pH: 7.
[HCO 3 ]: 28 mEq/L PaCO 2 : 46 mmHg
respiratory alkalosis, partial uncompensated Correct! (^) respiratory acidosis, partial compensated Question (^20 1) / 1 pts A nursing instructor is observing a nursing student suctioning a client through a tracheostomy tube. The nursing instructor intervenes if the student performed which incorrect action? Applying suction during withdrawal of the catheter Coorrrectct! Applying suction during insertion of the catheter Using sterile technique to perform the procedure Hyperventilating the client with 100% oxygen before suctioning Answer: c. Rationale: The client should be hyperoxygenated with 100% oxygen prior to suctioning. Sterile technique is always used. Suction is not applied during insertion of the catheter, and intermittent suction and a twirling motion of the catheter are used during withdrawal. Strategy: Use the process of elimination and note the key words, incorrect action. These words indicate a false response question and that you need to select the incorrect action. Visualize the procedure and
