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Management Of Clients With Parenchymal And Pleural Disorders

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Question 1
Free
Multiple Choice

The nurse administering influenza vaccinations to a group of office workers would not offer the vaccine to a client who

Choose correct answer/s
A

has a history of asthma.

B

is allergic to eggs.

C

is allergic to sulfa drugs.

D

takes amoxicillin for a bladder infection.

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Question 2
Free
Multiple Choice

The nurse notes that a client in a long-term care facility has become increasingly confused in the last few days. The resident's vital signs are temperature 97.7° F, pulse rate 80 beats/min, respirations 20 breaths/min, and blood pressure (90/62) mm Hg. The nurse would suspect

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A

cancer of the lung.

B

plural effusion.

C

pneumonia.

D

tuberculosis (TB).

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Question 3
Free
Multiple Choice

The nurse writing an infection control policy for a home health care agency would include the information that the rise in TB cases in recent years is related to the

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A

aging of the U.S. population.

B

emergence of antibiotic-resistant bacteria.

C

increase in HIV infection.

D

rise in illegal drug use.

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Question 4
Free
Multiple Choice

The nurse would know that the client most likely to exhibit a false-negative Mantoux reaction is the client who is

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A

being treated for sickle cell disease.

B

HIV-positive.

C

malnourished.

D

previously diagnosed with TB.

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Question 5
Free
Multiple Choice

The nurse caring for a client recently diagnosed with active TB would include in the teaching plan which information regarding medications?

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A

Clients must report daily to the health department to receive their medication.

B

Clients are usually admitted to the hospital to initiate treatment for TB.

C

Medications are generally given for 6 to 8 weeks.

D

TB is treated with three or more medications to prevent organism resistance.

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Question 6
Multiple Choice

The nurse caring for a client with cystic fibrosis would select as the highest priority the nursing diagnosis of

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A
Activity Intolerance.
B
Anxiety.
C
Risk for Deficient Fluid Volume.
D
Risk for Ineffective Airway Clearance.
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Question 7
Multiple Choice

A client is noncompliant with the continuation phase of treatment for TB. The nurse assigns the diagnosis Ineffective Coping and plans interventions that will

Choose correct answer/s
A
allow the client to continue to work from home.
B
increase the client's sense of control.
C
isolate the client from the family until the disease is under control.
D
require the client to report medication use.
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Question 8
Multiple Choice

To prevent the complication of atelectasis in an 82-year-old woman with a hip fracture, the nurse would

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A
ambulate the client frequently.
B
frequently reposition the client.
C
suction the upper airway.
D
supply oxygen.
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Question 9
Multiple Choice

The nurse has made the nursing diagnosis Ineffective Breathing Pattern related to tachypnea secondary to chest pain for a client with pneumonia. After administration of an analgesic, the nurse would

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A
encourage the use of an incentive spirometer.
B
monitor the client's respiratory pattern.
C
reposition the client flat in bed.
D
request that the client cough.
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Question 10
Multiple Choice

To increase the level of comfort for a client with a lung abscess, the nurse would include which intervention in the care plan?

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A
Encourage activity before meals.
B
Offer frequent oral hygiene.
C
Provide easy-to-eat milk products.
D
Restrict fluid intake.
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Question 11
Multiple Choice

A client has small cell carcinoma of the lung. The nurse should anticipate providing which intervention to the client?

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A
Educating the client and family about planned chemotherapy
B
Instructing the client on home care of a chest tube system
C
Preparing the client for lung resection
D
Providing a referral to hospice
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Question 12
Multiple Choice

The nurse would know that a client who has just begun treatment for pulmonary TB with rifampin has a good understanding of this medication with the statement that

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A
"I told my wife to throw away all our spoons and forks before I come home."
B
"I won't go to any family gatherings for 6 months."
C
"It's going to be important to remember to cover my nose when I sneeze."
D
"My urine will look orange because of the medication."
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Question 13
Multiple Choice

A client had chest surgery this morning and has a chest tube attached to a closed-chest drainage system. When the nurse notes no tidaling of fluid, the nurse would first

Choose correct answer/s
A
attach the system to suction.
B
milk the chest tube.
C
notify the physician immediately.
D
reposition the client.
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Question 14
Multiple Choice

The nurse notes intermittent bubbling in the water-seal chamber of a chest tube in place for a client with pneumothorax. The nurse's most appropriate action is to

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A
change the drainage unit.
B
clamp the chest tube.
C
encourage respiratory exercises.
D
place petrolatum gauze around the chest tube.
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Question 15
Multiple Choice

A client has accidentally disconnected a chest tube while turning over in bed. The suction tubing is on the floor. The most appropriate action by the nurse is to

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A
call the physician immediately and prepare the client for reinsertion.
B
clamp the chest tube just proximal to the open end.
C
reattach the drainage tube to the suction tubing.
D
submerge the end of the drainage tube in a bottle of sterile saline.
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Question 16
Multiple Choice

In caring for a client scheduled to have chest tubes removed, the nurse's most appropriate action would be to

Choose correct answer/s
A
assist the client to a prone position.
B
empty the collection chambers before removal.
C
encourage deep breathing during removal.
D
medicate for pain 1/2 hour before removal.
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Question 17
Multiple Choice

On physical examination of a client with pneumonia, the nurse would expect

Choose correct answer/s
A
absence of whispered pectoriloquy over the affected area.
B
increased tactile fremitus over the affected area.
C
tympanic percussion notes over the affected area.
D
vesicular breath sounds over the affected area.
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Question 18
Multiple Choice

A young female client with cystic fibrosis (CF) wishes to become pregnant but is concerned about the effect of CF on fertility. The nurse bases a response with the understanding that

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A
breastfeeding will not be possible because of plugged milk glands.
B
only about 20% of women with CF are infertile.
C
pregnancy carries a high risk of spontaneous abortion (miscarriage).
D
women with CF are unlikely to become pregnant.
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Question 19
Multiple Choice

The nurse would assess a client with severe acute respiratory syndrome (SARS) for the major clinical manifestation indicating the onset of the lower respiratory phase, which is

Choose correct answer/s
A
dry, nonproductive cough.
B
hemoptysis.
C
pleuritic pain.
D
rapid temperature elevation.
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Question 20
Multiple Choice

The nurse would become concerned about the risk of hemorrhage if, in the first 2 hours after surgery, the thoracotomy client's drainage exceeded

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A
50 ml.
B
100 ml.
C
300 ml.
D
750 ml.
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