Ch. 31 Flashcards
A nurse working in a geriatric clinic sees clients with “cold” symptoms and rhinitis. Which drug would be appropriate to teach these clients to take for their symptoms?
a.
Chlorpheniramine (Chlor-Trimeton)
b.
Diphenhydramine (Benadryl)
c.
Fexofenadine (Allegra)
d.
Hydroxyzine (Vistaril)
c.
Fexofenadine (Allegra)
REF: 584
A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over, tenderness across the cheeks, and postnasal discharge. What instruction will be most helpful?
a.
“Ice packs may help with the facial pain.”
b.
“Limit fluids to dry out your sinuses.”
c.
“Try warm, moist heat packs on your face.”
d.
“We will schedule you for a computed tomography scan this week.”
c.
“Try warm, moist heat packs on your face.”
ref. 584
Which teaching point is most important for the client with bacterial pharyngitis?
a.
Gargle with warm salt water.
b.
Take all antibiotics as directed.
c.
Use a humidifier in the bedroom.
d.
Wash hands frequently.
b.
Take all antibiotics as directed.
ref. 585
A client is in the family practice clinic reporting a severe “cold” that started 4 days ago. On examination, the nurse notes the client also has a severe headache and muscle aches. What action by the nurse is best?
a.
Educate the client on oseltamivir (Tamiflu).
b.
Facilitate admission to the hospital.
c.
Instruct the client to have a flu vaccine.
d.
Teach the client to sneeze in the upper sleeve.
d.
Teach the client to sneeze in the upper sleeve.
ref. 587
The charge nurse on a medical unit is preparing to admit several “clients” who have possible pandemic flu during a preparedness drill. What action by the nurse is best?
a.
Admit the “clients” on Contact Precautions.
b.
Cohort the “clients” in the same area of the unit.
c.
Do not allow pregnant caregivers to care for these “clients.”
d.
Place the “clients” on enhanced Droplet Precautions.
b.
Cohort the “clients” in the same area of the unit.
ref. 588
A client admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the client questions this action, saying “I have been drinking tons of water. How am I dehydrated?” What response by the nurse is best?
a.
“Breathing so quickly can be dehydrating.”
b.
“Everyone with pneumonia is dehydrated.”
c.
“This is really just to administer your antibiotics.”
d.
“Why do you think you are so dehydrated?”
a.
“Breathing so quickly can be dehydrating.”
ref. 593
An older adult is brought to the emergency department by a family member, who reports a moderate change in mental status and mild cough. The client is afebrile. The health care provider orders a chest x-ray. The family member questions why this is needed since the manifestations seem so vague. What response by the nurse is best?
a.
“Chest x-rays are always ordered when we suspect pneumonia.”
b.
“Older people often have vague symptoms, so an x-ray is essential.”
c.
“The x-ray can be done and read before laboratory work is reported.”
d.
“We are testing for any possible source of infection in the client.”
b.
“Older people often have vague symptoms, so an x-ray is essential.”
ref. 592
A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?
a.
Educating the client on adherence to the treatment regimen
b.
Encouraging the client to eat a well-balanced diet
c.
Informing the client about follow-up sputum cultures
d.
Teaching the client ways to balance rest with activity
a.
Educating the client on adherence to the treatment regimen
ref. 597
A client has been admitted for suspected inhalation anthrax infection. What question by the nurse is most important?
a.
“Are any family members also ill?”
b.
“Have you traveled recently?”
c.
“How long have you been ill?”
d.
“What is your occupation?”
d.
“What is your occupation?”
ref. 599
A nurse is caring for several older clients in the hospital that the nurse identifies as being at high risk for healthcare-associated pneumonia. To reduce this risk, what activity should the nurse delegate to the unlicensed assistive personnel (UAP)?
a.
Encourage between-meal snacks.
b.
Monitor temperature every 4 hours.
c.
Provide oral care every 4 hours.
d.
Report any new onset of cough.
c.
Provide oral care every 4 hours.
ref. 590
The emergency department (ED) manager is reviewing client charts to determine how well the staff performs when treating clients with community-acquired pneumonia. What outcome demonstrates that goals for this client type have been met?
a.
Antibiotics started before admission
b.
Blood cultures obtained within 20 minutes
c.
Chest x-ray obtained within 30 minutes
d.
Pulse oximetry obtained on all clients
a.
Antibiotics started before admission
ref. 590
A nurse has educated a client on isoniazid (INH). What statement by the client indicates teaching has been effective?
a.
“I need to take extra vitamin C while on INH.”
b.
“I should take this medicine with milk or juice.”
c.
“I will take this medication on an empty stomach.”
d.
“My contact lenses will be permanently stained.”
c.
“I will take this medication on an empty stomach.”
ref. 597
A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the health care provider immediately?
a.
Albumin: 5.1 g/dL
b.
Alanine aminotransferase (ALT): 180 U/L
c.
Red blood cell (RBC) count: 5.2/mm3
d.
White blood cell (WBC) count: 12,500/mm3
b. Alanine aminotransferase (ALT): 180 U/L
ref. 597
A client seen in the emergency department reports fever, fatigue, and dry cough but no other upper respiratory symptoms. A chest x-ray reveals mediastinal widening. What action by the nurse is best?
a.
Collect a sputum sample for culture by deep suctioning.
b.
Inform the client that antibiotics will be needed for 60 days.
c.
Place the client on Airborne Precautions immediately.
d.
Tell the client that directly observed therapy is needed.
b.
Inform the client that antibiotics will be needed for 60 days.
ref. 600
A client has been hospitalized with tuberculosis (TB). The client’s spouse is fearful of entering the room where the client is in isolation and refuses to visit. What action by the nurse is best?
a.
Ask the spouse to explain the fear of visiting in further detail.
b.
Inform the spouse the precautions are meant to keep other clients safe.
c.
Show the spouse how to follow the isolation precautions to avoid illness.
d.
Tell the spouse that he or she has already been exposed, so it’s safe to visit.
a.
Ask the spouse to explain the fear of visiting in further detail.
ref. 599
