Practice questions for exam 3 Flashcards
The nurse is preparing a list of home care instructions for a pt who has been hospitalized for TB. Which instructions would the nurse include in the list? SATA
1. activities should be resumed gradually
2. avoid contact with other individuals except family members for 6 months
3. A sputum culture is needed every 2-4 wks once medication therapy is initiated
4. Respiratory isolation is not necessary, because family members already have been exposed
5. cover the mouth and nose when coughing or sneezing and put used tissues in a plastic bag
6. when one sputum culture is negative the client is no longer considered infectious and usually can return to former employment
1,3,4,5
NCLEX pg 696
The nurse has conducted discharge teaching with a client diagnosed with TB who has been recieving medication for 2 wks. The nurse determines that the client has understood the information if the client makes which statement
1. I need to continue medication therapyy for 1 month
2. I can’t shop at the mall for the next 6 months
3. I can return to work if a sputum culture comes back negative
4. I won’t be contagious after 2-3 wks of medication therapy
4
NCLEX pg 697
The nurse is preparing to give a bed bath to a immobilized pt with TB. The nurse would wear which items when preforming this care?
1. Surgical mask and gloves
2. Particulate respirator, gown, and gloves
3. Particulate respirator and protective eye wear
4. Surgical mask, gown, and protective eye wear
2
NCLEX PG 697
A clent has experienced pulmonary embolism. The nurse would assess for which symptom, which is MOST commonly reported>
1. Hot, flushed feeling
2. Sudden chills and fever
3. Chest pain that occurs suddenly
4. Dyspnea when deep breaths are taken
3
NCLEX pg 697
A client with HIV has a PPD test that has a 7-mm induration at the site of the skin test and interprets the result as which finding?
1. positive
2. Negative
3. Inconclusive
4. Need for repeating testing
1
NCLEX pg 697
A community health nurse is conducting an education session with community members regarding the S/S associated with TB. The nurse informs the participants that TB is considered as a dx if which S/S are present? SATA
1. Dyspnea
2. Headache
3. Night sweats
4. Bloody, productive cough
5. A cough with the expectoration of mucoid sputum
1,3,4,5
NCLEX pg 697
The nurse preforms an admission assessment on a pt with a dx of TB. The nurse would check the results of which diagnostic test that will confirm the dx?
1. CHXR
2. Bronchoscopy
3. Sputum Culture
4. Tuberculin SKin Test
3
NCLEX pg 697
A pt has been taking isoniazid for 2 months. The pt complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?
1. hypercalcemia
2. peripheral neuritis
3. small blood vessel spasm
4. Impaired peripheral circulation
2
NCLEX pg 714
A client is to begin 6-month course of therapy with isoniazid. The nurse would plan to teach the client to take which action?
1. use alcohol in small amounts only
2. report yellow eyes or skin immediately
3. increase intake of swiss or aged cheeses
4. avoid vitamin supplements during therapy
2
NCLEX pg 714
Client has been started on long term therapy with rifapin. The nurse would provide which information to the client about the medication?
1. would always be taken with food and antacids
2. would be double dosed if one dose if forgotten
3. causes orange discoloration of sweat, tears, urine and feces
4. may be discontinued independently if symptoms are gone in 3 months
3
NCLEX pg 715
The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client inderstands the instructions if the client states that they will immediately report which finding?
1. Impaired sense of hearing
2. GI side effects
3. Orange-red discolorations of body secretions
4. DIfficulty in discriminating the color red from green
4
NCLEX pg 715
A client with TB is starting antituberculosis therapy with isoniazid. Before giving the client the first dose. the nurse would ensure that which baseline study has been completed?
1. electrolyte levels
2. coagulation times
3. liver enzymes
4. serum creatinine level
3
NCLEX pg 715
Rifabutin is prescribed for a client with active mycobacterium avium complex (MAC) disease and tuberculosis. The nurse would monitor for which side and adverse effects of rifabutin? SATA
1. signs of hepatitis
2. Flulike symptoms
3. Low neutrophil count
4. Vitamin B 6 deficiency
5. Ocular pain or blurred vision
6. Tingling and numbness of fingers
1,2,3,5
NCLEX pg 715
The nurse is instructing a pt with parkinsons disease about preventing falls. Which statement by the client statement reflects a need for futher teaching?
1. I can sit down to put on my pants anf shoes
2. I try to exercise every day and rest when I’m tired
3. my son removed all loose rugs from my bedroom
4. I don’t need to use my walker to get to the bathroom
4
NCLEX pg 873
Carvidopa-Levodopa is prescribed for a client with parkinsons disease, The nurse monitors the client for S/E and A/E of the medication. Which finding indicates that the pt is experiencing an adverse effect?
1. Puritis
2. Tachycardia
3. hypertension
4. Impaired voluntary movements
4
NCLEX pg 885
The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this problem?
1. 25 yr old client who runs
2. A 36 yr old client who has asthma
3. 70 yr old client who consumed excess alcohol
4. A sedentary 65 yr old client who smokes cigarettes
4
NCLEX pg 905
The nurse has given instructions to a client who sustained a ligament injury who is returning home after a knee arthroscopy. Which statement by the client indicates that the instructions are understood?
1. I can resume regular exercise tomorrow
2. I can’t eat food for the remainder of the day
3. I need to stay off the leg entirely for the rest of the day
4. I need to report a fever, redness around my incisions, or persistent drainage to my health care provider
4
NCLEX pg 905
The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears to be fractured. What interventions would the nurse take?
1. try to reduce the fracture manually
2. assist the victim to get up and walk to the side walk
3. leave the victim for a few moments to call an ambulance
4. stay with the victim and encourage the victim to remain still
4
NCLEX pg 905
Which cast care instructions would the nurse provide to a client who just had a plaster cast applied to the right forearm? SATA
1. Keep the cast clean and dry
2. Allow the cast 24-72 hrs to dry
3. Keep the cast and extremity elevated
4. Expect tingling and numbness in the extremity
5. Use a hair dryer on a warm-hot setting to dry cast
6. Use a soft, padded object that will fit under the cast to scratch the skin under the cast
1, 2, 3
NCLEX pg 905
THe nurse is evaluating a client in a skeletal traction. When evaluating the pin sites, the nurse would be most concerned with which finding?
1. redness around the pin sites
2. Pain on palpation at the pin sites
3. Thick yellow drainage from the pin sites
4. Clear watery drainage from the pin sites
3
NCLEX pg 905
The nurse is assessing the casted extremity of a client. Which sign is indicitive of infection?
1. dependent edema
2. Diminished distal pulse
3. Presence of a “hot spot” on the cast
4. Coolness and pallor of the extremity
3
NCLEX pg 905
A client has sustained a closed fx and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse elevates the limb and applies an ice bag, and administes an analgesic with little relief. Which problem may be causing this pain?
1. Infection under the cast
2. The anxiety of the client
3. Impaired tissue perfusion
4. The recent occurrence of the fracture
3
NCLEX pg 905
The nurse is admitting a client with multiple trauma injuries to the nursing unit. The client has a leg fracture and has a plaster cast applied. Which positioning would be best for the casted leg?
1. eleated for 3 hrs, then flat for 1 hr
2. flat for 3 hrs, then elevated for 1 hr
3. flat for 12 hrs, then elevated for 12 hrs
4. Elevated on pillows continuously for 24 hrs to 48 hrs
4
NCLEX pg 905
The nurse is caring for a client being treated for a fat embolus after multiple fx. Which data would the nurse evaluate as the most favorable indication of resolution of the fat embolism?
1. Clear mentation
2. minimal dyspnea
3. Oxygen staturation of 85%
4. Arterial oxygen level of 78mm Hg
1
NCLEX pg 906