Med Surg Exam 3 - Chapter 28

13 Questions | By Christytuong | Updated: Mar 21, 2022 | Attempts: 207

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1.

In assessing a patient with pneuomococcal pneumonia, the nurse recognizes that clinical manifestations of this condition include (select all that apply)
- A.
  
  Nonproductive cough
- B.
  
  An abrupt onset of fever
- C.
  
  Night sweats that are usually self-limiting
- D.
  
  Productive cough with rust-colored sputum
- E.
  
  A gradual onset of sore throat and purulent productive cough
2.

An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of ineffective airway clearence related to thick secretions and fatigue would be to
- A.
  
  Perform postural drainage every hour
- B.
  
  Provide postural drainage every hour
- C.
  
  Administer oxygen as precribed to maintain optimal oxygen levels
- D.
  
  Teach the patient how to cough effectively to bring secretions to the mouth
3.

A patient with TB has been admitted to the hospital and is placed in an airborne infection isolation room. Which of the following should the patient be taught (select all that apply)
- A.
  
  Expect routine TST to evaluate infection
- B.
  
  B. Visitors will not be allowed while in airborne isolation Visitors will not be allowed while in airborne isolation
- C.
  
  Take all medications for full length of time to prevent multidrug-resistant TB
- D.
  
  Wear a standard isolation mask if leaving the airborne infection isolation room
- E.
  
  Maintain precautions in airborne infection isolation room by coughing into a paper tissue
4.

A patient has been receiving high-dose corticosteroids and broad-sectrum antibiotics for treatment secondary to a traumatic injury and infection. The nurse plans care for the patient knowing that the patient is most susceptible to
- A.
  
  Candidiasis
- B.
  
  Aspergillosis
- C.
  
  Histoplasmosis
- D.
  
  Coccidodomycosis
5.

Which statement best describes the treatment of lung abscess?
- A.
  
  It is best treated with surgical excision and drainage.
- B.
  
  Antibiotics given for a prolonged period are the usual treatment of choice.
- C.
  
  The abscess is difficult to treat and frequently results in pulmonary fibrosis
- D.
  
  Penicillin can effectively eradicate the anaerobic organisms causing the abscess
6.

A common complication of many types of environment lung diseases is
- A.
  
  Pulmonary fibrosis
- B.
  
  Liquefactive necrosis
- C.
  
  Benign tumor growth
- D.
  
  Diffuse airway obstruction
7.

The patient with with lung cancer needs to receive influenza vaccine and pneumococcal vaccines. The nurse will
- A.
  
  Administer both vaccines at the same time in the same arm
- B.
  
  Administer both vaccines at the same time in different arms
- C.
  
  Administer the flu shot and tell the patient to come back 1 week later to receive the pneumococcal vaccine
- D.
  
  Administer the pneumococcal vaccine and suggest Flumist (nasal vaccine) instead of the influenza injection.
8.

The nurse identifies a flail chest in a trauma patient when
- A.
  
  Multiple rib fractures are determined by x-ray
- B.
  
  A tracheal deviation to the unaffected side is present
- C.
  
  Paradoxic chest movement occurs during respiration
- D.
  
  There is decreased movement of the involved chest wall
9.

The nurse notes tidaling of the ate level in the tube submerged in the water-seal chamber in a patient with closed chest tube drainage. The nurse should
- A.
  
  Continue to monitor normal finding
- B.
  
  Check all connections for a leak in the system
- C.
  
  Lower the drainage collector further from the chest
- D.
  
  Clamp the tubing at progressively distal points away from the patient until the tidaling stops
10.

A nursin meausre that should be instituted after a pneumonectomy is
- A.
  
  Monitoring chest tube drainage and functioning
- B.
  
  Positioning the patient on the unaffected side or back
- C.
  
  Range-of-motion exercises on the affected upper extremity
- D.
  
  Auscultating frequently for lung sounds on the affected side
11.

Guillain-Barre syndrome causes respiratory problems primarily by
- A.
  
  Depressing the CNS
- B.
  
  Deforming chest wall muscles
- C.
  
  Paralyzing the diaphragm secondary to trauma
- D.
  
  Interrupting nerve transmission to respiratory muscles
12.

A patient is on a continuous epoprostenol infusion pump. The alarm goes off indicating an obstruction in the intravenous line downstream. The nurse should
- A.
  
  Chichi vital signs and oxygen saturation
- B.
  
  Osculate the lungs for pulmonary congestion
- C.
  
  Assess the central line imediately for any obstruction or accidental clamping of tubing
- D.
  
  Monitor for flushing and hypotension due to rebound from no medication and the short half-life of the drug
13.

Which of the following statements describe the management of a patient following lung transplantation (select all that apply)?
- A.
  
  The lung is biopsied using a transtracheal method
- B.
  
  High doses of oxygen are administered around the clock
- C.
  
  The use of a home spirometer will help to monitor lung function
- D.
  
  Immunosuppressant therapy usually involves a three-drug regimen
- E.
  
  Most patients will experience an acute rejection episode in the first 3 days