A client with tuberculosis has been on drug therapy for several months, but his sputum is still positive for tuberculosis bacilli. It would be most important for the nurse to ask:?
1. When did you last take your medications?
2. Have you taken all of your medicines as prescribed?
3. Are you feeling better now that you are taking medicine?
4. Have you had any reaction to your medications?
Question 2The nurse has provided teaching to the client with cystic fibrosis and the family. Which client statement indicates that further instructions are necessary?
1. I should use the controlled cough technique.
2. I should not go to the concert this weekend.
3. I should avoid immunizations.
4. I will stay inside during days in the summer when pollution is high.
Question 3The nurse is teaching the client with asthma about a method of breathing that helps the client reduce the respiratory rate and keeps the airways open during exhalation. What should the nurse include when teaching this breathing technique to the client?
1. Take three deep breaths and then cough.
2. Inhale deeply while leaning forward.
3. Inhale through the nose and exhale through pursed lips.
4. Inhale by sniffing.
Question 4A client who experienced a near drowning is admitted to the nursing unit. The nurse notes that one nursing diagnosis is Ineffective Cerebral Tissue Perfusion and should plan which intervention?
1. Place the client in Fowler's position.
2. Vital signs every 4 hours
3. Monitor urine output every shift.
4. Frequent skin care
Question 5The nurse is working in the Emergency Department and is assessing the client who is experiencing paradoxic movements of the right lung. The nurse should further assess the client for:
1. apnea.
2. heart failure.
3. rib fractures.
4. contusion.
Question 6A client recovering from thoracic surgery has a chest tube to water seal drainage. The family ambulates the client. What should the nurse teach the client and family at this time?
1. To cough while walking
2. To keep the collection device below the chest
3. To disconnect the collection device when ambulating
4. To walk with a pillow
Question 7The nurse is assessing the client who is on a mechanical ventilator. A priority assessment for this client is:
1. assessing pedal pulses.
2. providing dehumidified oxygen.
3. using hand signals to communicate with the client.
4. ensuring that the endotracheal tube is secured.
Question 8The nurse is working with a client who is beginning weaning from a mechanical ventilator. The nurse explains to the family that which lab result would indicate a need to alter the wean settings?
1. pH is 7.30.
2. PCO2 is 30.
3. O2 is 75.
4. HCO3 is 25.
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