A patient who has just been admitted with community-acquired pneumococcal pneumonia has a temperature of 101.6 F with a frequent cough and is complaining of severe pleuritic chest pain. Which prescribed medication should the nurse give first?
a. Codeine
b. Guaifenesin (Robitussin)
c. Acetaminophen (Tylenol)
d. Piperacillin/tazobactam (Zosyn)
Question 2The nurse cares for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?
a. Oxygen saturation is 88.
b. Blood pressure is 145/90 mm Hg.
c. Respiratory rate is 22 breaths/minute when lying flat.
d. Pain level is 5 (on 0 to 10 scale) with a deep breath.
Question 3A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?
a. Chest x-ray via stretcher
b. Blood cultures from two sites
c. Ciprofloxacin (Cipro) 400 mg IV
d. Acetaminophen (Tylenol) rectal suppository
Question 4The nurse completes discharge teaching for a patient who has had a lung transplant. The nurse evaluates that the teaching has been effective if the patient makes which statement?
a. I will make an appointment to see the doctor every year.
b. I will stop taking the prednisone if I experience a dry cough.
c. I will not worry if I feel a little short of breath with exercise.
d. I will call the health care provider right away if I develop a fever.
Question 5A patient with a pleural effusion is scheduled for a thoracentesis. Which action should the nurse take to prepare the patient for the procedure?
a. Start a peripheral IV line to administer the necessary sedative drugs.
b. Position the patient sitting upright on the edge of the bed and leaning forward.
c. Obtain a large collection device to hold 2 to 3 liters of pleural fluid at one time.
d. Remove the water pitcher and remind the patient not to eat or drink anything for 6 hours.
Quick Reply
