NR 324: Exam 1 PRACTICE QUESTIONS AND
ANSWERS LATEST AND COMPREHENSIVE VERSION
WITH VERIFIED ANSWERS GUARANTEED PASS
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A client is experiencing 8/10 incisional pain, resulting in a poor cough effort, and has course
scattered rhonchi after a thoracotomy. Which action should the nurse take first?
a. Medicate the patient with prescribed pain medication.
b. Splint the patient’s chest during coughing.
c. Observe the patient use the incentive spirometer.
d. Assess the patient’s oxygenation using a pulse oximetry.
a
When we look at the data in this question, the client is having a poor cough effort due to the
pain. If we can take care of the pain, the client should be able to have a better cough effort,
expel mucous, and the rhonchi would clear up. The other options might be interventions we
would also perform, however, they would not resolve the problem.
, The nurse is worried that a patient who is not entirely reliable is being discharged home on
therapy for multidrug-resistant tuberculosis. What strategy is the best to use for this patient?
a. IV drug administration
b. Remain in the hospital
c. Direct observation therapy
d. Isolation
c
Direct observation therapy is the best way to ensure clients are taking their tuberculosis
medications. The most important intervention we can do as nurses caring for clients with TB, is
to ensure medication compliance. In direct observation therapy, a person drives to the client's
house and administers the medication each day.
The emergency department nurse is assessing a patient who has sustained a blunt injury to the
right chest wall. Which findings indicate the presence of a pneumothorax?
(Select all that apply)
a. Decreased chest expansion on the right side
b. The presence of a barrel chest
c. Diminished or absent breath sounds on the affected side
d. Tachypnea
e. Tachycardia
acde
Diminished or absent breath sounds on the affected side is correct because the lung is
collapsed, so you will not hear lung sounds over that lung.
Decreased chest expansion on the affected side is correct because again, the lung is collapsed
and will not expand.
ANSWERS LATEST AND COMPREHENSIVE VERSION
WITH VERIFIED ANSWERS GUARANTEED PASS
WITH INSTANT PDF DOWNLOAD
A client is experiencing 8/10 incisional pain, resulting in a poor cough effort, and has course
scattered rhonchi after a thoracotomy. Which action should the nurse take first?
a. Medicate the patient with prescribed pain medication.
b. Splint the patient’s chest during coughing.
c. Observe the patient use the incentive spirometer.
d. Assess the patient’s oxygenation using a pulse oximetry.
a
When we look at the data in this question, the client is having a poor cough effort due to the
pain. If we can take care of the pain, the client should be able to have a better cough effort,
expel mucous, and the rhonchi would clear up. The other options might be interventions we
would also perform, however, they would not resolve the problem.
, The nurse is worried that a patient who is not entirely reliable is being discharged home on
therapy for multidrug-resistant tuberculosis. What strategy is the best to use for this patient?
a. IV drug administration
b. Remain in the hospital
c. Direct observation therapy
d. Isolation
c
Direct observation therapy is the best way to ensure clients are taking their tuberculosis
medications. The most important intervention we can do as nurses caring for clients with TB, is
to ensure medication compliance. In direct observation therapy, a person drives to the client's
house and administers the medication each day.
The emergency department nurse is assessing a patient who has sustained a blunt injury to the
right chest wall. Which findings indicate the presence of a pneumothorax?
(Select all that apply)
a. Decreased chest expansion on the right side
b. The presence of a barrel chest
c. Diminished or absent breath sounds on the affected side
d. Tachypnea
e. Tachycardia
acde
Diminished or absent breath sounds on the affected side is correct because the lung is
collapsed, so you will not hear lung sounds over that lung.
Decreased chest expansion on the affected side is correct because again, the lung is collapsed
and will not expand.
