The use of a continuous positive airway pump in the treatment of sleep apnea will:
a. reduce bronchospasm.
b. force expansion of pleural membranes.
c. maintain an open airway.
d. awaken the person and increase respirations. - Answers c. maintain an open airway.
A client diagnosed with chronic obstructive pulmonary disease is experiencing pneumonia. The
nurse applies oxygen at 2 L/min via nasal cannula. When the nurse leaves the room, a family
member increases the oxygen to 5 L. Which complication may occur?
a.Angina
b.Apnea
c.Metabolic acidosis
d.Respiratory alkalosis - Answers b.Apnea
Jason, age 62, has obstructive sleep apnea. What do you think is one of his contributing factors?
a. He is a recovering alcoholic of 6 years.
b. His collar size is 17 inches.
c. He is the only person in his family who has this.
d. He is extremely thin. - Answers b. His collar size is 17 inches.
Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased white blood cells
c. Insulin resistance
d. Hyperactivity - Answers c. Insulin resistance
The nurse is reviewing clients for risk factors in the development of pneumonia. Which of the
following clients would be at the highest risk for developing this disorder?
1. A 48-year-old client experiencing menopause
2. An 18-year-old client with abdominal pain
3. A 23-year-old client diagnosed with sickle-cell anemia and a cough
4. A 3-year-old client with fever - Answers 3. A 23-year-old client diagnosed with sickle-cell anemia
and a cough
2.A client diagnosed with chronic obstructive pulmonary disease is experiencing pneumonia. The
nurse applies oxygen at 2 L/min via nasal cannula. When the nurse leaves the room, a family
member increases the oxygen to 5 L. Which complication may occur?
1. Angina
2. Apnea
3. Metabolic acidosis
4. Respiratory alkalosis - Answers 2. Apnea
The nurse has a positive PPD during the last testing cycle for tuberculosis. Which of the following
is indicated for this nurse?
1. Nothing
2. Chest x-rays every 2 months
3.Pharmacological treatment
4.Admission for inpatient treatment - Answers 3.Pharmacological treatment
A client undergoes a purified protein derivative (PPD) test. The test should be read:
1.immediately after the test.
2.24 to 48 hours after the test.
3.48 to 72 hours after the test.
4.anytime after 72 hours. - Answers 3.48 to 72 hours after the test.
The nurse is instructing a client on ways to reduce the transmission of tuberculosis. Which of the
following should be included in these instructions?
1. The disease is transmitted by inhaling droplets exhaled by an infected person.
2. The disease is transmitted by not fully cooking foods.
3.The disease is transmitted by not washing hands.
4.The disease is transmitted by sexual contact. - Answers 1. The disease is transmitted by inhaling
droplets exhaled by an infected person.
A client receiving oral medications for the treatment of tuberculosis develops hepatitis. Which of
, the following medications would be indicated for the client at this time?
1.Ethambutol
2.Isoniazid
3.Rifampin
4.Streptomycin - Answers 4.Streptomycin
The spouse of a client diagnosed with tuberculosis is to begin isoniazid prophylactic therapy.
Which of the following should the nurse instruct the spouse regarding length of time to take this
medication? The medication should be taken for:
1. 10 to 24 days.
2. 1 to 3 months.
3. 4 to 7 months.
4. 6 to 12 months. - Answers 4. 6 to 12 months.
A client diagnosed with a lung abscess is being prescribed antibiotic therapy. Which of the
following medications would be indicated if this client has a history of penicillin allergy?
1.Metronidazole
2.Clindamycin
3.Ampicillin
4.Steroid - Answers 2.Clindamycin
A client diagnosed with a hemothorax has had a chest tube inserted and attached to a portable
water-seal drainage system. Which of the following interventions would be inappropriate for this
client?
1. Clamp the tubing when ambulating.
2. Date and mark the amount of drainage in the collection chamber every shift.
3.Monitor the suction chamber for continuous bubbling.
4.Watch the water-seal chamber for fluctuation. - Answers 1. Clamp the tubing when ambulating.
A clients chest tube has been accidentally dislodged while the client was being transferred from
the bed to a stretcher. Which of the following should the nurse do to help this client?
1.Cover the site with occlusive petroleum jelly gauze and tape to four sides.
2.Cover the site with occlusive petroleum jelly gauze and tape to three sides.
3.Cover the site with occlusive petroleum jelly gauze and tape to two sides.
4.Cover the site with occlusive petroleum jelly gauze and tape to one side. - Answers 2. Cover the site
with occlusive petroleum jelly gauze and tape to three sides.
A client is diagnosed with fractured ribs. Which of the following should the nurse instruct this
client?
1.Engage in routine activities of daily living after taking pain medication.
2.Splint the rib cage when deep breathing and coughing.
3. Restrict fluids.
4. Stay on bed rest until the ribs heal. - Answers 2. Splint the rib cage when deep breathing and
coughing.
A client is prescribed a diuretic for treatment of pulmonary hypertension. Which of the following
should the nurse instruct the client regarding this medication?
1. This medication expands the blood vessels.
2. This medication causes smooth muscle relaxation to reduce pulmonary engorgement.
3.This medication reduces the amount of water in the body.
4.This medication keeps the blood from clotting. - Answers 3. This medication reduces the amount of
water in the body.
The nurse is assessing a client experiencing manifestations of cor pulmonale. Which of the
following will the nurse most likely assess in this client?
1.Low blood pressure
2.Low heart rate
3.Hoarseness
4.Lumbar pain - Answers 3. Hoarseness
The nurse is caring for a client diagnosed with pneumonia. Which of the following signs and
symptoms would the nurse most likely assess in this client? (Select all that apply.)
1.Abdominal pain
2.Anorexia
3.Cough