PN2 EXAM 2 QUESTIONS AND ANSWERS & STUDY GUIDE

PN2 EXAM 2 QUESTIONS AND ANSWERS & STUDY GUIDE Risk factors for the development of pneumonia include which of the following? • advanced age and immobility Which of these presenting complaints is associated with the client who has pneumonia? • a high fever with sudden onset Which tests confirm a diagnosis of TB? • chest X-ray and sputum culture Pharmacological treatment of active TB consists of: • a 6-month regime of isoniazid, rifampin, and pyrazinamide Which of the following factors may cause an episode of extrinsic asthma? • food additives Which asthma patient would the nurse assess first? • A 27-year-old patient with a heart rate of 120 beats/min Which patient with COPD would the nurse assess first? • A 52-year-old in a tripod position using accessory muscles to breathe A patient has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority? • Educating the patient on adherence to the med regimen What outcome demonstrates that goals for a pneumonia patient type have been met? • Antibiotics started before admission A pt. is being discharged on long-term therapy for (TB). What referral by the nurse is most appropriate? • Visiting nurses for directly observed therapy The nurse has a positive PPD during the last testing cycle for tb Which of the following is indicated for this nurse? • Pharmacological treatment A client is being treated for exacerbation of copd. Which of the following nursing interventions should be done? • Initiate oxygen at 1 L/min via nasal cannula Which of the following medications should the client be instructed not to use during an acute asthma attack? • Serevent The client should be aware that albuterol may cause: • nervousness What is the MOST common source of chemical pneumonia? • inhalation of irritating substances What is the main goal for the treatment of a client with pneumonia? • clearing of exudate from the airway and adequate oxygenation If a client has a positive skin test for tuberculosis (TB), the nurse knows this result indicates that the client: • has been infected with and has formed antibodies against tuberculosis Which of these terms describes an asthma attack that persists and does not respond to treatment? • status asthmaticus The sac that surrounds and protects the heart is called the: • Pericardium When listening to heart sounds, the valve closures that heard at the base of the heart are: • Aortic and pulmonic The pacemaker: • SA Node Pt. getting up multiple times at night with dib. What might you ask? • Do you have any history of problems with your heart?” Baby sleeps right after feeding and anything strenuous. What should you ask? • Presence of dyspnea or diaphoresis when sucking What does a swooshing blowing sound indicate? • Blood flow turbulence During an assessment of a healthy adult, where would the nurse palpate the apical impulse? • Fifth left intercostal space at the midclavicular line Major blood supply to arm: • Brachial Where to palpate dorsalis pedis. • Lateral to the extensor tendon of the great toe Which vein(s) is(are) responsible for most of the venous return in the arm? • Superficial Which of these people are highest at risk for venous disease? • Person who has been on bed rest for 4 days Pain that comes when walking and stops with rest. • Claudication Pain that gets worse with elevation and better when dangling the legs. • Problems related to arterial insufficiency What kind of pulse would you assess with hyperthyroidism? • Bounding What skin might look like with venous stasis. • Brownish discoloration to the skin of the lower leg What bruits represent: • Occur with turbulent blood flow, possible occlusion The nurse sees that the patient has dilated, tortuous veins in her lower legs and is pregnant: • Varicose veins What does a doppler sound like? • Swishing whooshing Fingers turn red, white and blue: • Reynaud phenomena What does a 2+ pulse mean? • Normal What is essential hypertension? • “It is hypertension that has no cause" Which nonpharmacologic comfort measure should the nurse implement for pericarditis? • Provide a pillow for client to lean forward on What to teach a heart failure patient about energy conservation: • Gather all supplies before doing a task Which question should the nurse ask to assess the extent of the client’s heart failure when a pt. has a hx of HF? • “Are you able to walk upstairs without fatigue?” Which assessment finding should the nurse expect to find with pericarditis? • Friction rub at the left lower sternal border Which infection control precautions should the nurse use for infective endocarditis? • Standard Precautions A nurse admits a client who is experiencing an exacerbation of heart failure. Which action should the nurse take first? • Assess the client’s respiratory status Which statement by the client alerts the nurse to the possibility of right-sided heart failure? • My shoes fit really tight lately Best meal for high cholesterol: • Baked chicken breast, broccoli, tomatoes A nursing student is caring for a pt with an abdominal aneurysm. What action by the student requires the RN to intervene? • Palpates the abdomen in four quadrants A nurse is caring for a client with a (DVT). What nursing assessment indicates a priority outcome has been met: • Oxygen saturation of 98% A client has a deep vein thrombosis (DVT). What