Med surg success respiratory disorders
Answered 2022/2023
The home health-care nurse is talking on the telephone to a male client diagnosed with hypertension
and hears the client sneezing. The client tells the nurse he has been blowing his nose frequently.
Which question should the nurse ask the client?
1. "Have you had the flu shot in the last two (2) weeks?"
2. "Are there any small children in the home?"
3. "Are you taking over-the-counter medicine for these symptoms?"
4. "Do you have any cold sores associated with your sneezing?"
3.
A client diagnosed with hypertension should not take many of the over-thecounter medications because
they work by causing vasoconstriction, which will increase the hypertension.
The school nurse is presenting a class to students at a primary school on how to prevent the
transmission of the common cold virus. Which information should the nurse discuss?
1. Instruct the children to always keep a tissue or handkerchief with them.
2. Explain that children current with immunizations will not get a cold.
3. Tell the children they should go to the doctor if they get a cold.
4. Demonstrate to the students how to wash hands correctly.
4.
Hand washing is the single most useful technique for prevention of disease.
Which information should the nurse teach the client diagnosed with acute sinusitis?
1. Instruct the client to complete all the ordered antibiotics.
2. Teach the client how to irrigate the nasal passages.
3. Have the client demonstrate how to blow the nose. 4. Give the client samples of a narcotic
analgesic for the headache.
1.
The client should be taught to take all antibiotics as ordered. Discontinuing antibiotics prior to the full
dose results in the development of antibioticresistant bacteria. Sinus infections are difficult to treat and
may become chronic, and will then require several weeks of therapy or possibly surgery to control.
The client has been diagnosed with chronic sinusitis. Which sign/symptom alerts the nurse to a
potentially life-threatening complication?
1. Muscle weakness.
2. Purulent sputum.
3. Nuchal rigidity.
4. Intermittent loss of muscle control.
,3.
Nuchal rigidity is a sign/symptom of meningitis, which is a life-threatening potential complication of
sinusitis resulting from the close proximity of the sinus cavities to the meninges.
The client diagnosed with tonsillitis is scheduled to have surgery in the morning. Which assessment
data should the nurse notify the health-care provider about prior to surgery?
1. The client has a hemoglobin of 12.2 g/dL and hematocrit of 36.5%.
2. The client has an oral temperature of 100.2˚F and a dry cough.
3. There are one (1) to two (2) white blood cells in the urinalysis.
4. The client's current international normalized ratio (INR) is 1.0.
2.
A low-grade temperature and a cough could indicate the presence of an infection, in which case the
health-care provider would not want to subject the client to anesthesia and the possibility of further
complications. The surgery would be postponed.
The influenza vaccine is in short supply. Which group of clients would the public health nurse consider
priority when administering the vaccine?
1. Elderly and chronically ill clients.
2. Child-care workers and children <four (4) years of age.
3. Hospital chaplains and health-care workers.
4. Schoolteachers and students living in a dormitory.
1.
The elderly and chronically ill are at greatest risk for developing serious complications if they contract
the influenza virus.
The client diagnosed with chronic sinusitis who has undergone a Caldwell-Luc procedure is
complaining of pain. Which intervention should the nurse implement first?
1. Administer the narcotic analgesic IVP.
2. Perform gentle oral hygiene.
3. Place the client in semi-Fowler's position.
4. Assess the client's pain.
4.
Prior to intervening, the nurse must assess to determine the amount of pain and possible complications
occurring that could be masked if narcotic medication is administered.
The charge nurse on a surgical floor is making assignments. Which client should be assigned to the
most experienced registered nurse (RN)?
1. The 36-year-old client who has undergone an antral irrigation for sinusitis yesterday and has
moderate pain. 2. The six (6)-year-old client scheduled for a tonsillectomy and adenoidectomy this
morning who will not swallow medication.
3. The 18-year-old client who had a Caldwell-Luc procedure three (3) days ago and has purulent
drainage on the drip pad.
4. The 45-year-old client diagnosed with a peritonsillar abscess who requires IVPB antibiotic therapy
four (4) times a day.
, 3.
The postoperative client with purulent drainage could be developing an infection. The experienced
nurse would be needed to assess and monitor the client's condition.
The client diagnosed with influenza A is being discharged from the emergency department with a
prescription for antibiotics. Which statement by the client indicates an understanding of this
prescription?
1. "These pills will make me feel better fast and I can return to work."
2. "The antibiotics will help prevent me from developing a bacterial pneumonia."
3. "If I had gotten this prescription sooner, I could have prevented this illness."
4. "I need to take these pills until I feel better; then I can stop taking the rest."
2.
Secondary bacterial infections often accompany influenza, and antibiotics are often prescribed to help
prevent the development of a bacterial infection.
The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client
problem "altered communication." Which intervention should the nurse implement?
1. Instruct the client to drink a mixture of brandy and honey several times a day.
2. Encourage the client to whisper instead of trying to speak at a normal level.
3. Provide the client with a blank note pad for writing any communication.
4. Explain that the client's aphonia may become a permanent condition.
3.
Voice rest is encouraged for the client experiencing laryngitis.
Which task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?
1. Feed a client who is postoperative tonsillectomy the first meal of clear liquids.
2. Encourage the client diagnosed with a cold to drink a glass of orange juice.
3. Obtain a throat culture on a client diagnosed with bacterial pharyngitis.
4. Escort the client diagnosed with laryngitis outside to smoke a cigarette.
2.
Clients with colds are encouraged to drink 2,000 mL of liquids a day. The UAP could do this.
The nurse is caring for a client diagnosed with a cold. Which is an example of an alternative therapy?
1. Vitamin C, 2,000 mg daily.
2. Strict bedrest.
3. Humidification of the air.
4. Decongestant therapy.
1.
Alternative therapies are therapies not accepted as standard medical practice. These may be
encouraged as long as they do not interfere with the medical regimen. Vitamin C in large doses is
thought to improve the immune system's functions.
The nurse is assessing a 79-year-old client diagnosed with pneumonia. Which signs and symptoms
should the nurse expect to assess in the client?
Answered 2022/2023
The home health-care nurse is talking on the telephone to a male client diagnosed with hypertension
and hears the client sneezing. The client tells the nurse he has been blowing his nose frequently.
Which question should the nurse ask the client?
1. "Have you had the flu shot in the last two (2) weeks?"
2. "Are there any small children in the home?"
3. "Are you taking over-the-counter medicine for these symptoms?"
4. "Do you have any cold sores associated with your sneezing?"
3.
A client diagnosed with hypertension should not take many of the over-thecounter medications because
they work by causing vasoconstriction, which will increase the hypertension.
The school nurse is presenting a class to students at a primary school on how to prevent the
transmission of the common cold virus. Which information should the nurse discuss?
1. Instruct the children to always keep a tissue or handkerchief with them.
2. Explain that children current with immunizations will not get a cold.
3. Tell the children they should go to the doctor if they get a cold.
4. Demonstrate to the students how to wash hands correctly.
4.
Hand washing is the single most useful technique for prevention of disease.
Which information should the nurse teach the client diagnosed with acute sinusitis?
1. Instruct the client to complete all the ordered antibiotics.
2. Teach the client how to irrigate the nasal passages.
3. Have the client demonstrate how to blow the nose. 4. Give the client samples of a narcotic
analgesic for the headache.
1.
The client should be taught to take all antibiotics as ordered. Discontinuing antibiotics prior to the full
dose results in the development of antibioticresistant bacteria. Sinus infections are difficult to treat and
may become chronic, and will then require several weeks of therapy or possibly surgery to control.
The client has been diagnosed with chronic sinusitis. Which sign/symptom alerts the nurse to a
potentially life-threatening complication?
1. Muscle weakness.
2. Purulent sputum.
3. Nuchal rigidity.
4. Intermittent loss of muscle control.
,3.
Nuchal rigidity is a sign/symptom of meningitis, which is a life-threatening potential complication of
sinusitis resulting from the close proximity of the sinus cavities to the meninges.
The client diagnosed with tonsillitis is scheduled to have surgery in the morning. Which assessment
data should the nurse notify the health-care provider about prior to surgery?
1. The client has a hemoglobin of 12.2 g/dL and hematocrit of 36.5%.
2. The client has an oral temperature of 100.2˚F and a dry cough.
3. There are one (1) to two (2) white blood cells in the urinalysis.
4. The client's current international normalized ratio (INR) is 1.0.
2.
A low-grade temperature and a cough could indicate the presence of an infection, in which case the
health-care provider would not want to subject the client to anesthesia and the possibility of further
complications. The surgery would be postponed.
The influenza vaccine is in short supply. Which group of clients would the public health nurse consider
priority when administering the vaccine?
1. Elderly and chronically ill clients.
2. Child-care workers and children <four (4) years of age.
3. Hospital chaplains and health-care workers.
4. Schoolteachers and students living in a dormitory.
1.
The elderly and chronically ill are at greatest risk for developing serious complications if they contract
the influenza virus.
The client diagnosed with chronic sinusitis who has undergone a Caldwell-Luc procedure is
complaining of pain. Which intervention should the nurse implement first?
1. Administer the narcotic analgesic IVP.
2. Perform gentle oral hygiene.
3. Place the client in semi-Fowler's position.
4. Assess the client's pain.
4.
Prior to intervening, the nurse must assess to determine the amount of pain and possible complications
occurring that could be masked if narcotic medication is administered.
The charge nurse on a surgical floor is making assignments. Which client should be assigned to the
most experienced registered nurse (RN)?
1. The 36-year-old client who has undergone an antral irrigation for sinusitis yesterday and has
moderate pain. 2. The six (6)-year-old client scheduled for a tonsillectomy and adenoidectomy this
morning who will not swallow medication.
3. The 18-year-old client who had a Caldwell-Luc procedure three (3) days ago and has purulent
drainage on the drip pad.
4. The 45-year-old client diagnosed with a peritonsillar abscess who requires IVPB antibiotic therapy
four (4) times a day.
, 3.
The postoperative client with purulent drainage could be developing an infection. The experienced
nurse would be needed to assess and monitor the client's condition.
The client diagnosed with influenza A is being discharged from the emergency department with a
prescription for antibiotics. Which statement by the client indicates an understanding of this
prescription?
1. "These pills will make me feel better fast and I can return to work."
2. "The antibiotics will help prevent me from developing a bacterial pneumonia."
3. "If I had gotten this prescription sooner, I could have prevented this illness."
4. "I need to take these pills until I feel better; then I can stop taking the rest."
2.
Secondary bacterial infections often accompany influenza, and antibiotics are often prescribed to help
prevent the development of a bacterial infection.
The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client
problem "altered communication." Which intervention should the nurse implement?
1. Instruct the client to drink a mixture of brandy and honey several times a day.
2. Encourage the client to whisper instead of trying to speak at a normal level.
3. Provide the client with a blank note pad for writing any communication.
4. Explain that the client's aphonia may become a permanent condition.
3.
Voice rest is encouraged for the client experiencing laryngitis.
Which task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?
1. Feed a client who is postoperative tonsillectomy the first meal of clear liquids.
2. Encourage the client diagnosed with a cold to drink a glass of orange juice.
3. Obtain a throat culture on a client diagnosed with bacterial pharyngitis.
4. Escort the client diagnosed with laryngitis outside to smoke a cigarette.
2.
Clients with colds are encouraged to drink 2,000 mL of liquids a day. The UAP could do this.
The nurse is caring for a client diagnosed with a cold. Which is an example of an alternative therapy?
1. Vitamin C, 2,000 mg daily.
2. Strict bedrest.
3. Humidification of the air.
4. Decongestant therapy.
1.
Alternative therapies are therapies not accepted as standard medical practice. These may be
encouraged as long as they do not interfere with the medical regimen. Vitamin C in large doses is
thought to improve the immune system's functions.
The nurse is assessing a 79-year-old client diagnosed with pneumonia. Which signs and symptoms
should the nurse expect to assess in the client?
