A+, QUESTIONS AND ANSWERS BREAKDOWN
Which problem in neonates can result in increased upper airway resistance and decreased airflow into
the lungs?
A) frequent crying. B) sleeping supine. C) nasal congestion. D) productive coughing
Nasal Congestion
A client has been admitted to a medical unit of a hospital for the treatment of pneumonia that is
attributable to S. pneumonia. Which consideration is the priority in this client's treatment?
A) Maintaining the patients activities of daily livingB) Maintaining the patients airwayC) Monitoring
and treating the patients painD) Preventing and treating the patients fever
Maintaining Airway
Which characteristic of the lungs of infants and small children creates an increased risk of respiratory
disorders?
) Type II alveoli in children may overproduce surfactant.B) Smaller airways create a susceptibility to
changes in airway resistance and airflow.C) The pneumotaxic center in the pons in underdeveloped
until 8 years of age.D) There are fewer chemoreceptors in the young medulla.
Smaller airways create a susceptibility to change in airway
A client arrives in the clinic with a cough, fever, and chest discomfort and is diagnosed with
community-acquired pneumonia. What education does the nurse anticipate providing prior to
discharging the client from the clinic?
Limit fluid
Rest in bed for 7 day
Antibiotics
Antiviral
Use of Antibiotics
A client from Texas is suspected of being infected with coccidioidomycosis and has been admitted to
the hospital with fever, cough, pleuritic chest pain, and skin lesions. When performing a health
history, which question would be most valuable to assist with diagnosis?
"Do you smoke?"
Do you work in construction and dig soil"
"Do you have cat liter"
"Do you have a history of cancer?"
"Do you work in construction and dig soil"
, A client diagnosis with tuberculosis asks the nurse how long the antitubercular medication will need
to be taken. What is the best response?
A client diagnosis with tuberculosis asks the nurse how long the antitubercular medication will need to
be taken. What is the best response?
A nurse is assessing a 1-year-old child diagnosed with croup. Which manifestation would most likely
be present?
Stridor and barking cough
Drooling and wheezing
Low-pitch stridor
Hugh fever and dry cough
Stridor and barking cough
A client calls the health care provider's office and frantically tells the nurse his TB test is red, and he is
afraid this means he has tuberculosis. The best response by the nurse would be:
"Wait until tomorrow to see if things change."
"A definitive diagnosis of active pulmonary tuberculosis requires cultures or DNA amplification
techniques."
"This result definitely confirms the diagnosis; we will begin treatment now."
"Have you eaten anything unusual to cause this reaction?"
"A definitive diagnosis of active pulmonary tuberculosis requires cultures or DNA amplification
techniques."
While educating a smoking cessation class, a client asks the nurse, "If I can still get lung cancer, what
should I be looking for?" Which response by the nurse is best?
"The earliest symptoms relate to a chronic cough and shortness of breath."
"If you start losing weight without trying and coughing up thick, yellow sputum, you should seek
medical attention."
"When you can no longer get up or have the energy to go to work [fatigue], you should make an
appointment with your physician."
"If you wake up with dried blood on your pillow, call your doctor right away."
"The earliest symptoms relate to a chronic cough and shortness of breath."
A social worker is counseling the family of an 85-year-old woman who has just been diagnosed with
non-small cell lung cancer. What concerns should she convey to the family regarding the unintended
effects of treating the disease?
Older adults cannot metabolize chemotherapeutic agents, resulting in a buildup of medication.
Older adults cannot tolerate radiation, and therefore it is not used.
Surgical treatment may have the consequence of weakening the client.
The client will react to the therapy exactly the same as a younger client.