25. Which statement made by the patient

25. Which statement made by the patient with active tuberculosis (TB) infection who is discharged home and receiving directly observed therapy, indicates that teaching was effective? A. The home-health nurse will come to my home daily to make sure that I take my medications.” B. I need to be on home isolation for about 2 weeks.” C. I only have to take these medications for about 6 months.” D. I will not need to be tested for TB after the infection is cured.” 26. What health circumstance does not cause latent TB to become active? A. Chronic Renal Disease B. Long-term diabetes C. Long-term hypertension D. Malnutrition 27. The client with acute asthma exacerbation states their friends are coming to visit them in the hospital and would like to bring a gift. The nurse identifies which gift as appropriate? A. An aloe plant B. A magazine C. A fabric stress ball D. The client’s favorite stuffed animal 28. The nurse is caring for a client recently diagnosed with asthma and is explaining signs and symptoms the client should look for during an acute asthma exacerbation. The client verbalizes understanding and correctly repeats back which symptom for an acute asthma exacerbation? A. Hypotension B. Fruity, sweet smelling breath C. Increased sputum production D. Dry mouth 29.The nurse recognizes which of the following statements is true regarding gas exchange. A. The process of diffusion allows for oxygen and carbon dioxide exchange at the alveolar level. B. The process of respiration allows for oxygen and carbon dioxide exchange at the alveolar level. C. The process of perfusion allows for oxygen and carbon dioxide exchange at the alveolar level. D. The process of ventilation allows for oxygen and carbon dioxide exchange at the alveolar level. 30. The nurse knows the presence of expiratory wheezing is most likely to be present with which respiratory disorder? A. Asthma B. Bronchitis C. Pneumonia D. Pulmonary Edema 31. The emergency department nurse receives a client suspected of having pneumonia, has a history of COPD and a GCS of 12. The clients’ vital signs are: BP 120/80, HR 104, RR 28, O2 sats 89% on room air. What is the priority nursing action? A. Raise the head of the bed to 45 degrees, apply O2 @2L via N/C. B. Raise the head of the bed to 45 degrees, apply nonrebreather at 15L. C. Raise the head of the bed to 45 degrees, apply simple mask at 15L. D. Raise the head of the bed to 45 degrees, apply a Venturi mask @ 2L. 32. The nurse is providing care to a client who is diagnosed with community-acquired pneumonia. List 3 expected signs and symptoms of a patient with pneumonia. (Be specific. Example = increased respiratory rate greater than 20 breaths per minute) (You cant use that one now) (Please write your essay response on a separate piece of paper) 33. The emergency department nurse is preparing to administer antibiotics to a client diagnosed with pneumonia. Prior to administering antibiotics, what is the priority nursing action? A. Auscultate all of the clients’ lung sounds bilaterally. B. Determine if two sets of blood cultures have been drawn. C. Determine if acid-fast bacillus culture has been obtained. D. Assess the clients’ oxygen saturation level on room air. 34. A patient with bacterial pneumonia has rhonchi and thick sputum. What is the nurse’s most appropriate action to promote airway clearance? A. Increase oxygen concentration. B. Teach the patient about the need for abundant fluids ingestion. C. Encourage the patient to wear the nasal oxygen cannula. D. Instruct the patient on the pursed lip breathing technique. 35. The nurse is caring for a client who is status post appendectomy and has been diagnosed with tuberculosis. What personal protective equipment is necessary for the nurse to wear? A. N95 mask and sterile gloves B. Surgical mask and gown C. N95 mask respirator and clean gloves D. Eye goggles and clean gloves 36. The nurse understands that the patient with CF may have GI symptoms that include (select all that apply): A. foul smelling and greasy stools B. chronic diarrhea C. poor weight gain and growth D. excessive amounts of vitamin absorption E. severe constipation or intestinal blockage 37. Medication management is a huge component of caring for a patient with Cystic Fibrosis. The nurse can plan on teaching the patient and family about all of the following except: A. CFTR modulators B. Pancreatic enzymes C. Mucolytics D. Antihypertensives 38. Which of the following is not a function of the Respiratory System? A. Ventilation B. Vocalization C. Temperature regulation D. Acid-Base balance SCIENCE HEALTH SCIENCE NURSING MEDICAL ASSISTANT 2060

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