41. A pediatric client has a viral

41. A pediatric client has a viral respiratory infection and the nurse is now hearing a high pitched sound during inspiration. Correct documentation of this adventitious sound would be: A. Stridor B. Wheezing C. Course Rales D. Rhonchi 42. In teaching a class on cystic fibrosis, which statement by the nurse is best in describing airway clearance therapy: A. This therapy will need to be performed on a daily basis B. The therapy is optional, and improves quality of life, but not lung health C. The therapy should only be performed by a licensed Respiratory Therapist D. Therapy isn’t necessary unless the patient is exhibiting signs of infection 43. A nurse is discussing a baby’s diagnosis of cystic fibrosis with the mother. She is upset and asks “How did this happen? I took all the correct prenatal vitamins, avoided sushi, and no one in my family has any lung problems.” A. Your Dad likely has cystic fibrosis and just doesn’t know about it. B. It’s really not a big deal. The baby has a good chance of having a good life now that the medications and treatments are so advanced. C. Cystic fibrosis is a hereditary disease, but it is recessive, so sometimes neither parent realizes they are a carrier of the defective gene. D. I can teach you about all the potential complications that can arise from cystic fibrosis so you can be on the lookout. 44. As a nurse, how could you explain what is happening (the pathophysiology) during obstructive sleep apnea to your client who has a new order to start wearing a CPAP machine. Please write your essay response on a separate piece of paper 45. The nurse is caring for 3 clients on the surgical floor. Which patient does the nurse identify as being most at risk for obstructive sleep apnea. A. A 35-year-old female with a BMI of 28 who is post hysterectomy and takes an SSRI for depression B. A 18 yo patient who has controlled asthma and had an appendectomy C. A 45 yo male with a BMI of 35, smokes, and underwent tibial surgery after a motorcycle accident D. A 76 year old female who has developed pneumonia after her hip surgery 46. A nurse is providing patient education regarding obstructive sleep apnea (OSA) to a newly diagnosed patient. Patient understanding is indicated when the client states (choose 3): A. A glass of wine in the evening will help me sleep through the night.” B. I guess I should really lose weight.” C. I will not have to take my blood pressure meds if I use CPAP at night.” D. “I do not have to lose weight as long as I can use CPAP at night.” E. “With well managed OSA, I can expect to see improved sleep patters and less daytime fatigue.” F. “If I am going to the hospital for a surgery, I should bring my CPAP with me.” 47. The nurse is explaining to her neighbor, who is complaining about the “loss of her voice” that there are several causes of laryngitis including (list three): 1 2 3 1 2 3 48. Understanding the pathophysiology of laryngitis, the nurse can instruct her neighbor experiencing hoarseness to (select all that apply): A. practice singing a few simple songs each morning to stretch the vocal cords because they are too tight B. run a humidifier to add moisture to the air you are breathing C. decrease your fluid intake so the swelling can go down D. rest the voice (using alternative methods of communication) E. consult a provider if their symptoms last longer than a week once interventions have been tried F. avoid smoking and or second hand smoke G. Take the prescribed antibiotics until your voice is better, but not longer because the antibiotics could be causing an allergic reaction in the airway 49. The nurse is teaching a class on cancer. The nurse accurately states “There has been a decrease in cases of laryngeal cancer because there has been a decrease in the main risk factor, _____________. ” 1 1 50. The nurse is completing a patient history and identifies which of the following as risk factors for laryngeal cancer A. Middle-age B. Opera singer C. GERD D. Female gender 51. The nurse knows that the priority care for a patient following a total laryngectomy due to advanced laryngeal cancer is: A. Tube feeding pump primed and ready to restore patient nutrition B. Pain management with patient-controlled analgesia (PCA) C. Providing a notebook and pen so the patient can communicate their needs D. Ensuring suctioning equipment is available in the room 52. The provider has placed an order for a sputum collection. The nurse understands all of the following are true except: A. collecting sputum from a tracheostomy tube is contraindicated as this may be uncomfortable for the patient B. collection of sputum early in the morning is beneficial because secretions accumulate overnight C. having the client rinse their mouth before the collection can help decrease oral flora from being in the specimen D. sputum analysis is done to check for microorganisms and/or abnormal cell growth SCIENCE HEALTH SCIENCE NURSING MEDICAL ASSISTANT 2060

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