When auscultating the chest of a client with pneumonia, the nurse would expect to hear which of the following sounds over areas of consolidation? A. Bronchial B. Bronchovesicular C. Tubular D. Vesicular Correct Answer: A. Bronchial Chest auscultation reveals bronchial breath sounds over areas of consolidation. When… Read More »
A 76-year old client is admitted for elective knee surgery. Physical examination reveals shallow respirations but no signs of respiratory distress. Which of the following is a normal physiologic change related to aging? A. Increased elastic recoil of the lungs. B. Increased number of functional capillaries in the alveoli. C. Decreased residual… Read More »
A diagnosis of pneumonia is typically achieved by which of the following diagnostic tests? A. ABG analysis B. Chest x-ray C. Blood cultures D. Sputum culture and sensitivity Correct Answer: D. Sputum culture and sensitivity Sputum C & S is the best way to identify the organism… Read More »
A 79-year-old client is admitted with pneumonia. Which nursing diagnosis should take priority? A. Acute pain related to lung expansion secondary to lung infection. B. Risk for imbalanced fluid volume related to increased insensible fluid losses secondary to fever. C. Anxiety related to dyspnea and chest pain. D. Ineffective airway clearance… Read More »
A client with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute and difficulty expelling his secretions. The nurse auscultates his lung fields and hears bronchial sounds in the left lower lobe. The nurse determines that the client requires which of the following treatments first? A. Antibiotics B. Bed rest C. Oxygen… Read More »
A community health nurse is conducting an educational session with community members regarding TB. The nurse tells the group that one of the first symptoms associated with TB is: A. A bloody, productive cough B. A cough with the expectoration of mucoid sputum C. Chest pain D. Dyspnea … Read More »
A client has been treated with antibiotic therapy for right lower-lobe pneumonia for 10 days and will be discharged today. Which of the following physical findings would lead the nurse to believe it is appropriate to discharge this client? A. Continued dyspnea B. Fever of 102*F C. Respiratory rate of 32 breaths/minute.… Read More »
A nurse evaluates the blood theophylline level of a client receiving aminophylline (theophylline) by intravenous infusion. The nurse would determine that a therapeutic blood level exists if any of the following were noted in the laboratory report? A. 5 mcg/mL B. 15 mcg/mL C. 25 mcg/mL D. 30 mcg/mL … Read More »
The right forearm of a client who had a purified protein derivative (PPD) test for tuberculosis is reddened and raised about 3mm where the test was given. This PPD would be read as having which of the following results? A. Indeterminate B. Needs to be redone C. Negative D. Positive … Read More »
Isoniazid (INH) and rifampin (Rifadin) have been prescribed for a client with TB. A nurse reviews the medical record of the client. Which of the following, if noted in the client’s history, would require physician notification? A. Heart disease B. Allergy to penicillin C. Hepatitis B D. Rheumatic fever … Read More »