Which of the following best describes pleural effusion? A. The collapse of alveoli. B. The collapse of bronchiole. C. The fluid in the alveolar space. D. The accumulation of fluid between the linings of the pleural space. Correct Answer: D. The accumulation of fluid between the linings of the… Read More »
The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. Which nursing action would be most appropriate for this client? A. Ask the client’s spouse to supervise the daily administration of the medications. B. Visit the clinic weekly to ask him whether he is taking… Read More »
Which of the following organisms most commonly causes community-acquired pneumonia in adults? A. Haemophilus influenzae B. Klebsiella pneumoniae C. Streptococcus pneumoniae D. Staphylococcus aureus Correct Answer: C. Streptococcus pneumoniae Pneumococcal or streptococcal pneumonia, caused by streptococcus pneumoniae, is the most common cause of community-acquired pneumonia. Streptococcus pneumoniae is the… Read More »
A client’s ABG analysis reveals a pH of 7.18, PaCO2 of 72 mm Hg, PaO2 of 77 mm Hg, and HCO3- of 24 mEq/L. What do these values indicate? A. Metabolic acidosis B. Respiratory alkalosis C. Metabolic alkalosis D. Respiratory acidosis Correct Answer: D. Respiratory acidosis Respiratory… Read More »
If a pleural effusion develops, which of the following actions best describes how the fluid can be removed from the pleural space and proper lung status restored? A. Inserting a chest tube. B. Performing thoracentesis. C. Performing paracentesis. D. Allowing the pleural effusion to drain by itself. Correct Answer:… Read More »
The Causative agent of Tuberculosis is said to be: A. Mycobacterium Tuberculosis B. Hansen’s Bacilli C. Bacillus Anthracis D. Group A Beta Hemolytic Streptococcus Correct Answer: A. Mycobacterium Tuberculosis Tuberculosis (TB) is an ancient human disease caused by Mycobacterium tuberculosis which mainly affects the lungs, making pulmonary… Read More »
An elderly client with pneumonia may appear with which of the following symptoms first? A. Altered mental status and dehydration B. Fever and chills C. Hemoptysis and dyspnea D. Pleuritic chest pain and cough Correct Answer: A. Altered mental status and dehydration Fever, chills, hemoptysis, dyspnea, cough, and… Read More »
A police officer brings in a homeless client to the ER. A chest x-ray suggests he has TB. The physician orders an intradermal injection of 5 tuberculin units/0.1 ml of tuberculin purified derivative. Which needle is appropriate for this injection? A. 5/8” to ½” 25G to 27G needle. B. 1” to 3” 20G… Read More »
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 »