Exam 31: Care of Patients with Infectious Respiratory Problems

A client has been admitted for suspected inhalation anthrax infection.What question by the nurse is most important?

A client seen in the emergency department reports fever,fatigue,and dry cough but no other upper respiratory symptoms.A chest x-ray reveals mediastinal widening.What action by the nurse is best?

A nurse has educated a client on isoniazid (INH).What statement by the client indicates teaching has been effective?

A client is being discharged on long-term therapy for tuberculosis (TB).What referral by the nurse is most appropriate?

A nurse is providing pneumonia vaccinations in a community setting.Due to limited finances,the event organizers must limit giving the vaccination to priority groups.What clients would be considered a priority when administering the pneumonia vaccination? (Select all that apply.)

A hospital nurse is participating in a drill during which many clients with inhalation anthrax are being admitted.What drugs should the nurse anticipate administering? (Select all that apply.)

A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over,tenderness across the cheeks,and postnasal discharge.What instruction will be most helpful?

The charge nurse on a medical unit is preparing to admit several "clients" who have possible pandemic flu during a preparedness drill.What action by the nurse is best?

A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks.The client is so exhausted after coughing that work has become impossible.What action by the nurse is most appropriate?

A client has been diagnosed with tuberculosis (TB).What action by the nurse takes highest priority?

An older adult is brought to the emergency department by a family member,who reports a moderate change in mental status and mild cough.The client is afebrile.The health care provider orders a chest x-ray.The family member questions why this is needed since the manifestations seem so vague.What response by the nurse is best?

A client admitted for pneumonia has been tachypneic for several days.When the nurse starts an IV to give fluids,the client questions this action,saying "I have been drinking tons of water.How am I dehydrated?" What response by the nurse is best?

A client has been taking isoniazid (INH)for tuberculosis for 3 weeks.What laboratory results need to be reported to the health care provider immediately?

The emergency department (ED)manager is reviewing client charts to determine how well the staff performs when treating clients with community-acquired pneumonia.What outcome demonstrates that goals for this client type have been met?

A client is admitted with suspected pneumonia from the emergency department.The client went to the primary care provider a "few days ago" and shows the nurse the results of what the client calls "an allergy test," as shown below: What action by the nurse takes priority?

A client has been diagnosed with an empyema.What interventions should the nurse anticipate providing to this client? (Select all that apply.)

A client is in the family medicine clinic reporting a dry,sore throat.The provider asks the nurse to assess for odynophagia.What assessment technique is most appropriate?

A nurse admits a client from the emergency department.Client data are listed below: What action by the nurse is the priority?

Which teaching point is most important for the client with bacterial pharyngitis?

A client has been hospitalized with tuberculosis (TB).The client's spouse is fearful of entering the room where the client is in isolation and refuses to visit.What action by the nurse is best?