Question 1

The health carre provider inserts two chest tubes connected with a Y-connecter in a patient with a hemopneumothorax. When monitoring the patient after the chest tube placement, the nurse will be most concerned about

Accepted Answer

A)  a large air leak in the water-seal chamber. 
B)  400 ml of blood in the collection chamber. 
C)  severe pain with each deep patient inspiration. 
D)  subcutaneous emphysema at the insertion site.

Question 2

The nurse will anticipate discharge today for which of these patients with community-acquired-pneumonia?

Accepted Answer

A)  24-year-old patient who has had temperatures ranging from 100.6° to 101° F 
B)  35-year-old patient who has had 600 ml of oral fluids in the last 24 hours 
C)  50-year-old patient who has an oxygen saturation of 91% on room air 
D)  72-year-old patient with a pulse of 102 and a blood pressure (BP) of 90/56

Question 3

A patient who has active TB has just been started on drug therapy for TB. The nurse informs the patient that the disease can be transmitted to others until

Accepted Answer

A)  the chest x-ray shows resolution of the tuberculosis. 
B)  three sputum smears for acid-fast bacilli are negative. 
C)  TB medications have been taken for 6 months. 
D)  sputum cultures on 3 consecutive days are negative.

Question 4

After a patient with right lower-lobe pneumonia has been treated with intravenous (IV) antibiotics for 2 days, which assessment data obtained by the nurse indicates that the treatment has been effective?

Accepted Answer

A)  Bronchial breath sounds are heard at the right base. 
B)  Increased vocal fremitus is palpable over the right chest. 
C)  The patient coughs up small amounts of green mucous. 
D)  The patient's white blood cell (WB
C)  count is 9000/µl.

Question 5

A patient who has a right-sided chest tube following a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. The most appropriate action by the nurse is to

Accepted Answer

A)  document the presence of a large air leak. 
B)  obtain and attach a new collection device. 
C)  notify the health care provider of a possible pneumothorax. 
D)  take no further action with the collection device.

Question 6

The occupational nurse at a manufacturing plant where there is high worker exposure to beryllium dust will monitor workers for

Accepted Answer

A)  shortness of breath. 
B)  chest pain. 
C)  elevated temperature. 
D)  barrel-chest.

Question 7

A patient who was admitted to the hospital with pneumococcal pneumonia has a temperature of 101.6° F with a frequent cough and is complaining of chest pain rated 7 on a 10-point scale with deep inspiration. Which of these ordered medications should the nurse give first?

Accepted Answer

A)  Azithromycin (Zithromax) 
B)  Acetaminophen (Tylenol) 
C)  Guaifenesin (Robitussin) 
D)  Codeine phosphate (Codeine)

Exam 28: Nursing Management: Lower Respiratory Problems