MS2 Iggy Chp 28 Flashcards

A nurse working in a geriatric clinic sees clients with cold symptoms and rhinitis the primary health care provider (PHCP) often leaves a prescription for diphenhydramine what action by the nurse is best

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

which teaching point is most important for the client with peritonsillar abscess

A client is in the family practice clinic reporting a severe cold that started 4 days ago on examination the nurse notes that the client also has a severe headache and muscle aches what action by the nurse is best

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 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 an I dehydrated what response by the nurse is best

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 primary health care provider orders a chest xray the family member questions why this is needed since the symptoms seem so vague what response by the nurse is besr

A client had ben diagnosed with tuberculosis (TB) what action by the nurse takes highest priority

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

A charge nurse is rounding on several older clients on ventilators in the intensive care unit whom the nurse identifies as being at high risk for ventilators associated pneumonia to reduce this risk what activity would the nurse to delegate to the assistive personnel(AP)

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

A nurse has educated a client on isoniazed what statement by the client indicates that teaching has been effective

A client has been taking isoniazid for tuberculosis for 3 weeks what laboratory results need to be reported to the primary health care provider immediately

A client seen in the emergency department reports fever fatigue and dry cough but no other upper respiratory symptoms a chest xray reveals mediastinal widening what action by the nurse is best

A client has been hospitalized with tuberculosis (TB) the clients spouse is fearful of entering the room where the client is in isolation and refuses to visit what action by the nurse is best

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

A client is admitted with suspected pneumonia from the emergency department the client went to the primary health care provider a few days ago and shows the nurse the results of what the client calls a allergy test the reddened area is firm what action by the nurse is best

A nurse admits a client from the emergency department client data are listed below

History

70 years of age

History of diabetes

On insulin twice a day

Reports new onset dyspnea and productive cough

Physical assessment

Crackles and rhonci heard throughout the lungs

Dullness to percussion LLL

Afebrile

Oriented to person only

Laboratory Values

WBC 5,200

Pa02 on room air 85

what action by the nurse is the priority

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(SATA)

A hospital nurse is participating in a drill during many clients with inhalation anthrax are being admitted what drugs would the nurse anticipate administering (SATA)

A client is in the emergency department is taking rifampin for tuberculosis the client reports yellowing of the sclera and skin and bleeding after minor trauma what laboratory results correlate to this condition(SATA)

A client has been diagnosed with an emphysema what interventions would the nurse anticipate providing to this client (SATA)

The emergency department nurse is participating in a bioterrorism drill in which several clients are suspected to have inhalation anthrax which clients would the nurse see as the priorities (SATA)

A client is taking ethambutol for tuberculosis what instructions does the nurse provide the client regarding this drug(SATA)

The nurse is learning about endemic pulmonary diseases which diseases are matched with correct information(SATA)