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WorksheetsUpper respiratory disorder
Total questions: 20
Worksheet time: 10mins
The nurse would interpret an induration of 5 mm resulting from tuberculin skin testing as a positive finding in which patient?
a.A patient with a history of illegal IV drug use
a.A patient with diabetes and end-stage kidney disease
a.A patient who immigrated from India 3 months ago
a.A patient who is human immunodeficiency virus- infected
A patient with metabolic alkalosis has an SpO2 of 93% and a shift to the left in the oxygen-hemoglobin dissociation curve. Which action by the nurse is appropriate?
Administer supplemental oxygen because less oxygen is dissolved in the blood.
Discontinue supplemental oxygen because more oxygen is released to the tissues.
.Administer supplemental oxygen because oxygen is not readily released to the tissues.
Discontinue supplemental oxygen because more oxygen is dissolved in the blood.
A patient’s arterial blood gas (ABG) results include the following: pH 7.32, PaO2 84 mm Hg, PaCO2 49 mm Hg, and SaO2 84%. For what should the nurse assess the patient?
Tetany
Tachypnea
Pleural friction rub
Kussmaul respirations
Twenty-four hours after a patient had a tracheostomy, the tube is accidentally dislodged after a coughing episode. Which action should the nurse take first?
Call the health care provider.
Place the obturator in the tracheostomy tube.
Position the patient in a semi-Fowler’s position.
Grasp the retention sutures to spread the tracheostomy opening.
A diagnosis of AIDS can be made for a patient with HIV with
a CD4+ T-cell count <500/µL.
a WBC count <3000/µL (3 × 109/L).
development of oral candidiasis (thrush).
onset of Pneumocystis jiroveci pneumonia
The nurse is teaching a newly diagnosed 34-year-old male about his HIV infection. Which statement by the patient would indicate the patient needs additional education?
“I will need to take my HIV medication daily for the rest of my life
Although I only take one pill, it has multiple medications combined into a single tablet.”
“I should notify my HIV provider if I get fevers that do not go away with Tylenol or aspirin.”
“Once my viral load is undetectable I don’t have to worry about taking my medication every day.”
The nurse is caring for a patient who is receiving antiretroviral therapy (ART) for treatment of AIDS. Which assessment best indicates that the patient’s condition is improving?
Decreased viral load
Increased drug resistance
Decreased CD4+ T-cell count
Increased aminotransferase levels
The nurse informs the patient with a bacterial pneumonia that the most important factor in antibiotic treatment is
antibiotics should have been used to prevent pneumonia.
all of the supplied antibiotics should be taken even when symptoms have resolved.
enough antibiotics for 2 days’ treatment should be reserved in case symptoms recur.
patients should request antibiotics for upper respiratory infections to prevent development of streptococcal-related diseases.
A nurse plans a community education program related to prevention of the cancer with the highest death rates in both women and men. What should the nurse include in the teaching plan?
Smoking cessation
Screening with colonoscopy
Regular examination of reproductive organs
Use of sunscreen as protection from ultraviolet light
To prevent the debilitating cycle of fatigue-depression-fatigue that can occur in patients with cancer, an appropriate nursing intervention is to
Have the patient rest after any major energy expenditure
Encourage the patient to implement a daily walking program
Teach the patient to ignore the fatigue to maintain normal daily activities
Prevent the development of depression by informing the patient to expect fatigue during cancer treatment
After 3 weeks of radiation therapy, a patient has lost 10 pounds and does not eat well because of mucositis. Which nursing diagnosis would be most appropriate?
Risk for infection related to poor nutrition.
Ineffective health management related to refusal to eat.
Imbalanced nutrition: less than body requirements related to oral ulcerations
Ineffective health maintenance related to lack of knowledge of nutritional requirements during radiation therapy.
A patient with an acid-base imbalance has an altered potassium level. The nurse recognizes that the potassium level is altered because
Potassium is returned to extracellular fluid when metabolic acidosis is corrected.
Hyperkalemia causes an alkalosis that results in potassium being shifted into the cells.
Acidosis causes hydrogen ions in the blood to be exchanged for potassium from the cells.
In alkalosis, potassium is shifted into extracellular fluid to bind excessive bicarbonate.
A patient has the following ABG results: pH 7.48, PaO2 86 mm Hg, PaCO2 44 mm Hg, HCO3− 29 mEq/L. When assessing the patient, the nurse would expect the patient to have
Muscle cramping
Warm, flushed skin
Respiratory rate of 36
Blood pressure of 94/52
In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit because vomiting results in
Fluid movement from the cells into the interstitial space and the blood vessels
Excretion of large amounts of interstitial fluid with depletion of extracellular fluids
An overload of extracellular fluid with a significant increase in intracellular fluid volume
Fluid movement from the vascular system into the cells, causing cellular swelling and rupture
A patient is admitted with renal failure and an arterial blood pH level of 7.25. Which lab result would the nurse expect?
Serum sodium 138 mEq/L
Serum glucose 145 mg/dL
Serum potassium 6.2mEq/L
Serum magnesium 0.4 mg/dL
The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful?
My nose will look normal after 24 to 48 hours.”
I can take 800 mg ibuprofen every 6 hours for pain
I will remove and reapply the nasal packing every day
I will elevate my head for 48 hours to minimize swelling
The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?
Using oral antihistamines for 2 weeks before the allergy season may prevent reactions
Identifying and avoiding environmental triggers are the best way to prevent symptoms
Frequent hand washing is the primary way to prevent spreading the condition to others.
Corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use
A chemotherapy drug that causes alopecia is prescribed for a patient. Which action should the nurse take to support the patient’s self-esteem?
Encourage the patient to purchase a wig or hat to wear when hair loss begins
Suggest that the patient limit social contacts until regrowth of the hair occurs
Teach the patient to wash hair gently with mild shampoo to minimize hair loss
Inform the patient that hair usually grows back once chemotherapy is complete
The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?
Infuse the medication over a short period of time
Stop the infusion if swelling is observed at the site
Administer the chemotherapy through a small-bore catheter
Hold the medication unless a central venous line is available
A patient with metastatic cancer of the colon experiences severe vomiting after each administration of chemotherapy. Which action, if taken by the nurse, is appropriate?
Have the patient eat large meals when nausea is not present
Offer dry crackers and carbonated fluids during chemotherapy
Administer prescribed antiemetics 1 hour before the treatments
Give the patient a glass of a citrus fruit beverage during treatments
