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WorksheetsGas Exchange nsg 210
Total questions: 33
Worksheet time: 36mins
A client is prescribed rifampin after being exposed to active tuberculosis. Which finding would the nurse immediately report to the health care provider? Select all that apply. One, some, or all responses may be correct.
Reddish-orange color urine
Yellow-colored teeth stains
Orange-colored sweat and tears
Small, red, pinpoint areas on the arms
Numbness, tingling, and burning of extremities
A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. Which type of room would the nurse assign this client?
Private room
Semiprivate room
Room with windows that can be opened
Negative-airflow room
A client undergoing tuberculosis therapy reports eye pain, worsening with eye movement, and decreased color vision. Which medication causes these potential adverse effects?
Rifampin
Isoniazid
Ethambutol
Pyrazinamide
A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for members of the family who have been exposed?
Isoniazid
Multiple-puncture test
Bacille Calmette-Guerin
Tuberculin purified protein derivative
The nurse is caring for a child with cystic fibrosis who is receiving pancreatic enzyme replacement. Which effect of the medication would the nurse assess for that may indicate the enzyme is inadequate
Generalized edema
Acute nephrolithiasis
Abdominal cramping
Sudden gain in weight
A toddler with cystic fibrosis has been hospitalized with bacterial pneumonia. The nurse concludes which is the reason the health care provider selected a specific antibiotic?
Tolerance of the child
Sensitivity of the bacteria
Selectivity of the bacteria
Preference of the health care provider
The nurse is discussing sexuality with a teenage female who has cystic fibrosis. Which statement best reflects the teenager’s understanding of healthy sexuality?
I can never get pregnant.
Having sex is not possible for me.
My best protection is a diaphragm.
I won’t have sex unless I use a condom.
A client with cystic fibrosis asks why the percussion procedure is being performed. Which rationale would the nurse give to the client?
It relieves bronchial spasms.
It increases the depth of respirations
It loosens pulmonary secretions
It expels carbon dioxide from the lungs
The nurse is providing care to an infant who is diagnosed with cystic fibrosis (CF). Which parental statement indicates the need for further education related to the potential for poor growth?
My child’s diagnosis is associated delayed bone growth."
My child will have a poor appetite, which will lead to poor growth."
My child will have increased oxygen demands, which will lead to poor growth."
My child will have a decreased ability to absorb nutrients, which will cause poor growth."
The nurse is caring for a school-aged child with cystic fibrosis. Which pathophysiologic factor has the greatest effect on the child’s health status?
Extremely thick mucus causing obstructed airways
Acute inflammation of the lung parenchyma
Endocrine glands secreting increased levels of hormones
Increased irritability of the airways resulting in obstruction
Which pathophysiological abnormality is present in cystic fibrosis?
Dysfunction of sweat glands
Inactivity of respiratory tract cilia
Dysfunction of mucus-secreting glands
Overproduction of endocrine gland activity
Which verbalization by the parents of a child who has cystic fibrosis (CF) provides evidence that they understand the child’s dietary needs?
Restrict fluids during mealtimes
Discontinue the use of salt when cooking
Provide high-calorie foods between meals.
Add whole-milk products from the diet.
Which is the best schedule for chest physiotherapy (CPT) for the child with a diagnosis of cystic fibrosis (CF)?
Three times a day, before meals
Three times a day, halfway between meals
Two times a day, on awakening and at bedtime
Two times a day, after breakfast and after dinner
The parents of an adolescent child with cystic fibrosis (CF) should be alert for which potential complications of CF? Select all that apply. One, some, or all responses may be correct.
Diabetes
Hematuria
Nasal polyps
Prolapsed rectum
Pulmonary infections
Which intervention is important in the care of a hospitalized toddler with cystic fibrosis?
Discouraging coughing
Performing postural drainage
Encouraging active exercise
Providing small, frequent feedings
Which medications would the nurse anticipate teaching the parents about for a preschooler newly diagnosed with cystic fibrosis? Select all that apply. One, some, or all responses may be correct.
Steroids
Antibiotics
Antihistamines
Pancreatic enzymes
Fat-soluble vitamins
The nurse is reviewing discharge instructions with the parent of an infant with cystic fibrosis. Which statement indicates the parents know how to administer the pancreatic enzyme replacement?
We should give the medication with feedings."
We should put crushed enteric-coated pills in the formula."
We need to give the medication every 6 hours, even during the night."
We should feed the granules from the capsule in applesauce every morning."
Which assessment finding in a newborn is suggestive of cystic fibrosis?
Rapid heart rate
Excessive crying
Sternal retractions
Abdominal distention
A 15-year-old with cystic fibrosis (CF) is admitted with a respiratory infection. The nurse determines that the adolescent is cyanotic, has a barrel-shaped chest, and is in the 10th percentile for both height and weight. Which is the priority nursing intervention?
Increasing physical activities
Performing postural drainage
Maintaining dietary restrictions
Administering prescribed pancreatic enzymes
Which instructions would the nurse provide a client prescribed rifampin for tuberculosis (TB)? Select all that apply. One, some, or all responses may be correct.
"You should report any yellow tinge to your skin."
"Your soft contact lenses will be stained permanently."
"You should report any reddish orange tinge to your secretions."
"You need to drink at least 8 ounces of water with the medication."
"You should report any increased tendency to bruising or bleeding."
Which instructions by the nurse will be beneficial to the client prescribed pyrazinamide for tuberculosis? Select all that apply. One, some, or all responses may be correct.
"Avoid drinking alcoholic beverages while taking this medication."
"Drink at least 8 ounces of water with each dose of the medication."
"If you wear your soft contact lenses, they will be permanently stained."
"Darkening of the urine is normal while you are using this medication."
"Be sure to report any vision changes, such as diminished color perception."
When teaching a client with tuberculosis about prescribed medications, which statements would the nurse use regarding isoniazid? Select all that apply. One, some, or all responses may be correct.
“Be sure to take the medication on an empty stomach."
"Report any changes in vision to your primary health care provider."
"Take daily multiple vitamins that contain B complex."
"Wear protective clothing when going outdoors during the day."
"Report darkening of your urine or a yellowish skin discoloration."
A client with tuberculosis asks the nurse about the communicability of the disease. Which response would the nurse use?
"Tuberculosis is not communicable at this time."
"Untreated active tuberculosis is communicable."
"Tuberculosis is communicable during the primary stage."
"With the newer long-term therapies, tuberculosis is not communicable."
Which clinical manifestations are associated with a diagnosis of tuberculosis? Select all that apply. One, some, or all responses may be correct.
Diarrhea
Anorexia
Weight gain
Hemoptysis
Night sweats
Which laboratory test result would the nurse review before initiating a prescribed antitubercular pharmacotherapy for a client with tuberculosis associated with human immunodeficiency virus?
Liver function studies
Pulmonary function studies
Electrocardiogram
White blood cell (WBC) count
The chemotherapy protocol prescribed for a client with tuberculosis includes vitamin B6 and isoniazid (INH). Which would the nurse identify as the reason for prescribing vitamin B6?
To improve the nutritional status of the client
To enhance the tuberculostatic effect of INH
To accelerate the destruction of dormant tubercular bacilli
To counteract the peripheral neuritis that INH may cause
A client with tuberculosis asks the nurse how long medication therapy will be continued. Which time interval is would the nurse provide?
1 to 2 weeks
4 to 5 months
6 to 12 months
3 years or longer
A client diagnosed with tuberculosis is taking isoniazid. To prevent a food and medication interaction, the nurse will advise the client to avoid which food item?
Hot dogs
Red wine
Sour cream
Grapefruit juice
What information is important to teach about the use of rifabutin/isoniazid/pyrazinamide/ethambutol?
Select all that apply
Rifabutin stains urine, stool, saliva, sweat, and tears reddish-orange
Liver function tests should be routinely conducted and monitored
There is no need to wear sunscreen when exposed to sunlight while taking rifabutin/isoniazid/pyrazinamide
Visual disturbances related to ethambutol therapy may develop during therapy, but may resolve once treatment is discontinued
Rifampin/isoniazid/pyrazinamide has been known to cure HIV within a few months of taking it
A client with tuberculosis is being started on isoniazid and the nurse stresses the importance of returning to the clinic for follow-up blood testing. The nurse realizes the client understands the instructions if the client verbalizes the need to return to the clinic for which blood test?
Liver enzymes
Serum creatinine
Blood urea nitrogen
Red blood cell count
The nurse is caring for a Vietnamese client diagnosed with tuberculosis. The client speaks limited English. What should the nurse do to ensure the client and family receives the most accurate information? Select all that apply.
Provide culturally sensitive education.
Encourage family members to obtain a tuberculosis skin test.
Provide written instructions in English for the client to reference.
Encourage the client and family to wash all dishes by hand to prevent the spread of infection.
Urge all family and close contact community members to seek and complete treatment to enhance compliance.
The nurse has admitted a client with a diagnosis of tuberculosis (TB) to the nursing unit. Which finding that confirms the diagnosis does the nurse expect to see documented in the client’s record?
Night sweats and a low-grade fever
Positive result on an acid-fast bacillus smear
Cough and expectoration of mucopurulent sputum
A tuberculin skin test result that indicates 5 mm of redness
A nurse provides instructions to the mother of a child with cystic fibrosis (CF) on the correct procedure for administering pancrelipase. The nurse tells the child’s mother that the medication may be administered with which item?
Oatmeal
Hot milk
Applesauce
Mashed potatoes
