Font size
WorksheetsRespiratory Infections and TB Worksheet, 37 min
Total questions: 25
Worksheet time: 38mins
The nurse suspects Legionnaires’ disease in a patient with confusion, diarrhea, fever, and hyponatremia. Which diagnostic test confirms the diagnosis?
Sputum culture
Blood culture
Urine antigen test
Chest x-ray
Which environmental factor increases risk for Legionnaires’ disease?
Standing water in air conditioning systems
Mold growth in bathrooms
Pet birds in the household
Use of humidifiers during winter
Which assessment finding indicates bacterial rather than viral acute bronchitis?
Cough with clear sputum
Fever > 101∘ F with purulent sputum
Dry non-productive cough
Wheezing on expiration
Which intervention best relieves airway obstruction in acute bronchitis?
Antitussives at night
Increased oral fluids
Use of cough suppressants during the day
Oxygen therapy
A nurse is preparing to suction airway in a patient admitted for active tuberculosis. What PPE should be worn? Select all that apply
Surgical mask
N95 respirator
gown
gloves
eye protection
Which lab finding indicates effective TB treatment?
2 negative sputum cultures after 2 months
Decreased ESR
Weight gain
Normal chest x-ray after 1 month
Cough improvement
Which medication combination is used for TB therapy?
INH + rifampin + ethambutol
INH + streptomycin + amoxicillin
Rifampin + vancomycin + levofloxacin
INH + clarithromycin + ethambutol
A patient with pleurisy reports sharp chest pain worsening with inspiration. Which intervention provides best relief?
Deep breathing exercises
Side-lying on affected side
Incentive spirometry hourly
Prone positioning
Which assessment finding supports pleurisy rather than cardiac pain?
Pain radiates to left arm
Pain worsens with deep breathing
Pain improves with rest
Pain unrelieved by position
Which postoperative patient is at highest risk for atelectasis?
50-year-old with laparoscopic appendectomy
70-year-old smoker after abdominal surgery
40-year-old with tonsillectomy
25-year-old with knee arthroscopy
A patient with chest tube for pneumothorax suddenly has continuous bubbling in the water-seal chamber. What does this indicate?
Normal finding
Chest tube is kinked
Air leak in the system
Lung fully expanded
Which finding shows resolution of a pneumothorax?
No tidaling in water-seal chamber
Continuous bubbling in suction chamber
Decreased drainage
Increased chest pain
The nurse notes subcutaneous emphysema around a chest tube insertion site. What is the most appropriate action?
Document as expected
Apply pressure dressing
Notify provider immediately
Clamp chest tube
Which patient with pneumonia is at highest risk for poor outcome?
45-year-old with mild fever, productive cough
68-year-old with COPD and diabetes
25-year-old college student with atypical pneumonia
40-year-old with asthma, stable oxygen saturation
A pneumonia patient develops pleuritic chest pain and decreased breath sounds on one side. What complication is most likely?
Atelectasis
Pleural effusion
Bronchospasm
Pulmonary embolism
Which lab indicates hepatotoxicity from TB medications?
AST 90, ALT 105
Sodium 132
WBC 4,500
Hemoglobin 10
Which instruction is most important for a patient starting isoniazid (INH)?
Avoid alcohol
Expect reddish-orange secretions
Wear glasses instead of contact lenses
Take with antacids to prevent GI upset
True or false. Latent tuberculosis has to be treated with antibiotics.
True
False
The nurse prepares to administer isoniazid (INH) to a patient with TB. To reduce the risk of peripheral neuropathy, the provider also prescribes ________.
(a)
Vitamin B9
Vitamin B12
Vitamin A
True or false: A patient with pneumonia should be placed on airborne precautions until antibiotics are started.
True
False
Match the disease to its hallmark symptom.
Acid-fast bacillus
Night sweats and low-grade fever
Pneumococcal pneumonia
Tachycardia and tachypnea
Pleural effusion
Diminished breath sounds
Acute bronchitis
Dry persistent cough
Order the steps of sputum collection by matching each step to its correct sequence number.
Have patient cough deeply and expectorate in sterile container
3
Label specimen and send to lab immediately
4
Explain the procedure to the patient
1
Encourage to sit upright
2
The next 3 questions are on the same patient:
A patient is admitted with low-grade fever in the evening, productive cough, and night sweats. The patient is started on isoniazid, rifampin, ethambutol, and pyrazinamide. What is the likely condition?
Latent tuberculosis
Active tuberculosis
Pneumonia
Bronchitis
For the above patient on isoniazid, rifampin, ethambutol, and pyrazinamide, what 2 parameters need to be monitored? Select all that apply.
Liver function
Hearing
Vision changes
Kidney function
A patient is admitted with low-grade fever in the evening, productive cough, and night sweats. The patient is started on isoniazid, rifampin, ethambutol, and pyrazinamide. What 2 actions need to be taken? Select all that apply.
Institute airborne precautions
Educate on adherence
Institute droplet precautions
Administer acetaminophen for low-grade fever
