Question

The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

Answer 1

Correct Answers:

Avoid crowds during the cold and flu season.
Report temperature elevations to the healthcare provider.
Finish taking oral antibiotics as prescribed.

Rationale :

Avoiding crowds helps prevent exposure to respiratory infections while recovering. Reporting temperature elevations is essential, as fever may indicate unresolved or recurrent infection. Completing the full course of antibiotics ensures proper treatment and prevents resistance.

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Answer 2

Correct Answers:

Oxygen saturation level below 95%

Rationale :

In emphysema, alveolar destruction reduces oxygen exchange, often resulting in oxygen saturation levels consistently below 95%. This is a common and expected finding in chronic COPD.

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Answer 3

Correct Answers:

Instructing the client to breathe in and out rapidly while listening to breath sounds.
Listening to breath sounds through the hospital gown or clothing.
Listening as the client inhales then goes to the next site during exhalation-

Rationale :

Rapid breathing disrupts accurate auscultation and may cause dizziness. Listening through clothing muffles sounds and can lead to missed findings. Moving on before hearing full respiratory cycles results in incomplete assessments.

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Answer 4

Correct Answers:

Initiate airborne precautions.

Rationale :

Coughing up blood and night sweats suggest active tuberculosis. Airborne precautions are necessary to prevent transmission, including isolation in a negative pressure room and use of N95 masks.

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Answer 5

Correct Answers:

Provide warmed IV fluids.
Provide a warm blanket.

Rationale :

Warmed IV fluids and warm blankets are effective interventions for mild postoperative hypothermia. These methods support safe rewarming and promote patient comfort.

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Answer 6

Correct Answers:

Prevent stiffening and loss of function.

Rationale :

Post-thoracotomy exercises maintain joint mobility and prevent stiffness, which supports full lung expansion and functional recovery. Pain should be managed to enable participation.

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Answer 7

Correct Answers:

Rinsing the mouth after beclomethasone administration.

Rationale :

Beclomethasone is a steroid that can lead to oral thrush. Rinsing the mouth after inhalation helps prevent fungal overgrowth in the oropharynx.

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Answer 8

Correct Answers:

080/0 normal saline (080/0 Naci).

Rationale :

Normal saline (0.9% NaCl) is isotonic and rapidly replaces intravascular volume, making it the preferred fluid for treating hypovolemia from blood loss.

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Answer 9

Correct Answers:

Mechanical ventilation.

Rationale :

Diminished breath sounds with confusion indicate worsening airflow obstruction and hypoxia in status asthmaticus. Mechanical ventilation may be necessary to maintain oxygenation.

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Answer 10

Correct Answers:

Isoniazid
Pyrazinamide
Rifampin

Rationale :

Isoniazid, pyrazinamide, and rifampin are standard anti-tuberculosis drugs used together to eliminate Mycobacterium tuberculosis and prevent resistance.

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RN N200 Medsurg Exam

No.

1 : The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

2 : A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?

3 : The experienced nurse understands that the student nurse may require additional instruction regarding proper respiratory assessment techniques when the nurse observes the student:

(SELECT ALL THAT APPLY)

4 : A nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?

5 : The nurse is caring for a client who has a core temperature of 970F (36.10C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)

6 : The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide?

The exercises:

7 : A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:.

8 : A client is admitted with hypovolemia due to severe bleeding. Which IV fluid does the nurse anticipate using to replace fluid losses?

9 : While assessing a client with status asthmaticus, the nurse notes diminished breath sounds in all lung fields and the client is becoming confused. The nurse should prepare the client for:.

10 : The nurse is discharging a client newly diagnosed with tuberculosis. Which medications should be included in the discharge planning? (SELECT ALL THAT APPLY)

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RN N200 Medsurg Exam

No.

1 : The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

2 : A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?

3 : The experienced nurse understands that the student nurse may require additional instruction regarding proper respiratory assessment techniques when the nurse observes the student:(SELECT ALL THAT APPLY)

4 : A nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?

5 : The nurse is caring for a client who has a core temperature of 970F (36.10C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)

6 : The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide?The exercises:

7 : A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:.

8 : A client is admitted with hypovolemia due to severe bleeding. Which IV fluid does the nurse anticipate using to replace fluid losses?

9 : While assessing a client with status asthmaticus, the nurse notes diminished breath sounds in all lung fields and the client is becoming confused. The nurse should prepare the client for:.

10 : The nurse is discharging a client newly diagnosed with tuberculosis. Which medications should be included in the discharge planning? (SELECT ALL THAT APPLY)

3 : The experienced nurse understands that the student nurse may require additional instruction regarding proper respiratory assessment techniques when the nurse observes the student:

(SELECT ALL THAT APPLY)

6 : The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide?

The exercises: