Practice Question
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?
Answer Choices:
Correct Answer:
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.
Want to practice more questions like this?
This question is from RN N200 Medsurg Exam which contains 129 questions.
More Questions from This Exam
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 Choices:
A. Avoid crowds during the cold and flu season.
B. Increase activities to previous level as soon as you get home.
C. Report temperature elevations to the healthcare provider.
D. Finish taking oral antibiotics as prescribed.
E. Electronic cigarettes are an alternative to tobacco while trying to quit
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?
Answer Choices:
A. Decreased anteroposterior diameter of the chest
B. Oxygen saturation level below 95%
C. Petechiae on chest
D. Respiratory alkalosis
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)
Answer Choices:
A. Listening to at least one full respiration in each location.
B. Instructing the client to breathe in and out rapidly while listening to breath sounds.
C. Listening to breath sounds through the hospital gown or clothing.
D. Instructing the client to take slow deep breaths through his or her nose.
E. Listening as the client inhales then goes to the next site during exhalation-
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)
Answer Choices:
A. Give a unit of packed red blood cells as ordered.
B. Provide warm irrigation to the operative site.
C. Provide warmed IV fluids.
D. Provide a warm blanket.
E. Give acetaminophen per rectum per order because the client is NPO.
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:
Answer Choices:
A. Increase blood flow back to your heart.
B. Will promote expanding the left lung.
C. Prevent stiffening and loss of function.
D. Rebuild the muscle that was removed.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 5