Nokea
The client diagnosed with influenza A is being discharged from the emergency department with a prescription for antibiotics. Which statement by the client indicates an understanding of this prescription?
- A. These pills will make me feel better fast and I can return to work.
- B. The antibiotics will help prevent me from developing a bacterial pneumonia.
- C. If I had gotten this prescription sooner, I could have prevented this illness.
- D. I need to take these pills until I feel better; then I can stop taking the rest.
Correct Answer: B
Rationale: Antibiotics for influenza (B) prevent secondary bacterial pneumonia, not treat the virus. Quick recovery (A), prevention (C), and stopping early (D) are incorrect.
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The day shift charge nurse on a medical unit is making rounds after report. Which client should be seen first?
- A. The 65-year-old client diagnosed with tuberculosis who has a sputum specimen to be sent to the laboratory.
- B. The 76-year-old client diagnosed with aspiration pneumonia who has a clogged feeding tube.
- C. The 45-year-old client diagnosed with pneumonia who has a pulse oximetry reading of 92%.
- D. The 39-year-old client diagnosed with bronchitis who has an arterial oxygenation level of 89%.
Correct Answer: D
Rationale: SpO2 89% (D) indicates significant hypoxia, requiring immediate assessment. TB sputum (A), clogged tube (B), and SpO2 92% (C) are less urgent.
Which nursing explanation identifies the primary rationale for administering aminophylline?
- A. Aminophylline relieves persistent coughing.
- B. Aminophylline reduces mucosal edema.
- C. Aminophylline dilates the bronchial airways.
- D. Aminophylline thins respiratory secretions.
Correct Answer: C
Rationale: Aminophylline is a bronchodilator that dilates bronchial airways, improving airflow in COPD clients.
What information does the nurse need to know first before recommending further action?
- A. What is the victim's age?
- B. Can the victim cough?
- C. How is the victim positioned?
- D. Can the victim still swallow?
Correct Answer: B
Rationale: Determining if the victim can cough assesses whether the airway is partially or completely obstructed, guiding the next steps.
Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?
- A. Calcium level
- B. Vitamin B6 level
- C. Uric acid level
- D. Amylase level
Correct Answer: C
Rationale: This medication can increase uric acid levels which can lead to gout. The patient's signs and symptoms are classic findings in a gout attack.
Which intervention should the emergency department nurse implement first for the client admitted for an acute asthma attack?
- A. Administer glucocorticoids intravenously.
- B. Administer oxygen 5 L per nasal cannula.
- C. Establish and maintain a 20-gauge saline lock.
- D. Assess breath sounds every 15 minutes.
Correct Answer: B
Rationale: In an acute asthma attack, the priority is to address hypoxia. Administering oxygen (B) ensures adequate oxygenation, which is critical in respiratory distress. IV glucocorticoids (A) reduce inflammation but act slowly and are not the first intervention. Establishing a saline lock (C) is preparatory but not immediate. Assessing breath sounds (D) is important but secondary to ensuring oxygenation.