Nokea
The physician orders the patient to start taking Omalizumab. How will you administer this medication as the nurse?
- A. Intravenous
- B. Intramuscular
- C. Orally
- D. Subcutaneously
Correct Answer: D
Rationale: Omalizumab is administered subcutaneously for asthma treatment.
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Where did the client's embolism most likely originate?
- A. The deep veins of the legs
- B. The pulmonary artery
- C. The superior vena cava
- D. The carotid artery
Correct Answer: A
Rationale: Pulmonary emboli most commonly originate from deep vein thrombosis in the legs, where clots dislodge and travel to the lungs.
An adult has a chest drainage system. The client's wife reports to the nurse that her husband is restless. The nurse enters the room just in time to see him pull out his chest tube. The most appropriate initial action for the nurse to take is to:
- A. go get petrolatum gauze and apply over the wound.
- B. place her/his hand firmly over the wound.
- C. apply a sterile 4x4 dressing.
- D. reinsert the chest tube.
Correct Answer: B
Rationale: Placing a hand firmly over the wound prevents air from entering the pleural space, which could cause a pneumothorax.
Which nursing measure is most helpful in reducing the client's anxiety during an asthma attack?
- A. Close the door to the examination room.
- B. Remain within the client's view.
- C. Pull the bedside privacy curtain.
- D. Notify the client when the respiratory therapist arrives.
Correct Answer: B
Rationale: Remaining within the client's view provides reassurance and reduces anxiety by ensuring the client feels supported during an asthma attack.
The client is admitted to the medical unit diagnosed with a pulmonary embolus. Which intervention should the nurse implement?
- A. Administer oral anticoagulants.
- B. Assess the client's bowel sounds.
- C. Prepare the client for a thoracentesis.
- D. Institute and maintain bedrest.
Correct Answer: D
Rationale: Bedrest (D) reduces oxygen demand and embolism risk in PE. Oral anticoagulants (A) follow heparin, bowel sounds (B) are unrelated, and thoracentesis (C) is for pleural effusion.
Which data are significant when assessing a client diagnosed with rule-out Legionnaires' disease?
- A. The amount of cigarettes smoked a day and the age when started.
- B. Symptoms of aching muscles, high fever, malaise, and coughing.
- C. Exposure to a saprophytic water bacterium transmitted into the air.
- D. Decreased bilateral lung sounds in the lower lobes.
Correct Answer: B
Rationale: Symptoms like aching muscles, high fever, malaise, and coughing (B) are characteristic of Legionnaires' disease, a severe pneumonia. Smoking history (A) is non-specific. Exposure to Legionella (C) is a risk factor, not a clinical datum. Decreased lung sounds (D) are less specific than systemic symptoms.