Nokea
Which instruction is priority for the nurse to discuss with the client diagnosed with ARDS who is being discharged from the hospital?
- A. Avoid smoking and exposure to smoke.
- B. Do not receive flu or pneumonia vaccines.
- C. Avoid any type of alcohol intake.
- D. It will take about one (1) month to recuperate.
Correct Answer: A
Rationale: Avoiding smoke (A) prevents further lung damage, a priority post-ARDS. Vaccines (B) are recommended, alcohol (C) is not restricted, and recovery time (D) varies.
You may also like to solve these questions
The employee health nurse is administering tuberculin skin testing to employees who have possibly been exposed to a client with active tuberculosis (Tb). Which statement indicates the need for radiological evaluation instead of skin testing?
- A. The client's first skin test indicates a purple flat area at the site of injection.
- B. The client's second skin test indicates a red area measuring four (4) mm.
- C. The client's previous skin test was read as positive.
- D. The client has never shown a reaction to the tuberculin medication.
Correct Answer: C
Rationale: A prior positive TB skin test (C) indicates exposure, requiring CXR to assess active disease, not repeat skin testing. Purple area (A) is normal, 4 mm (B) is negative, and no reaction (D) warrants testing.
Your patient is diagnosed with a latent tuberculosis infection. Select all the correct statements that reflect this condition:
- A. The patient will not need treatment unless it progresses to an active tuberculosis infection.
- B. The patient is not contagious and will have no signs and symptoms.
- C. The patient will have a positive tuberculin skin test or IGRA test.
- D. The patient will have an abnormal chest x-ray.
- E. The patient's sputum will test positive for mycobacterium tuberculosis.
Correct Answer: B,C
Rationale: Latent TB infection is characterized by no symptoms, no contagiousness , and a positive tuberculin skin test or IGRA . Treatment is often recommended to prevent progression (not A). Chest X-rays are typically normal (not D), and sputum tests are negative (not E).
Which statement by the client indicates an accurate understanding of the purpose of aerosol therapy?
- A. Aerosol therapy relieves tissue irritation.
- B. Aerosol therapy delivers medication directly to the lungs.
- C. Aerosolization dries respiratory passages.
- D. Aerosol therapy helps to slow breathing.
Correct Answer: B
Rationale: Aerosol therapy delivers medication directly to the lungs, targeting the respiratory tract for effective treatment of bronchitis.
The charge nurse receives morning laboratory and respiratory data on the clients. Which data requires immediate intervention?
- A. ABG results of pH 7.35, Paco2 56, Hco3 29, Pao2 78 for a client diagnosed with COPD.
- B. Pulse oximetry reading of 89% on a two-day postsurgical total knee replacement client.
- C. Hgb of 9 g/dL and Hct of 28% on a client who is receiving the second unit of blood.
- D. B-type natriuretic peptide (BNP) of 100 on a client diagnosed with stage 4 congestive heart failure.
Correct Answer: B
Rationale: SpO2 89% post
After administering morphine sulfate (Roxanol) to the client, which of the following is most important for the nurse to assess?
- A. The rhythm of the heart
- B. Skin color and temperature
- C. Presence of bowel sounds
- D. Rate and depth of respirations
Correct Answer: D
Rationale: Morphine can cause respiratory depression, so assessing the rate and depth of respirations is critical to ensure safety.