Nokea
Which nursing intervention is for a patient, age 40, who is diagnosed with active tuberculosis?
- A. Place the patient in drainage and secretion precautions.
- B. Place the patient in acid-fast bacillus (AFB) Isolation Precautions.
- C. Maintain the patient in enteric isolation.
- D. Place the patient in any Isolation Precautions.
Correct Answer: B
Rationale: If TB is suspected, place the patient in acid-fast bacillus (AFB) Isolation Precautions immediately.
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The nurse explains that the opening between the vocal cords is the ___.
Correct Answer: glottis
Rationale: The glottis is the opening between the vocal cords.
The nurse assessing an 11 year old who is having an asthma attack expects to hear which adventitious sounds?
- A. Friction rub.
- B. Expiratory wheezes
- C. Crackles.
- D. Absent breath sounds.
Correct Answer: B
Rationale: The narrowed bronchioles characteristic of an asthma attack would produce wheezes, which are high-pitched whistling sounds.
Which feature is a major advantage of video-assisted thoracoscopic surgery (VATS)?
- A. The surgeon can record entire surgical procedure on a video.
- B. The surgeon can remove tumors of the lung through a small keyhole incision.
- C. The surgeon can x-ray and excise tumor in the same procedure.
- D. The surgeon can avoid the use of a closed chest drainage system after surgery.
Correct Answer: B
Rationale: The video-assisted thoracoscopic surgery allows surgeons to remove tumors through a small keyhole incision. Although the incisions are small, a closed chest drainage system will still be necessary after the surgery.
An 83-year-old patient is admitted with a temperature of 102°F (38.8°C), chest pain, and fatigue. Which term describes the infected fluid that the health care provider removes from the pleural cavity?
- A. Emboli
- B. Emphysema
- C. Sputum
- D. Empyema
Correct Answer: D
Rationale: If the fluid between the lung and the membrane lining the pleural cavity becomes infected, it is called empyema.
The nurse recognizes that the reading in an arterial gas report indicates the amount of oxygen dissolved in the plasma.
Correct Answer: PaO2
Rationale: The PaO2 reading indicates the amount of oxygen dissolved in the plasma.