Nokea
Which time of day is best for the nurse to obtain a sputum specimen from the client?
- A. Before bedtime
- B. After a meal
- C. Between meals
- D. On awakening
Correct Answer: D
Rationale: Sputum is most concentrated and easier to collect on awakening due to accumulation overnight.
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Which medication below blocks the function of Leukotriene for the treatment of asthma?
- A. Salmeterol
- B. Theophylline
- C. Tiotropim
- D. Montelukast
Correct Answer: D
Rationale: Montelukast is a leukotriene receptor antagonist that blocks leukotrienes, reducing asthma symptoms.
The nurse is writing a care plan for a client newly diagnosed with cancer of the larynx. Which problem is the highest priority?
- A. Wound infection.
- B. Hemorrhage.
- C. Respiratory distress.
- D. Knowledge deficit.
Correct Answer: C
Rationale: Respiratory distress (C) is life-threatening post-laryngectomy, a priority. Infection (A), hemorrhage (B), and knowledge deficit (D) are secondary.
A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?
- A. Patient reports a change in vision.
- B. Patient reports a metallic taste in the mouth.
- C. The patient has ringing in their ears.
- D. The patient has a persistent dry cough.
Correct Answer: C
Rationale: Streptomycin can cause ototoxicity, leading to symptoms like ringing in the ears (tinnitus). This requires immediate physician notification to prevent further hearing damage.
An adult has a chest drainage system. Several hours after the chest tube was inserted, the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling?
- A. The client's lungs have reexpanded.
- B. There is an obstruction in the tubing coming from the client.
- C. There is a mechanical problem in the pump.
- D. Air is leaking into the drainage apparatus.
Correct Answer: A
Rationale: No bubbling in the water seal chamber typically indicates lung reexpansion, as air is no longer leaking from the lung into the pleural space.
The nurse is discussing the care of a child diagnosed with asthma with the parent. Which referral is important to include in the teaching?
- A. Referral to a dietitian.
- B. Referral for allergy testing.
- C. Referral to the developmental psychologist.
- D. Referral to a home health nurse.
Correct Answer: B
Rationale: Allergy testing (B) identifies asthma triggers, critical for management. Dietitian (A), psychologist (C), and home health (D) are secondary unless specific issues arise.