Nokea
You assist your patient with using their inhaler. The inhaler contains the medication Budesonide. Before administering the inhaler, you will want to connect what device to the inhaler to help decrease the patient from developing?
- A. Peak flow meter; pneumonia
- B. Incentive spirometer; thrush
- C. Spacer; thrush
- D. Peak flow meter; mouth sores
Correct Answer: C
Rationale: A spacer helps deliver Budesonide, an inhaled corticosteroid, more effectively to the lungs, reducing the risk of oral thrush by minimizing medication deposition in the mouth.
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The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client problem 'altered communication.' Which intervention should the nurse implement?
- A. Instruct the client to drink a mixture of brandy and honey several times a day.
- B. Encourage the client to whisper instead of trying to speak at a normal level.
- C. Provide the client with a blank note pad for writing any communication.
- D. Explain that the client's aphonia may become a permanent condition.
Correct Answer: C
Rationale: A note pad (C) facilitates communication during laryngitis-related voice loss. Brandy/honey (A) is unproven, whispering (B) strains vocal cords, and permanent aphonia (D) is unlikely.
The nurse is caring for a client diagnosed with pneumonia who is having shortness of breath and difficulty breathing. Which intervention should the nurse implement first?
- A. Take the client's vital signs.
- B. Check the client's pulse oximeter reading.
- C. Administer oxygen via nasal cannula.
- D. Notify the respiratory therapist STAT.
Correct Answer: C
Rationale: Administering oxygen (C) is the first intervention for a pneumonia patient with shortness of breath to correct hypoxemia, per the ABCs (airway, breathing, circulation). Checking pulse oximetry (B) assesses oxygenation but delays treatment. Vital signs (A) and notifying the therapist (D) are secondary to immediate oxygen delivery.
When the client asks the nurse about why the physician has prescribed two drugs, which response is most accurate?
- A. One medication diminishes the side effects of the other.
- B. One medication kills the live organism; the other, its spores.
- C. Using combined medications can reduce the dosages of both drugs.
- D. Using two or more drugs lowers the potential for bacterial resistance.
Correct Answer: D
Rationale: Combination therapy (rifampin and isoniazid) reduces the risk of bacterial resistance, ensuring effective tuberculosis treatment.
A 55-year old male patient is admitted with an active tuberculosis infection. The nurse will place the patient in precautions and will always wear when providing patient care?
- A. droplet, respirator
- B. airborne, respirator
- C. contact and airborne, surgical mask
- D. droplet, surgical mask
Correct Answer: B
Rationale: Active tuberculosis requires airborne precautions due to its transmission via respiratory droplets. A respirator (e.g., N95) is required for healthcare workers, not a surgical mask, to protect against inhaling the bacteria.
A client's PPD test is positive, and a chest x-ray is negative. What is the best interpretation of these data?
- A. The client's resistance to tuberculosis is low.
- B. The client has been exposed to the organism but has not developed the disease.
- C. The client has tuberculosis, but it is not serious.
- D. The client has active tuberculosis.
Correct Answer: B
Rationale: A positive PPD with a negative chest x-ray indicates exposure to tuberculosis without active disease.