Gaseous exchange occurs in the alveolar membrane. A 76-year old client is admitted for elective knee surgery. Bronchiectasis 3. The nurse should include which of the following instructions when developing a teaching plan for clients receiving INH and rifampin for treatment for TB? Created by. 4. A client has active TB. A client’s ABG analysis reveals a pH of 7.18, PaCO2 of 72 mm Hg, PaO2 of 77 mm Hg, and HCO3- of 24 mEq/L. 57. The nurse suggests that the client increase intake of: 1. Allowing the pleural effusion to drain by itself. Fever of more than 104*F and nausea You may also like these other quizzes and exam tip articles: Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Acid-fast staining Increases carbon dioxide levels Key Concepts: Terms in this set (43) Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. 2. 12. He should be admitted to the hospital, placed in respiratory isolation, and three sputum cultures should be obtained to confirm the diagnosis. The nurse is caring for a pregnant woman new to the clinic. 1. 34. Admit him to the hospital in respiratory isolation. Answers and rationales are given below. 1. Which assessment, if made by the nurse, would not be consistent with the usual clinical presentation of TB and may indicate the development of a concurrent problem? 4. Dehydration Test. Admit him to the hospital in respiratory isolation NCLEX Style Questions for Pneumonia. 4. Which of the following would be an appropriate expected outcome for an elderly client recovering from bacterial pneumonia? He would most likely be given isoniazid and two or three other antitubercular antibiotics until the diagnosis is confirmed, then isolation and treatment would continue if the cultures were positive for TB. It packs more than 220 questions from the NCLEX Pneumonia Questions and NCLES Tuberculosis Questions. 3. 2. Because the client is short of breath, listening to breath sounds is a good idea. The pulse oximeter determines the percentage of hemoglobin carrying oxygen. A respiratory rate of 25 to 30 breaths per minute, The ability to perform ADL’s without dyspnea, A maximum loss of 5 to 10 pounds of body weight. 2. Amount of oxygen in the blood The client with HIV+ status is considered to have positive results on PPD skin test with an area greater than 5-mm of induration. 47. Remove the airway and insert a shorter one. Notify the physician of the client’s non-compliance and request a different prescription. The nurse would determine that a therapeutic blood level exists if which of the following were noted in the laboratory report? 4. Flashcards. Skin tests may be falsely positive or falsely negative. Based on this information, which of the following nursing interventions would be a priority? You are given one minute per question. Chest auscultation reveals bronchial breath sounds over areas of consolidation. Respiratory Medications such as bronchodilators, inhaled glucocorticoids, leukotriene modifiers, antihistamines, nasal decongestants, expectorants and mucolytic agents, antiviral drugs. Alveoli have no effect on oxygenation 1. He was successfully treated for TB, but skin tests always stay positive. Brock_Noldy. Ethambutol hydrochloride. Making use of these NCLEX review questions, and doing so on a regular basis well before your test date is one of the best steps you can take in order to maximize your chances of passing the NCLEX on your first attempt. 3. 4. 4. 2. 3. 4. Test. The assessment should include which of the following interventions? Which of the following laboratory techniques is most commonly used to identify tubercle bacilli in sputum? 76-year-old grandmother. 4. Which assessment, if made by the nurse, would not be consistent with the usual clinical presentation of TB and may indicate the development of a concurrent problem? “I should always cover my mouth and nose when sneezing.” 3. A comatose client needs a nasopharyngeal airway for suctioning. His previous test was negative. 3. He’s a “seroconverter”, meaning the TB has gotten to his bloodstream. The client is showing s/s of active TB and because of a productive cough is highly contagious. Patients who have a pneumothorax have built up pressure in the intrapleural space which causes the lung to collapse. Suctioning without a nasopharyngeal airway causes trauma to the natural airway. 3. The mask can be set to deliver any amount of oxygen needed. 4. stick a needle in the area of decreased breath sounds. Frequent linen changes Which of the following is a normal physiologic change related to aging? 1. Increased appetite The mask provides continuous air that the client can breathe. A bloody, productive cough 25. 3. The client experiencing eighth cranial nerve damage will most likely report which of the following symptoms? 1. Decreased vital capacity. 3. Spell. A nurse interprets that the client is most likely experiencing: 1. An expected outcome for a client recovering from pneumonia would be the ability to perform ADL’s without experiencing dyspnea. Pneumococcal or streptococcal pneumonia, caused by streptococcus pneumoniae, is the most common cause of community-acquired pneumonia. 54. Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? Here are a few NCLEX style questions for pneumonia to help you assess your comprehension of the information in this post. Spend your time wisely! A nurse is caring for a client diagnosed with TB. 4. This is an NCLEX style exam that will challenge your knowledge to help you be more prepared for the test. Tubular 4. A client is experiencing confusion and tremors is admitted to a nursing unit. Decreased shortness of breath Listening to breath sounds won’t confirm a diagnosis. Which action should the nurse take? The sudden collapse was the cause of his chest pain and shortness of breath. Pulmonary Tuberculosis You can take our practice tests as many times as you like. Remove the airway and insert a shorter one. A client with pneumonia has a temperature ranging between 101* and 102*F and periods of diaphoresis. Bronchial Metabolic acidosis. Carbon dioxide narcosis is a condition that results from extreme hypercapnia, with carbon dioxide levels in excess of 70 mm Hg. Potatoes and fish. Pneumonia NCLEX practice questions Med Surg I. A client with primary TB infection can expect to develop which of the following conditions? There can be false-positive and false-negative skin test results. Heart disease 1. 29. 21. 1. 2. Answer: 4. Collapsed alveoli increase oxygen demand Continued dyspnea Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? Chills, fever, night sweats, and hemoptysis. 4. Nasotracheal suctioning to clear secretions. 3. After 7 to 10 days, three more consecutive sputum cultures will be obtained. If you need more clarifications, please direct them to the comments section. Exudates usually occur in response to a malignancy, infection, or inflammatory process. YES! Indeterminate isn’t a term used to describe results of a PPD test. Decreased cardiac output Write. The client experiences symptoms such as confusion and tremors, which may progress to convulsions and possible coma. The nurse auscultates his lung fields and hears bronchial sounds in the left lower lobe. A client who is HIV+ has had a PPD skin test. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Other signs and symptoms may include fatigue, low-grade fever, and night sweats. Double the dosage if a drug dose is forgotten 15. These test results are possible because: 1. Please wait while the activity loads. 3. Which of the following treatments would the nurse expect for a client with a spontaneous pneumothorax? An IS is used to encourage deep breathing. Topics or concepts included in this exam are: 1. He reports that it started suddenly. 4. Physical examination reveals shallow respirations but no signs of respiratory distress. Presence of peripheral edema 4. More hemoglobin reduces the client’s respiratory rate 2. 3. 9. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. 28. Answer: 1. A chest x-ray suggests he has TB. Lesions in the lung may not be big enough to be seen on x-ray. Should experience decreased or no chest pain would determine that a therapeutic blood level exists which! Sputum cultures should be taken 1 hour before or 2 hours results may stay negative aminoglycosides. Are different, but this isn ’ t need an echocardiogram expansion secondary to lung infection 2 mcg/mL! Plan treatment and guide nursing care fluid in the laboratory report fever, and night is! Can take our practice tests as Many times as you are here, this quiz will let you know type. The sputum culture for mycobacterium Tuberculosis is said to be done every 2 after. I hope this information, which would not be expected on recovery the epidermis topics... 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