Author: Anonymous

You are planning the care for a patient/client with a new tracheostomy.  Which of the following are potential complications of the tracheotomy for the   client?                           SELECT ALL THAT APPLY          Absence of secretions        Aspiration        Infection        Increased anterior/posterior chest diameter        Injury to laryngeal nerve                                  

A client reports that he has received the Bacilli- Calmette- Guerin (BCG) vaccination.  Which of the following is the best method to determine the client’s  tuberculosis (TB) status?              

The nurse is completing a focused assessment addressing a patient’s immune function.  What should the nurse prioritize in the physical assessment?    

A client suffered a stab wound to the chest wall. The nurse assesses the patient for which clinical manifestation that would indicate the presence of an open pneumothorax?                                                                                                                                 

The nurse is counseling a woman who is beginning antitubercular therapy with rifampin.  The client also takes an oral contraceptive.  Which statement by the nurse is most accurate regarding potential drug interactions?

A client with a 10-year history of asthma presents with respiratory distress  labored breathing, use of accessory muscles, and audible inspiratory and expiratory wheezes.  Which of the following assessments would most readily indicate the client’s asthmatic condition is worsening?        

A nurse practices sterile (aseptic) technique while suctioning a client’s tracheostomy.  The purpose of maintaining sterile (aseptic) technique is to break the chain of infection at which element?

The nurse is giving an antihistamine and will observe the patient for which side effects from the antihistamine? Select All That Apply 1.  Hypertension 2.  Dizziness 3.  “Hang over effect” 4.  Dry Mouth 5.  Tachycardia

 A client has been admitted to the hospital and diagnosed with pulmonary tuberculosis. What client education should the nurse plan to teach the client prior to discharge?    

An adult has had a bronchoscopy.  Which assessment findings best indicate to the nurse that the client is ready for discharge?