Author: Anonymous

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?                                   

A client with COPD and the comorbidity of Type I Diabetes. The client is being treated with prednisolone. The following are the client’s blood gas results:              pH: 7.30  PaCO2: 35   HCO: 18.     The nurse knows that these results are interpreted as:                                  

A client is admitted to the Emergency Department with crushing chest injuries sustained in a motor vehicle accident.  Which assessment finding indicates a possible pneumothorax?