Complex Care Final Exam 24/25 Questions With 100% Correct Answers.
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Course
Complex Care
Institution
Complex Care
Complex Care Final Exam 24/25 Questions With 100% Correct Answers.
The nurse is caring for a patient with pneumonia unresponsive to two different antibiotics. Which action is most important for the nurse to complete before administering a newly prescribed antibiotic?
Answer- c. Obtain a spu...
Complex Care Final Exam 24/25 Questions
With 100% Correct Answers.
The nurse is caring for a patient with pneumonia unresponsive to two
different antibiotics. Which action is most important for the nurse to
complete before administering a newly prescribed antibiotic?
Answer- c. Obtain a sputum specimen for culture and Gram stain.
The nurse is teaching the patient with human immunodeficiency virus (HIV)
about the diagnosis of Candida albicans. What statement made by the
patient indicates to the nurse that further teaching is required?
Answer- c. "I need to be isolated from my family and friends so they
won't get it."
A patient is diagnosed with a lung abscess. What should the nurse
include when teaching the patient about this diagnosis?
Answer- c. Oral antibiotics will be used until there is evidence of
improvement.
The nurse is caring for a patient with an alteration in airway clearance. What
nursing actions would be a priority to promote airway clearance (select all
that apply.)?
Answer- a. Maintain adequate fluid intake.
c. Splint the chest when coughing.
e. Instruct patient to cough at end of exhalation.
The nurse evaluates that discharge teaching for a patient hospitalized with
pneumonia has been effective when the patient makes which statement
about measures to prevent a relapse?
Answer- d. "I must have a follow-up chest x-ray in 6 to 8 weeks to evaluate
the pneumonia's resolution."
The nurse is caring for a patient with unilateral malignant lung disease.
What is the priority nursing action to enhance oxygenation in this patient?
Answer- c. Positioning patient with "good lung" down
One week after a thoracotomy, a patient with chest tubes (CTs) to water-
seal drainage has an air leak into the closed chest drainage system (CDS).
,Which patient assessment warrants follow-up nursing actions?
Answer- c. Chest tube with a loose-fitting dressing
During discharge teaching for an older adult patient with chronic
obstructive pulmonary disease (COPD) and pneumonia, which
vaccine should the nurse recommend that this patient receive?
Answer- a. Pneumococcal
While ambulating a patient with metastatic lung cancer, the nurse observes
a drop in oxygen saturation from 93% to 86%. Which nursing action is
most appropriate?
Answer- c. Obtain a physician's order for supplemental oxygen.
The nurse is caring for a group of patients. Which patient is at risk of
aspiration?
Answer- c. A 26-yr-old patient with continuous enteral tube feedings
through a nasogastric tube
A patient with idiopathic pulmonary fibrosis had bilateral lung
transplantation and is now experiencing exertional dyspnea, nonproductive
cough, and wheezing. What does the nurse determine is most likely
occurring in this patient?
Answer- d. Bronchiolitis obliterans (BOS)
The nurse is performing a respiratory assessment. Which finding best
supports the nursing diagnosis of ineffective airway clearance?
Answer- a. Basilar crackles
The nurse is caring for a patient with a nursing diagnosis of hyperthermia
related to pneumonia. What assessment data does the nurse obtain that
correlates with this nursing diagnosis (select all that apply.)?
Answer- a. A temperature of 101.4°F
a. Heart rate of 120 beats/min
d. A productive cough with yellow sputum
The nurse instructs a patient with a pulmonary embolism about
administering enoxaparin after discharge. Which statement by the
patient indicates understanding about the instructions?
Answer- b. "The medicine will be prescribed for 10 days."
The nurse is caring for an older adult patient who underwent a left total
, knee arthroplasty. On the third postoperative day, the patient reports
shortness of breath, slight chest pain, and that "something is wrong."
Temperature is 98.4°F, blood pressure is 130/88 mm Hg, respirations are 36
breaths/min, and oxygen saturation is 91% on room air. What is the priority
nursing action?
Answer- d. Sit the patient up in bed as tolerated and apply oxygen.
A patient with a gunshot wound to the right side of the chest arrives in the
emergency department exhibiting severe shortness of breath with
decreased breath sounds on the right side of the chest. Which action
should the nurse take immediately?
Answer- a. Cover the chest wound with a nonporous dressing taped on
three sides.
An older adult patient is admitted with acute respiratory distress
related to corpulmonale. Which nursing action is most appropriate
during admission of this patient?
Answer- d. Perform a physical assessment of the respiratory system and ask
specific questions related to this episode of respiratory distress.
The nurse is performing a respiratory assessment for a patient
admitted with pneumonia. Which clinical manifestation should the
nurse expect to find?
Answer- c. Increased vocal fremitus on palpation
The nurse is caring for a patient with ineffective airway clearance. What is the
priority nursing action to assist this patient expectorate thick lung secretions?
Answer- d. Increase fluid intake to 3 L/day if tolerated.
An older adult patient living alone is admitted to the hospital with a
diagnosis of pneumococcal pneumonia. Which clinical manifestation,
observed by the nurse, indicates that the patient is likely to be hypoxic?
Answer- a. Sudden onset of confusion
During admission of a patient diagnosed with non-small cell lung
carcinoma, the nurse questions the patient related to a history of which risk
factors for this type of cancer (select all that apply.)?
Answer- a. Asbestos exposure b. Exposure to uranium
d. History of cigarette smoking
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