For a male client with an endotracheal (et) tube, which nursing action is most essential?

10 Questions  |  By Santepro | Last updated: Mar 21, 2022 | Total Attempts: 2096

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• 1. 

  A female client must take streptomycin for tuberculosis. Before therapy begins. the nurse should instruct the client to notify the physician if which health concern occurs?

  • A. 

    Impaired color discrimination

  • B. 

    Increased urinary frequency

  • C. 

    Decreased hearing acuity

  • D. 

    Increased appetite

• 2. 

  A male client is asking the nurse a question regarding the Mantoux test for tuberculosis. The nurse should base her response on the fact that the:

  • A. 

    Area of redness is measured in 3 days and determines whether tuberculosis is present.

  • B. 

    Skin test doesn’t differentiate between active and dormant tuberculosis infection.

  • C. 

    Presence of a wheal at the injection site in 2 days indicates active tuberculosis.

  • D. 

    Test stimulates a reddened response in some clients and requires a second test in 3 months.

• 3. 

  A female adult client has a tracheostomy but doesn’t require continuous mechanical ventilation. When weaning the client from the tracheostomy tube. the nurse initially should plug the opening in the tube for:

  • A. 

    15 to 60 seconds.

  • B. 

    5 to 20 minutes.

  • C. 

    30 to 40 minutes.

  • D. 

    45 to 60 minutes.

• 4. 

  Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?

  • A. 

    The system is functioning normally

  • B. 

    The client has a pneumothorax.

  • C. 

    The system has an air leak.

  • D. 

    The chest tube is obstructed.

• 5. 

  A black client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin. the nurse should assess for cyanosis by inspecting the:

  • A. 

    Lips.

  • B. 

    Mucous membranes.

  • C. 

    Nail beds.

  • D. 

    Earlobes.

• 6. 

  For a male client with an endotracheal (ET) tube. which nursing action is most essential?

  • A. 

    Auscultating the lungs for bilateral breath sounds

  • B. 

    Turning the client from side to side every 2 hours

  • C. 

    Monitoring serial blood gas values every 4 hours

  • D. 

    Providing frequent oral hygiene

• 7. 

  The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

  • A. 

    Diaphragmatic breathing

  • B. 

    Use of accessory muscles

  • C. 

    Pursed-lip breathing

  • D. 

    Controlled breathing

• 8. 

  A female client is undergoing a complete physical examination as a requirement for college. When checking the client’s respiratory status. the nurse observes respiratory excursion to help assess:

  • A. 

    Lung vibrations.

  • B. 

    Vocal sounds.

  • C. 

    Breath sounds.

  • D. 

    Chest movements.

• 9. 

  A male client comes to the emergency department complaining of sudden onset of diarrhea. anorexia. malaise. cough. headache. and recurrent chills. Based on the client’s history and physical findings. the physician suspects legionnaires’ disease. While awaiting diagnostic test results. the client is admitted to the facility and started on antibiotic therapy. What is the drug of choice for treating legionnaires’ disease?

  • A. 

    Erythromycin (Erythrocin)

  • B. 

    Rifampin (Rifadin)

  • C. 

    Amantadine (Symmetrel)

  • D. 

    Amphotericin B (Fungizone)

• 10. 

  A male client with chronic obstructive pulmonary disease (COPD) is recovering from a myocardial infarction. Because the client is extremely weak and can’t produce an effective cough. the nurse should monitor closely for:

  • A. 

    Pleural effusion.

  • B. 

    Pulmonary edema.

  • C. 

    Atelectasis.

  • D. 

    Oxygen toxicity.

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