30 mcg/mL. 3. 32. Respiratory Medications such as bronchodilators, inhaled glucocorticoids, leukotriene modifiers, antihistamines, nasal decongestants, expectorants and mucolytic agents, antiviral drugs. Had contact with Mycobacterium tuberculosis Chapter 28 Nursing Management: Lower Respiratory Problems . His previous test was negative. Nonproductive or productive cough Hepatitis B Altered mental status and dehydration. (These are NCLEX style questions that I created myself. A positive PPD test indicates that the client has been exposed to tubercle bacilli. Collapsed alveoli have no effect on oxygen demand, though by decreasing the surface area available for gas exchange, they decrease oxygenation of the blood. Pulmonary Tuberculosis To determine the extent of the lesions 2. 3. Active TB within 2 weeks 2. The remaining two answers offer interventions that may be ... Study 30 Terms | NCLEX Questions:... Flashcards | …. 1. A client is diagnosed with active TB and started on triple antibiotic therapy. Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows pneumonia to develop? 10. Increased number of functional capillaries in the alveoli. The nurse determines that the client requires which of the following treatments first? Coma is a late clinical manifestation of hypoxia. A client who is recovering from pneumonia should experience decreased or no chest pain. 4. Which needle is appropriate for this injection? Remind the client that TB can be fatal if not taken properly. 2. YES! Using continuous suction while advancing the catheter. A fluid intake of at least 3 L/day should be provided to replace any fluid loss occurring as a result the fever and diaphoresis; this is a high-priority intervention. Diseases of the Respiratory System 2. Included topics in this practice quiz are: 1. 3. There’s no such thing as tertiary infection, and superinfection doesn’t apply in this case. Finding help online is nearly impossible. 4. He was successfully treated for TB, but skin tests always stay positive. Dark-field illumination. 4. Respiratory alkalosis 20. What is the min lenth of time the nurse should paln to hold pressure on punture site? ABG analysis will determine the extent of hypoxia present due to the pneumonia, and blood cultures will help determine if the infection is systemic. Decreased shortness of breath "Are your immunizations up to date?" Group living Auscultate breath sounds 2. 2 to 4 weeks Leave the airway in place until the client gets used to it. Answers and rationales are given below. The nurse determines that the client requires which of the following treatments first? Get extra rest The mask provides 100% oxygen to the client, The mask provides continuous air that the client can breathe, The mask provides pressurized oxygen so the client can breathe more easily, The mask provides pressurized at the end of expiration to open collapsed alveoli. 27. Pneumonia develops when the lower respiratory system is infected with a bacteria, virus, or fungus. A police officer brings in a homeless client to the ER. He’s a “tuberculin converter,” which means he has been infected with TB since his last skin test. The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following? 4. Want 6,000+ more practice questions? 1. Grains and broccoli 3. 4. Carbon dioxide narcosis is a condition that results from extreme hypercapnia, with carbon dioxide levels in excess of 70 mm Hg. The accumulation of fluid between the linings of the pleural space. 15. 1. Which of the following antituberculous drugs can cause damage to the eighth cranial nerve? 3. A pulse oximetry gives what type of information about the client? Chronic Obstructive Pulmonary Disease(COPD) 4. 4. Agglutination testing A client has been treated with antibiotic therapy for right lower-lobe pneumonia for 10 days and will be discharged today. Performing paracentesis Practice Mode: This is an interactive version of the Text Mode. 5. 2. The nurse is caring for a pregnant woman new to the clinic. Pressurized oxygen delivered at the end of expiration is positive end-expiratory pressure (PEEP), not continuous positive airway pressure. You are given one minute per question. If they’re negative, he would be considered non-contagious and may be sent home, although he’ll continue to take the antitubercular drugs for 9 to 12 months. Answer: 3. 18. A 76-year old client is admitted for elective knee surgery. The signs and symptoms of aspiration pneumonia. A nurse evaluates the blood theophylline level of a client receiving aminophylline (theophylline) by intravenous infusion. Notify the physician of the client’s non-compliance and request a different prescription. 2. 60. 1. 40. Alveoli need oxygen to live 1. 15. More hemoglobin reduces the client’s respiratory rate Reduction in VC is a normal physiologic change in the older adult. Answer: 4. 3. Metabolic acidosis. Superinfection 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. 2. Which of the following conditions would best explain this? 2. A 24-year-old client comes into the clinic complaining of right-sided chest pain and shortness of breath. You are given one minute per question. Which of the following organisms most commonly causes community-acquired pneumonia in adults? 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