Question

1)In which of the following rooms should a 23 year old client who has been diagnosed with tuberculosis be assigned by the charge nurse? Until a negative pressure room is available, assign the client to

1. A room with a 20 year old client who has tuberculosis

2. Any room as long as the patient is on TB medications

3. A private room with no roommate

4. The room with clients who have no infection

2)A nurse is discharging a client with TB who has been on medications for 1 week. Which statement by the client indicates that additional teaching is needed?

1. “I need to be sure to include foods that have a lot of calories”

2. “My meds can be stopped in 9 weeks when sputum tests are negative”

3. “As the people I work with need to be tested for TB”

4. “I will wear a surgical mask on my taxi ride home”

3)A priority nursing diagnosis for the newly admitted client who is diagnosed with pneumonia is: inadequate ventilation R/T exhaustion. Which of the following nursing interventions is appropriate for the client?

1. Administer IV antibiotic q 4 hours as ordered

2. Place client in appropriate postural drainage positions

3. Encourage deep breathing 2-3 times each half hour

4. Insure that the ordered O2% is delivered via nasal cannula

4)A nurse on a medical unit is assigning clients to members of the staff. There are 2 RN’s and one LPN on duty. Which client can be safely assigned to an LPN?

1. 60 year old male whose chest tube was inserted 2 hours ago

2. 54 year old female arriving from the ER with pneumonia

3. 34 year old female 36 hours post-op following a colostomy

4. 21 year old female admitted with a diagnosis of R/O appendicitis

5)A patient who has a severe case of community acquired pneumonia had a physicians order for “activity as tolerated”. The best nursing response for the patient should be to

1. Assist the patient to sit in a chair three times a day

2. Ask the patient what activities he would like to do

3. Check pulse before allowing him to stand to urinate

4. Keep patient on strict bedrest for the first 24 hours

Answer 1

1. QUESTION 1

ANSWER ;   A private room with no roommate

Tuberculosis

• Tuberculosis (or TB.) is an infectious disease caused by the organism Mycobacterium Tuberculosis.
• Negative room pressure is an isolation technique used in hospitals and medical centers to prevent cross-contamination from room to room
• It is recommended that Patients with infectious TB should be isolated from non-infectious patients in order to prevent exposure to the infectious droplet nuclei generated by infected patients.

2,QUESTION 2

Answer ; Meds can be stopped after 9 weeks when sputum cultures are negetive

• Medicine adherence should be maintained untill the the physician prescribes
• The sputum culture-negative conversion rate after 2 months of anti-TB treatment is surrogate marker for relapse after the completion of treatment.
• A delay in conversion is associated with the risk of acquiring drug resistance.
• Medication should not stopped unless hearing from physiscian
• It is recommended that if the specimen obtained at the end of the intensive phase (month 2) is smear-positive, sputum smear microscopy should be obtained at the end of the third month

QUESTION 3

ANSWER Place the patient in appropriate postural drainage position

• Although close monitering of respiration is needed, the priority nursing intervention should positionining to prevent breathing difficulty
• It is recommended beacuse  retained secretions interfere with gas exchange and may slow recovery.

QUESTION 4

Answer; The LPN can be assigned with the 20 year old patient with appendicitis

• Since the LPN, although a licensed nurse to practice, they used to assist the RN in their work
• They provide basic nursing care and comfort to the patient
• Rn is on cahrge fr major nursing care in hospital settings
• Compared to other patient patient with appendicitis have less close monitering needed
• Appendicitis is the inflammation of the vermiform appendix

Question 5

Answer ; strict bed rest for first 24 hours

• Activity intolerance means generalized weakness and debilitation from acute or chronic illnesses.
• Since the patient is severly ill overdoing activities will result in further excertion of the condition
• Activities should be limited according to the condition of the patient