Respiratory diseases
I am a chronic inflammatory lung disease that causes obstructed airflow from the lungs. May cause clubbing and an increase in AP Diameter.
COPD
Which of the following is the FIRST priority in preventing infections when providing care for a client?
a. Handwashing
b. Wearing gloves
c. Using a barrier between client's furniture and nurse's bag
d. Wearing gowns and goggles
A handwashing
Term for muscle wasting
atrophy
An oncology nurse is with an adult client when a Code Pink (infant abduction) is called. What is the nurse's BEST action?
Remain with the client; it's not a pediatric unit.
Watch for someone with a large package.
Check all empty rooms and closets at once.
Evacuate all visitors to the hospital lobby.
Watch for someone with a large package.
A small plane carrying the football team from the local university crashed. Survivors are being transported to the hospital. Four team members died in the crash. Before the survivors reach the hospital, what should the nurse anticipate being asked to do?
Alert the local news stations.
Call the nearest crisis response team.
Call the hospital's volunteer office.
Notify the university of the crash.
Call the nearest crisis response team
I am a condition marked by spasms in the bronchi of the lungs, causing difficulty in breathing. May cause coughing, wheezing, chest Tightness, SOB.
Asthma
A patient is diagnosed with Hepatitis A and is incontinent of stool. What type of precautions would be initiated?
A. Contact
B. Standard
C. Droplet
D. Contact and Droplet
Contact
Total suppresion of urine
anuria
After an argument with her mother, an adolescent female takes an overdose of Tylenol (acetaminophen). The healthcare provider knows to watch for complications in which organ?
Pancreas
Liver
Heart
Kidney
Liver
An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this client's care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
C Forensic nurse examiner
I am an airborne infection that can spread through the lymph nodes and bloodstream to any organ in your body. May cause fatigue, fever, and/or hemoptysis.
TB
Your providing care to a patient with C. Diff. After removing the appropriate PPE, you would perform hand hygiene by:
A. Using hand sanitizer
B. Using soap and water
C. Using soap and water only if hands are soiled but can use hand sanitizer
D. Using either hand sanitizer or soap and water
Using soap and water
Double vision
Diplopia
Which of the following instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with otitis media?
D
The emergency department team is performing cardiopulmonary resuscitation on a client when the client's spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the client's spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the client's spouse to the hospitals crisis team.
B Ask the spouse if he wishes to be present during CPR.
I am a blockage of the lung's main artery or one of its branches by a substance that has traveled from elsewhere in the body through the bloodstream. May cause tachypnea, pleuritic chest pain, and hemoptysis.
Pulmonary embolism
When caring for a patient diagnosed with viral hepatitis, the healthcare provider experiences a needlestick from a contaminated needle. Which of the following actions should the healthcare provider perform first?
Make an appointment with the infection control department.
Put the needle in a biohazard bag for testing.
Wash the area thoroughly with soap and water.
Report to the emergency department.
Thin, underweight
emaciated
The healthcare provider in a pediatric unit has received her assignments for the day. Which of the following patients should the healthcare provider assess first?
The 17-year-old with a left pleural effusion, who is complaining of a chest pain of 9 on a 0 – 10 scale.
The 6-year-old with bronchitis, with an intravenous (IV) antibiotic infusing at 30 mL/hour.
The 3-year-old with asthma, who has an oxygen saturation of 94% on room air.
The 11-year-old with pneumonia, who is awaiting discharge instructions.
17 yr old with left pleural effusion who has chest pain
An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
C Pale cool, clammy skin is in shock and needs medical attention quickly
I am a hereditary disorder affecting the exocrine glands. It causes the production of abnormally thick mucus, leading to the blockage of the pancreatic ducts, intestines, and bronchi and often resulting in respiratory infection.
Cystic Fibrosis
Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with which of the following medical conditions?
a. A diagnosis of AIDS and cytomegalovirus
b. A positive PPD with an abnormal chest x-ray
c. A tentative diagnosis of viral pneumonia
d. Advanced carcinoma of the lung
B Positive PPD denotes TB
Nosebleed
epistaxis
He loves drinking juice from a bottle at night, it helps him sleep.
While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
C Transfer the client to a negative-pressure room.