Question 1

Which statement by the patient being discharged after hospitalization for influenza indicated the need for further teaching?

Accepted Answer

The correct statement indicating a need for further teaching is the belief that one does not need a flu shot next year because of immunity gained from the recent infection. This is incorrect because flu viruses evolve rapidly, and annual vaccination is recommended to protect against the most current strains.

Question 2

The patient recently released from the hospital after recovering from complications related to influenza is being seen in the outpatient clinic. Which patient statement indicates the need for further intervention?

Accepted Answer

Continuing to wake up coughing at night could indicate that the patient's respiratory system has not fully recovered or there might be an underlying issue that needs further assessment and intervention.

Question 3

The nurse is caring for a patient hospitalized for a severe bacterial pneumonia with a left lung infiltration. In what position does the nurse place the patient to maximize perfusion to functional alveolar units?

Accepted Answer

Positioning the patient on the right side allows the left lung, which is affected by pneumonia, to be uppermost. This position maximizes perfusion to the healthier, right lung, enhancing gas exchange by directing blood flow to the better-functioning alveolar units.

Question 4

How does the nurse interpret the following arterial blood gases in the patient admitted with influenza? PH 7.48 PaO₂ 85 mm Hg PaCO₂ 30 mm Hg HCO₃ 24 mEq/L

Accepted Answer

The pH is above the normal range (7.35-7.45), indicating alkalosis. The PaCO2 is below the normal range (35-45 mm Hg), suggesting that the alkalosis is respiratory in origin. The HCO3 is within the normal range (22-26 mEq/L), indicating that there is no metabolic compensation.

Question 5

The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

Accepted Answer

Hemoptysis, or coughing up blood, is a common symptom of tuberculosis, as the infection primarily affects the lungs and can cause damage to lung tissue and blood vessels.

Question 6

The nurse correlates which clinical manifestation as the earliest compensatory mechanism in the patient with influenza?

Accepted Answer

Tachypnea is often an early compensatory mechanism in response to respiratory infections like influenza, as the body attempts to increase oxygen intake and expel carbon dioxide.

Question 7

The nurse is caring for a patient who was recently treated for an empyema that developed secondary to pneumonia. Which procedure does the nurse prepare the patient to decrease recurrence once the empyema has been drained?

Accepted Answer

Pleurodesis is a procedure used to obliterate the pleural space to prevent the recurrence of pleural effusions or pneumothorax, and it can be used after an empyema has been drained to decrease the chance of recurrence. It involves the introduction of a substance (such as talc) into the pleural space to cause inflammation and fibrosis, which binds the lung to the chest wall.

Question 8

The nurse recognizes which medication is indicated to treat community-acquired pneumonia in the patient who was previously healthy and has not received antibiotics in the last 3 months?

Accepted Answer

Macrolides are recommended for the treatment of community-acquired pneumonia in patients who were previously healthy and have not received antibiotics in the last 3 months, as they are effective against the most common causative pathogens and have a good safety profile.

Question 9

In reviewing arterial blood gas results on a patient admitted with a severe influenza infection, the nurse correlates which value to the patients' respiratory acidosis?

Accepted Answer

Respiratory acidosis is characterized by an increase in PaCO2 (partial pressure of carbon dioxide) due to inadequate ventilation, leading to CO2 retention. A PaCO2 of 50 mm Hg is above the normal range (35-45 mm Hg), indicating respiratory acidosis.

Question 10

Which statement by the patient recently diagnosed with an influenza infection indicates that teaching was effective?

Accepted Answer

Influenza can be infectious for up to 10 days after symptoms begin, especially in adults. This period can be even longer in children and those with weakened immune systems. Antibiotics do not treat viral infections like influenza, and being infectious is not solely dependent on the amount of secretions produced.

Question 11

The nurse provides education to a patient who is prescribed an antiviral medication, oseltamivir (Tamiflu), for the treatment of influenza. Which patient statement indicates to the nurse a correct understanding of the administration of this medication?

Accepted Answer

Oseltamivir (Tamiflu) is an oral medication, indicating the patient understands it should be taken by mouth.

Question 12

The nurse monitors for which clinical manifestation in the patient admitted with tuberculosis?

Accepted Answer

Rust-colored sputum is a common clinical manifestation in patients with tuberculosis, as it indicates the presence of blood from the damaged lung tissue.

Question 13

The nurse questions which order for the patient admitted with the flu who is experiencing tachypnea?

Accepted Answer

Intubation is generally reserved for severe respiratory distress or failure, which may not be indicated solely by tachypnea, especially in the context of flu treatment where supportive care (hydration, positioning, breathing exercises) is typically effective.

Question 14

The nurse working in the emergency department recognizes that the results of a rapid influenza diagnostic test (RIDT) is usually available within which time frame?

Accepted Answer

Rapid Influenza Diagnostic Tests (RIDTs) are designed to quickly detect the presence of influenza A and B viral antigens in respiratory specimens, and results are typically available within 15 minutes to 30 minutes, making option A correct.

Question 15

The nurse provides care to patients in the urgent care center. Which patient has the greatest risk for developing influenza?

Accepted Answer

Older adults, particularly those over 65, and individuals with chronic conditions like diabetes, are at a higher risk for developing influenza and its complications.

Question 16

The nurse is planning care for a patient diagnosed with influenza. Which intervention by the nurse is the priority when planning this patient's care?

Accepted Answer

Influenza is primarily spread through droplets when an infected person coughs, sneezes, or talks. Placing the patient on droplet precautions is the priority intervention to prevent the spread of the virus to others. This involves wearing masks and sometimes other protective gear when in close contact with the patient.

Question 17

The nurse develops the nursing diagnosis, "Ineffective Airway Clearance related to thick purulent secretions." This nursing diagnosis is most relevant to the patient with which medical diagnosis?

Accepted Answer

The answer of The nurse develops the nursing diagnosis, "Ineffective...

Question 18

The nurse is assessing several patients at a community clinic. The nurse questions administration of the annual influenza vaccination in which patient?

Accepted Answer

The annual influenza vaccination is generally recommended for most people, including those with chronic conditions, pregnant women, and the elderly. However, individuals with a severe allergy to eggs may have a contraindication to certain flu vaccines, as some are produced using egg-based technology. Therefore, the nurse would question administering the vaccine to a patient with a severe egg allergy unless a suitable egg-free vaccine option is available.

Question 19

On assuming care for a patient being treated for bacterial pneumonia, which assessment finding requires immediate attention by the nurse?

Accepted Answer

Restlessness can be a sign of hypoxia, which is a critical condition requiring immediate attention in a patient with pneumonia. Fever, productive cough, and arthralgia are common symptoms of pneumonia but are not as immediately life-threatening as potential hypoxia indicated by restlessness.

Question 20

The nurse is preparing an educational program pneumonia and includes information about which pathogen that is the major pathogen associated with hospital-acquired pneumonia (HAP)?

Accepted Answer

Pseudomonas aeruginosa is a common cause of hospital-acquired pneumonia (HAP), especially in patients with weakened immune systems or those in intensive care units.

Quiz 24: Coordinating Care for Patients With Infectious Respiratory Disorders

Which statement by the patient being discharged after hospitalization for influenza indicated the need for further teaching?

The patient recently released from the hospital after recovering from complications related to influenza is being seen in the outpatient clinic. Which patient statement indicates the need for further intervention?

The nurse is caring for a patient hospitalized for a severe bacterial pneumonia with a left lung infiltration. In what position does the nurse place the patient to maximize perfusion to functional alveolar units?

How does the nurse interpret the following arterial blood gases in the patient admitted with influenza? PH 7.48 PaO₂ 85 mm Hg PaCO₂ 30 mm Hg HCO₃ 24 mEq/L

The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

The nurse correlates which clinical manifestation as the earliest compensatory mechanism in the patient with influenza?

The nurse is caring for a patient who was recently treated for an empyema that developed secondary to pneumonia. Which procedure does the nurse prepare the patient to decrease recurrence once the empyema has been drained?

The nurse recognizes which medication is indicated to treat community-acquired pneumonia in the patient who was previously healthy and has not received antibiotics in the last 3 months?

In reviewing arterial blood gas results on a patient admitted with a severe influenza infection, the nurse correlates which value to the patients' respiratory acidosis?

Which statement by the patient recently diagnosed with an influenza infection indicates that teaching was effective?

The nurse provides education to a patient who is prescribed an antiviral medication, oseltamivir (Tamiflu) , for the treatment of influenza. Which patient statement indicates to the nurse a correct understanding of the administration of this medication?

The nurse monitors for which clinical manifestation in the patient admitted with tuberculosis?

The nurse questions which order for the patient admitted with the flu who is experiencing tachypnea?

The nurse working in the emergency department recognizes that the results of a rapid influenza diagnostic test (RIDT) is usually available within which time frame?

The nurse provides care to patients in the urgent care center. Which patient has the greatest risk for developing influenza?

The nurse is planning care for a patient diagnosed with influenza. Which intervention by the nurse is the priority when planning this patient's care?

The nurse develops the nursing diagnosis, "Ineffective Airway Clearance related to thick purulent secretions." This nursing diagnosis is most relevant to the patient with which medical diagnosis?

The nurse is assessing several patients at a community clinic. The nurse questions administration of the annual influenza vaccination in which patient?

On assuming care for a patient being treated for bacterial pneumonia, which assessment finding requires immediate attention by the nurse?

The nurse is preparing an educational program pneumonia and includes information about which pathogen that is the major pathogen associated with hospital-acquired pneumonia (HAP) ?

Quiz 24: Coordinating Care for Patients With Infectious Respiratory Disorders

Which statement by the patient being discharged after hospitalization for influenza indicated the need for further teaching?

The patient recently released from the hospital after recovering from complications related to influenza is being seen in the outpatient clinic. Which patient statement indicates the need for further intervention?

The nurse is caring for a patient hospitalized for a severe bacterial pneumonia with a left lung infiltration. In what position does the nurse place the patient to maximize perfusion to functional alveolar units?

How does the nurse interpret the following arterial blood gases in the patient admitted with influenza? PH 7.48 PaO2 85 mm Hg PaCO2 30 mm Hg HCO3 24 mEq/L

The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

The nurse correlates which clinical manifestation as the earliest compensatory mechanism in the patient with influenza?

The nurse is caring for a patient who was recently treated for an empyema that developed secondary to pneumonia. Which procedure does the nurse prepare the patient to decrease recurrence once the empyema has been drained?

The nurse recognizes which medication is indicated to treat community-acquired pneumonia in the patient who was previously healthy and has not received antibiotics in the last 3 months?

In reviewing arterial blood gas results on a patient admitted with a severe influenza infection, the nurse correlates which value to the patients' respiratory acidosis?

Which statement by the patient recently diagnosed with an influenza infection indicates that teaching was effective?

The nurse provides education to a patient who is prescribed an antiviral medication, oseltamivir (Tamiflu) , for the treatment of influenza. Which patient statement indicates to the nurse a correct understanding of the administration of this medication?

The nurse monitors for which clinical manifestation in the patient admitted with tuberculosis?

The nurse questions which order for the patient admitted with the flu who is experiencing tachypnea?

The nurse working in the emergency department recognizes that the results of a rapid influenza diagnostic test (RIDT) is usually available within which time frame?

The nurse provides care to patients in the urgent care center. Which patient has the greatest risk for developing influenza?

The nurse is planning care for a patient diagnosed with influenza. Which intervention by the nurse is the priority when planning this patient's care?

The nurse develops the nursing diagnosis, "Ineffective Airway Clearance related to thick purulent secretions." This nursing diagnosis is most relevant to the patient with which medical diagnosis?

The nurse is assessing several patients at a community clinic. The nurse questions administration of the annual influenza vaccination in which patient?

On assuming care for a patient being treated for bacterial pneumonia, which assessment finding requires immediate attention by the nurse?

The nurse is preparing an educational program pneumonia and includes information about which pathogen that is the major pathogen associated with hospital-acquired pneumonia (HAP) ?

How does the nurse interpret the following arterial blood gases in the patient admitted with influenza? PH 7.48 PaO₂ 85 mm Hg PaCO₂ 30 mm Hg HCO₃ 24 mEq/L