Lewis Chapter 27. Lower Respiratory problems

What nursing intervention assists a patient with pneumonia in managing thick secretions and fatigue?

A. Performing postural drainage every hour

B. Providing analgesics as prescribed to promote patient comfort

C. Administering oxygen as prescribed to maintain optimal oxygen saturation levels

D. Teaching the patient how to cough effectively and expectorate secretions.

D.

Although several interventions may help the patient expectorate mucus, the nursing interventions should focus on teaching the patient how to cough effectively and expectorate secretion's.

While obtaining a health history for a patient with suspected TB, the nurse expects which early signs or symptoms of the disease? Select all that apply.

A. Anorexia

B. Fatigue

C. Dizziness

D. Night sweats

E. Chest tightness

A, B, D

A patient is hospitalized with symptoms of TB. The nurse recognizes that at least one of the sputum specimens for acid-fast bacilli (AFB) needs to be obtained at which time of day?

A. 6am

B. 12 noon

C. 6pm

D. 9pm

A.

When caring for a patient with pertussis, which intervention does the nurse prioritize?

A. Administering antibiotic therapy

B. Administering an antihistamine at bedtime

C. Teaching the patient how to use a bronchodilator

D. Instructing the patient to use cough suppressants

A.

The nurse provides care for a patient with a suspected lung abscess and expects which assessment finding?

A. Fever

B. Vomiting

C. Purulent sputum that has a foul odor

D. Cracking on auscultation over the involved segment of the lung

C.

When the patient with a persistent cough is diagnosed with pertussis, the nurse expects that which type of medication will be prescribed?

A. Antibiotic

B. Corticosteroid

C. Bronchodilator

D. Cough suppressant

A.

A patient who is being treated at home for pneumonia reports fatigue to the home health nurse. Which instructions does the nurse provide for the patient? Select all that apply.

A. Get adequate rest

B. Restrict fluid intake.

C. Avoid alcohol and smoking

D. Resume work to build strength

E. Take every dose of the prescribed antibiotic.

A, C, E