N4 test Infectious Respiratory Problems

Ignatavicius & Workman: Medical-Surgical Nursing: Critical Thinking for Collaborative Care, 4th Edition
Chapter 31: Interventions for Clients with Infectious Respiratory Problems

1. Which health problem can occur as a result of an untreated or inadequately treated streptococcal infection of the upper respiratory tract?
A. Nasal polyps
B. Osteoporosis
C. Chronic asthma
D. Rheumatic heart disease

2. Which person has the greatest risk for developing influenza after a significant exposure?
A. 45-year-old woman two weeks postoperative from a lumpectomy for stage 1 breast cancer
B. 28-year-old emergency department nurse with a sprained ankle
C. 68-year-old librarian taking prednisone for rheumatoid arthritis
D. 35-year-old fireman with chronic allergic rhinitis

3. In addition to receiving a yearly flu shot, what medication therapy should you suggest to an older person to prevent contraction of influenza? Taking:
A. diphenhydramine (Benadryl) after exposure to persons ill with influenza
B. amantadine (Symmetrel) after exposure to persons ill with influenza
C. amoxicillin (Amoxil) after exposure to persons ill with influenza
D. aspirin after exposure to persons ill with influenza

4. Which client is at greatest risk for acquiring pneumonia as a nosocomial infection while in the hospital? The client:
A. who is 10 pounds underweight and on mechanical ventilation.
B. with diabetes mellitus who is recovering from a total hip replacement.
C. who is receiving intravenous antibiotics to treat cellulitis of the lower leg.
D. with bowel obstruction 3 days after exploratory abdominal surgery.

5. What information regarding pneumonia in older people do you need to keep in mind when assessing an older client’s respiratory status?
A. Bacterial pneumonia is rare in the older adults because of the acquisition of lifelong immunities.
B. Older adults are unable to use accessory muscles during periods of respiratory distress.
C. Often, older clients do not manifest a cough or a fever with pneumonia.
D. Pneumonia in the older adult is most frequently fungal in origin.

6. Which client is most susceptible to developing tuberculosis after a significant exposure?
A. 28-year-old woman with AIDS
B. 55-year-old man with emphysema
C. 45-year-old woman with allergic asthma
D. 50-year-old man two years after pneumonectomy for lung cancer

7. When reading the purified protein derivative (PPD) test for tuberculosis on the client’s arm, you find a 12 mm area of induration 48 hours after the injection. What is your interpretation? The client:
A. is negative for tuberculosis.
B. has been infected with tuberculosis.
C. has clinically active primary tuberculosis.
D. has reactivation of dormant tuberculosis.

8. The client with active tuberculosis is being treated at home. He asks you if his friends can safely come to his home and watch television with him. What is your best response regarding appropriate infection precautions for this situation?
A. “Until your sputum is negative, you should not have visitors.”
B. “Your healthy friends will not be infected if you visit in a room with open windows and you wear a mask.”
C. “Because you have tuberculosis, you are much more likely to become ill from your friends than they are from you.”
D. “It would be best for your friends to wear masks, sit at least 10 feet away, and not use the bathroom in your home.”