Mega MS I (III)

A head-to-toe assessment produces findings akin to lung cancer. Before contacting the provider, suspected tests are:

A pt. presents w/ acute delirium, tachycardia, and bilateral +1 pulses of UE's. Dx is pneumonia. The nurse anticipates:

A nurse is conducting a respiratory assessment on a patient. They infer they have CF when they find:

The nurse attends to the asthma pt and administers a PRN bronchodilator. Pt still has dyspnea. What is the next action?

A nurse is about to d/c a pt recovered from severe influenza. They know the pt understands their d/c education when:

The student nurse develops a care plan for an assignment and plans to include chest physiotherapy. Some techniques are:

This medication corrects the malfunctioning protein in the CFTR gene causing CF

A nurse is caring for a patient with facial trauma from a shooting. The provider prescribes oxygenation with:

A pt has been on NC 3L, for 1.5 weeks. In assessment, the nurse may observe these signs of O2 therapy complications:

The nurse is caring for a pt with laryngitis. The pt begs for cigarettes. Which response(s) is the most appropriate?

A pt returns to the nurse post-laryngectomy. They are crying and state, "I'm so ugly. What do I do bruhh!" Actions are:

The nurse attends an in-service for obstructive sleep apnea. They demonstrate understanding of it when they say:

The incentive spirometer is to be used 10 times a day while awake or every time late-night-specific shows come on.

Wheezing and rhonchi can both be described as "musical"

In airborne precautions, the client is placed in:

Examples of high-flow oxygen supplements

The student nurse is to do a quiz from the RN on CF safety alerts. The student knows they will pass when they remember:

Asymptomatic, multiplication of infections

Wheezing is an adventitious breath sound that is loud, low-pitched, and is bubbly/gurgly

Which oxygenation supplement provides the most accurate amount of O2? (2-15L)

The one genetic respiratory (and some other systems) condition with the mucus plugs is cystic fibrosis

How many liters can a nasal cannula administer

How many liters can a nonrebreather administer

How many liters can a simple face mask administer

The student nurse develops a care plan for an assignment and plans to include chest physiotherapy. The reason is:

In conducting an assessment of Larry, a pt with laryngitis, the nurse expects these findings related to the condition:

What reading of the Mantoux skin test indicates TB + in IV drug abusers or children <4 yrs

Other than antihistamines, what other kinds of medications would the nurse expect to be ordered for Rhine?

This medication is a hypertonic saline that thins secretions, like drinking lots of water to thin them

Rhine is a patient at the clinic. He c/o nasal itching, sneezing, headache, rhinorrhea. The nurse suspects he may have:

These pathogens can cause hospital or community-acquired pneumonia:

This stage of TB presents with TB that remains infectious because the meds didn't work to resolve it

GERD does not contribute to laryngitis

The RN proceeds to care for that pt. They may do these for the pt:

A pt visits due to TB exacerbation. They've had it for 9 months. The nurse knows that without treatment, this happens:

This prevents future illness

What are the indications for an endotracheal tube (ETT)?

A nurse does a respiratory assessment on a pt. They auscultate a distinct high-pitched sound on inspiration. They know:

These two medications are used together to open the airway and reduce inflammation with some airway problems:

Who is rhine and why are they itis?

The RN is in the unit that they have worked on for a few months. They have 2 patients. Which is their priority?

The RN and a student nurse are monitoring a pt post-bronchoscopy. The student demonstrates understanding when they say:

In laryngeal trauma, there is a high risk for occlusions and obstructions

This medication helps to digest and absorb food for when natural pancreatic enzymes are insufficient due to a blockage

This medication helps people quit smoking by giving the "nicotine fix" without smoke inhalation

(True or False): In a respiratory assessment, the nurse expects to auscultate for which 3 normal lung sounds?

Abnormal, painless lumps are associated with cancer

Wheezing is a musical, high-pitched, squeaking sound heard on expiration

If the peak flow reading is less than 75%, the nurse should administer a bronchodilator and recheck peak flow

Stridor is an adventitious breath sound that is musical and squeaky

Pt admitted to ER. C/o shortness of breath, cough. Psychosocial hx secondhand smoke exposure. Pt at risk for:

Small frequent meals and increasing intake of fluids is a viable intervention for TB patients

Trauma is defined as a tissue injury that occurs more or less suddenly due to violence or accident

A client inquires about their instructions to do pursed lip breaths. What are some teaching points of the RN?

Throughout the asthma attack, the nurse additionally monitors:

A nurse reviews assessment findings from a pt: sore throat, malaise, fever, headache, nasal congestion. They may:

A CF pt is being cared for on the MedSurg unit. The student nurse observes these in the MAR to be in line with the dx:

How many liters can a partial rebreather administer

This stage of TB presents with nocturnal diaphoresis, orthopnea, rales, and weight loss

A nurse is conducting a reproductive system assessment on a patient. They infer they have CF when they find:

Priority care for those on supplemental oxygen is moral care

What reading of the Mantoux skin test indicates TB + in any person, such as those without TB risk factors?

Now, the pt exhibits signs of severe depression. The nurse then therapeutically educates them about management such as:

A nurse is conducting a respiratory assessment on a patient. On percussion, they observe dullness. That may indicate:

Examples of low-flow oxygenation supplements

The RN is on a Medical-Surgical floor that they have worked on for years. They have 4 patients. Which is their priority?

Some observable, unique characteristics of general COPD are:

COPD pts require oxygen therapy at 89% SpO2

What are some clinical manifestations of asthma?

A patient dx'd with sleep apnea is to return for a follow-up appt. What is the priority instruction the nurse must give?

The high flow NC is commonly seen in the ICU

Clinical manifestations of lung cancer include hemoptysis, hoarseness, wheezing, bone pain, weight loss, and raunchy

What environments can increase the risk of getting TB?

The nurse is educating Rhine about their medications. He asks about the purpose of "antihistamines." The nurse explains:

A nurse's pt has had a tonsillectomy. Due to the loss of the organ, they know their pet is at increased risk of:

Some observable, unique characteristics of emphysema are:

The nurse knows the patient understood their education about their dx of pneumonia when they express:

Smoking causes cancer, right??????

This stage of TB presents with no symptoms and is not contagious

The difference between hypoxia and hypoxemia is that hypoxia occurs long after the patient has had lower SpO2

The pt understands their education about rhinosinusitis when they say "I will report if I am suddenly short of breath."

On explanation of their dx of COPD, the pt states "No problem! There's just a cure for it right?" The nurse expresses:

The nurse educates a pt about their acute decrease in SpO2. The patient understands the teaching when they say:

A nurse is conducting a GI assessment on a patient. They infer they have CF when they find:

A nurse admits a pt with a dx of emphysema. A CNA watches them percuss and asks about expected findings. The nurse says:

What reading of the Mantoux skin test indicates TB + in HIV-infected or immunosuppressed pts?

What are some clinical manifestations unique to rhinosinusitis?

The nurse's pt was diagnosed with laryngitis. Currently: SpO2=93%, report of fever + malaise. The nurse's priority is: