MS 1 Exam #3: Oxygenation: Pneumonia & TB

The earliest pathologic stage of classic lobar pneumonia is:

Which radiographic finding is most consistent with bronchopneumonia?

Which organisms most commonly causes community-acquired pneumonia in adults?

Nurse caring for a client w/ lung abscess secondary to bacterial pneumonia. Priority nursing action?

When auscultating chest of a client w/ pneumonia, nurse would expect to hear which sounds over areas of consolidation?

Pneumonia patient temp 101-102F & periods of diaphoresis. Based on information which is priority nursing intervention?

Which would be priority assessment data to gather from a patient who has been diagnosed w/ pneumonia? (SATA)

During auscultation the nurse hears bronchial breath sounds over the client’s right lower lobe. Most likely indicates?

Pneumonia patient temp 102.6F is diaphoretic & has productive cough. Which s/b included in nurses plan of care?

Which are priority nursing interventions to promote airway clearance in a client w/ pneumonia? (SATA)

Which intervention has the highest priority for preventing aspiration pneumonia in a stroke patient with dysphagia?

Patient prescribed doxycycline for pneumonia, which teaching point is most important for the nurse to include?

Which finding would indicate that the pneumonia treatment is effective?

Nurse teaches client w/ latent TB infection about situations that warrant immediate provider contact. Possible active TB

Which diagnostic test is definitive forTB?

Which adult client is @ greatest risk for progressing from latent Mycobacterium tuberculosis infection to active disease

Nurse prepares to draw a “sputum C&S”. Primary reason for obtaining this specimen before starting antibiotics is to?

8 wks therapy client’s sputum smear remains positive for acid-fast bacilli. Nurse interprets result most consistent with

Which would be an appropriate expected outcome for an elderly patient recovering from bacterial pneumonia?

Hospitalized client with suspected active TB should be placed on which isolation precautions?

Which vitamin supplement should be prescribed with isoniazid to prevent peripheral neuropathy?

HIV+ patient, post PPD skin test nurse notices 7mm induration @ site of test. Nurse interprets results as:

The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following?

The nurse screens an outpatient for pneumonia risk factors. Which findings increase the client’s risk? (SATA)

Nurse caring for TB patient, clarification is needed when nurse is overheard telling co-worker which statement?

Client w/ positive Mantoux test result will be sent for chest x-ray. For which reason is this done?

Physiologic change best explains the arterial blood-gas pattern of PaCO2>45mmHg & PaCO2 <60mmHg in severe pneumonia?

Appropriate nursing measures to minimize transmission from a hospitalized client w/ active pulmonary TB? (SATA)

Patient infected w/ TB 10 years ago, never developed disease. Now treated for cancer& develops signs of TB. Infection.?

Which pathophysiological mechanisms that occur in the lung parenchyma allow pneumonia to develop?

Nurse teaches preventive strategies to reduce ventilator-associated pneumonia. Which interventions s/b included? (SATA)

Client taking ethambutol reports difficulty distinguishing red from green traffic lights. Nurses priority action?

The nurse is reviewing prescriptions for a patient being treated for community-acquired pneumonia. Expected meds? (SATA)

Patient who had PPD test for TB, site is reddened & raised about 3mm where test was given. PPD results would be?

Initial pharmacologic management of newly diagnosed pulmonary TB normally includes which 4 medications for 1st 2 months?

Client diagnosed w/ active TB & started on triple antibiotic therapy. What S&S client show if therapy is inadequate?

Assessment finding not consistent w/ usual clinical presentation of TB & may indicate development of concurrent problem

Client w/ suspected viral pneumonia has a white-blood-cell (WBC) count of 7,800 cells/uL. Nurse interprets result as:

A client has active TB. Which symptoms will they exhibit?

A client w/ a productive cough, chills, & night sweats is suspected of having active TB. Action physician should take?

Patient 10 days into antibiotic therapy for right lower-lobe pneumonia. Which physical finding shows ready for discharge

Which mental status changes may occur when a patient w/ pneumonia is first experiencing hypoxia?

Patient admitted from home w/ fever, chills, & productive cough; organism cause of community-acquired pneumonia?

Which assessment findings are common clinical manifestations of bacterial pneumonia? ( SATA)

Nurse assessing patient w/ pneumonia. Which are expected assessment findings? (SATA)

An elderly client w/ pneumonia may appear w/ which of the following symptoms first?

Which of the following symptoms is common in patients with TB?

Client diagnosed w/ active TB would be hospitalized primarily for which reason?

Diagnostic measures used to confirm pneumonia or its etiology include? (SATA)

Patient recovering from pneumonia is prescribed chest physiotherapy. When’s the best time to schedule this intervention?

Nurse is caring for a client receiving vancomycin IV for pneumonia. Finding s/b reported to provider immediately?

Diagnostic measures used to confirm pneumonia or it’s etiology include: (SATA)

Clients w/ chronic illnesses are more likely to get pneumonia when which situation is present?

Which statement about the tuberculin skin test (Mantoux/PPD) are correct? (SATA)

Nurse reinforcing teaching about prevention of pneumonia in older adults. Which s/b included? (SATA)

Which organism most commonly forms a biofilm on the endotracheal tube in ventilator-associated pneumonia (VAP)?

A diagnosis of pneumonia is typically achieved by which of the following diagnostic tests?

Client w/ pneumonia develops right-sided chest pain, diminished breath sounds, &dullness to percussion. Nurse suspects?

Which are established risk factors for acquiring TB infection or developing active disease? (SATA)