NUR 2502 NUR2502 Exam 2: Multidimensional

NUR 2502 / NUR2502 Exam 2: Multidimensional

Care III / MDC 3 Exam 2 Review (2023/2024) Rasmussen with Complete Solutions A client presents with sign and symptoms that are often associated with lung cancer. Which clinical manifestations does the nurse expect to observe in the client? SATA

• Peripheral edema
• Hypothermia
• Chest tightness
• Frank hemoptysis
• hoarseness - Correct Answer c, d, e

A client was recently diagnosed with laryngeal cancer. When the nurse begins taking the clients history.The client asks.'' Did you know that I have throat cancer and may not survive? What is the appropriate nursing response?

• Tell me more about your concerns
• Have you told your family yet?
• Are you having difficulty swallowing
• Why are you so worried about not surviving - Correct Answer a. tell me more about your concerns

Anxiety is common among client who are diagnosed with chronic obstructive pulmonary disease. Which of the following intervention can assist in reducing a client anxiety? (Select all that apply)

• Written plan for dealing with anxiety
• Professional counseling
• Relaxation techniques
• Starting a vigorous exercise routine
• Plan out periods of rest throughout the day - Correct Answer a, b, c, e

.During an admission assessment the client tells the nurse that she was recently prescribed a new medication called montelukast, but she forgot to pick it up at the pharmacy. What is the best response by the nurse to assess the client's understanding of the montelukast?

• Don't you know that montelukast would have prevented you from coming to the hospital 1 / 3

• Why didn't you remember to get the prescription filled?
• Have you been taking the medication on a scheduled basis?
• Don't worry about it, you probably have been busy - Correct Answer c. have you been taking the

medication on a scheduled basis?A client has a positive Mantoux skin test result. What explanation does the nurse give to the client?

• There is active disease, but you are not infectious to others.
• There is active disease, and you need immediate treatment.
• You have been infected, but this does not mean active disease is present
• A repeat skin test is necessary because the test could give a false- positive result. - Correct Answer c.

you have been infected, but this does not mean active disease is present The nurse knows which of the following is the purpose of a montelukast inhaler for a client with asthma?

• constricts the smooth muscles of the airway and bronchioles
• Act as a bronchodilator in severe asthmatics episodes
• Reduces obstruction of the airways by decreasing agent
• Reduces histamine effect of the triggering agent. - Correct Answer d. reduces histamine effect of the

triggering agent The nurse is caring for a client who was recently diagnosed with asthma and is providing education on causes and triggers of asthma. Which of the following can potentially trigger the disease process? (select all that apply.)

• pollutants
• Obesity
• Cigarette smoking
• History of environmental allergies - Correct Answer a, c

The nurse is performing medication teaching to a client with chronic airflow limitation. What is the correct sequence for administering inhaled medications?

• Bronchodilator should be taken 5 to 10 minutes after the steroid 2 / 3

• Bronchodilator should be taken at least 5 minutes before other inhaled drugs
• Bronchodilator should be taken immediately after the steroid
• Bronchodilator and steroid are two different classes of drugs, so the sequence is irrelevant. - Correct

Answer b. bronchodilator should be taken at least 5 minutes before other inhaled drugs The nurse teaches a client with asthma to monitor for which problem while exercising?

• Increased peak expiration flow rate.
• Wheezing from bronchospasm
• Swelling in the feet and ankles
• Respiratory muscle fatigue - Correct Answer b. wheezing from bronchospasm

Which of the following is a major diagnostic test for cystic fibrosis?

• Sweat chloride test
• Arterial blood gas
• Chest x-ray
• CT scan of the chest - Correct Answer a. sweat chloride test

A nurse is providing discharge instruction to a client recently diagnosed with tuberculosis (TB). Which statements by the client indicates correct understanding of the teaching (select all that apply)

• I will visit the clinic every week for injection of medication.
• I will avoid alcoholic beverage while on this treatment plan
• My family does not require testing.
• I Will follow up with my healthcare provider regularly
• I need to strictly adhere to my medication schedule - Correct Answer b, d, e

A client who has chronic obstructive pulmonary disease ( COPD) and asthma is receiving oxygen at 2 liters per minute. A family member tells a nurse. "My mother did not look good, so i turned her oxygen up to 7 liters; which of these nursing actions is best?

• Notify the health care provider immediately about the family member
• Thank you family member and continue to observe the client on this oxygen level
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