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29. The client had undergone thoracentesis. Which of the following is a correct action by the LVN (Licensed Vocational Nurse) immediately after the procedure?
a) she turns the client towards the affected side
b) she turns the client towards the unaffected side
c) she places the client in a supine position
d) she places the client in semi-fowler's position
30. The client is diagnosed to have advanced chronic obstructive pulmonary disease (COPD). Which of the following nursing action would best promote adequate gas exchange?
a) administering sedative as prescribed
b) placing the client in upright position
c) using high-flow venturi mask to deliver oxygen
d) encourage client to drink 6 glasses of fluid daily
31. A 48-year old man with tuberculosis is taking INH with pyridoxine (Vit. B6). The client asks why it is necessary for him to take pyridoxine. Which of the following is the most appropriate response by the nurse?
a) it increases INH absorption
b) it prevents INH-associated neuritis
c) it decreases toxicity of INH
d) it increases the effectiveness of INH
32. The child with croup is in a mist tent. Which of the following toys will be appropriate for the child?
a) stuffed toys
b) drawing book
c) plastic ball
d) coloring book
33. The client had been subjected to thoracentesis without written consent. What offense are the health care providers liable for?
a) assault
b) battery
c) manslaughter
d) invasion of privacy
34. The client with acute asthmatic attack is receiving Theophylline (Aminophylline) drip. Which of the following nursing actions should be included in the nursing care plan of the client?
a) note for decreased urine output
b) observe for elevated temperature
c) be alert for decreased BP
d) monitor for decreased pulse rate
35. Which of the following is the best position for a client who had undergone lobectomy?
a) side-lying position
b) supine position
c) sitting upright, leaning forward position
d) semi-fowler's position
ANSWERS AND RATIONALE
29) B
- after thoracentesis, turn the client towards unaffected side to prevent leakage of fluid into the thoracic cavity.
30) B
- upright position enhances adequate ventilation. The client with COPD is best placed in upright, leaning forward position.
31) B
- the common side effect of INH is peripheral neuritis. Vitamin B6 prevents this side effect.
32) C
- plastic ball does not absorb moisture within the mist tent. Therefore, it is the most appropriate toy for the child. Toys that may absorb moisture should be avoided because dampness may lower the child's resistance to infection.
33) B
- battery is intentional touching a person's body part without his consent.
34) C
- aminophylline causes diuresis, and therefore hypotension may occur.
35) D
- semi-fowler's position will promote maximum lung expansion. Therefore, this is the best position after a lung surgery like lobectomy.
Related Topics:
- Online Nursing Practice Test about Respiratory Diseases (36-40)
- Go back to Online Nursing Practice Test about Respiratory Diseases (1-6) to start the test from the beginning.
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