Rasmussen College MDC 3 Exam 2 Questions and Answers (2024 / 2025) (Verified Answers)

Rasmussen College MDC 3 Exam 2 Questions and Answers (2024 / 2025) (Verified Answers)

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Rasmussen College MDC 3 Exam 2
Questions and Answers (Verified Answers)
1.Risk factors for the development of pneumonia include which of the
follow- ing
ANS advanced age and immobility
2.Pharmacological treatment of active TB consists of
ANS a 6-month regime of isoniazid, rifampin, and pyrazinamide
3.A condition in which the pleural exudate becomes infected
ANS empyema
4.What is the earliest symptom of emphysema
ANS daily morning cough with clear sputumWhich asthma patient wouldthe nurse assess first?

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5.Which asthma patient would the nurse assess first
ANS A 27-year-old patient with a heart rate of 120 beats/min
6.Which patient with COPD would the nurse assess first
ANS A 52-year-old in a tripod position using accessory muscles to
breathe
7.A patient has been diagnosed with tuberculosis (TB). What action by
the nurse takes highest priority
ANS Educating the patient on adherence to the med regimen
8.A pt. is being discharged on long-term therapy for (TB). What referral by
the nurse is most appropriate
ANS: Visiting nurses for directly observed therapy
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Risk factors for the development of pneumonia include which of the following? advanced age and immobility
Pharmacological treatment of active TB consists of: a 6-month regime of isoniazid, rifampin, and pyrazinamide
A condition in which the pleural exudate becomes infected? empyema
What is the earliest symptom of emphysema? daily morning cough with clear sputumWhich asthma patient would the nurse assess first?
Which asthma patient would the nurse assess first? A 27-year-old patient with a heart rate of 120 beats/min
Which patient with COPD would the nurse assess first? A 52-year-old in a tripod position using accessory muscles to breathe
A patient has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority? Educating the patient on adherence to the med regimen
A pt. is being discharged on long-term therapy for (TB). What referral by the nurse is most appropriate Visiting nurses for directly observed therapy
Which of the following medications should the client be instructed not to use during an acute asthma attack? Serevent
The client should be aware that albuterol may cause: nervousness
What is the MOST common source of chemical pneumonia? inhalation of irritating substances
What is the main goal for the treatment of a client with pneumonia? clearing of exudate from the airway and adequate oxygenation
If a client has a positive skin test for tuberculosis (TB), the nurse knows this result indicates that the client: has been infected with and has formed antibodies against tuberculosis
Multiple facial lacerations and bruising, what is the priority? Maintain a patent airway
What nursing interventions will help to correct ineffective airway clearance for a client with pneumonia? Scheduled and PRN aerosol nebulizer bronchodilator treatments
Assessment findings expected for a patient having an asthma attack Breathlessness and difficulty completing sentences
How clients can help to manage their asthma. Keep a symptom diary to identify what triggers the asthma attack
Which of the following is a treatment option for this cystic fibrosis? Chest physiotherapy
What should the nurse instruct the client to do when using a flutter-valve mucus clearance device? Inhale deeply and exhale forcefully through the device
Transmission of tuberculosis occurs: By sharing airspace with someone with positive pulmonary TB disease
What happens with radiation therapy for neck cancer? Hoarseness that gets better with time
A patient has recurrent problems with the sinuses and breathing. Which intervention is appropriate? CT scan of the face
Which of the following is an expected following rhinoplasty? Bruising to the face, especially the nose and eyes
Injury to head and face…drainage from nose, what is the appropriate next step? Place a drop of the drainage on filter paper and look for a yellow ring
What is the first action when caring for a patient with epistaxis? Sit the patient upright
Which isolation precaution is NOT associated with TB? Surgical mask
It is okay for a patient to consume alcohol while taking isoniazid… False
Which discharge instruction for a TB patient is WRONG: I have to stay in a hotel away from my family
Prevention of hospital acquired pneumonia includes all but… Giving prophylactic antibiotics
Antihistamines are potentially inappropriate for which age group: >65 year olds
Which result might be altered by starting antibiotics before obtaining the specimen? Cultures (blood, urine, or sputum)
Interventions to help manage OSA include all BUT: Engage in exercise right before bed
Which is a sign of an asthma attack? Tachypnea and one word sentences
Triggers/causes for asthma include all the following BUT: Obesity
Which lab value is expected in end stage COPD CO2 50
Management of chronic bronchitis includes all BUT: Identify he has a barrel chest
Treatment for cystic fibrosis: Nutritional supplements
Which of these is an inhaled corticosteroid? Fluticasone, beclomethasone
Which is a diagnostic test for cystic fibrosis? Sweat chloride test
Which of the following is a cause of pulmonary hypertension? Fenfluramine / Phentermine
Discharge education for COPD includes all but: Frequent mobilization and activity
Which symptoms are associated with lung cancer? Hemoptysis, hoarseness, cough, & shortness of breath
Which condition results from fungal spores? Coccidioidomycosis
This inhaled medications reduce obstruction of the airways by decreasing inflammation. What are steroid inhalers?
Strict negative pressure isolation & the use of specially designed masks are required in the treatment of this infectious respiratory disorder. What is tuberculosis?
A disorder involving inflammation of the bronchioles, alveoli and interstitial spaces from various causes. What is pneumonia?
Aside from the client, this group of people should also be tested for tuberculosis. What are the family members of a TB positive client?
Clients diagnosed with this viral respiratory illness should be treated with an antiviral if symptoms are within 24 hours of presentation. What is influenza?
Droplet precautions are needed for this highly contagious, bacterial respiratory disorder? What is pertussis?
Educating on prevention of respiratory infections, yearly vaccines & energy conservation are imperative in the treatment of this chronic disorder. What is patient education for clients with obstructive sleep apnea?
Nurse should instruct the client to inhale deeply & exhale forcefully while using this respiratory device. What is a flutter valve?
The nurse should provide education regarding the use of this home device for clients diagnosed with OSA. What is a CPAP?
Eating small frequent meals, meaningful calories & using a bronchodilator before meals are educational instructions the nurse can provide for clients with this chronic respiratory disorder. What is COPD?
Immigrants, people with HIV & those living in communal living areas are are at risk for this infectious respiratory disorder. What is tuberculosis?
Assessment used by nurses to determine if fluid/drainage contains cerebrospinal fluid. What is the halo test?
Bronchodilators & steroids are used in the acute phase of this intermittent disorder. What is asthma?
A major contributing factor to the hypoxia seen with chronic bronchitis. What is excessive mucus production?
Priority nursing diagnosis when caring for a client with COPD. What is impaired gas exchange?
Inaudible breath sounds, wheezing & use of accessory muscles. What are signs of deterioration/impending respiratory failure?
Chest physiotherapy is commonly used in the daily treatment for this chronic disorder. What is cystic fibrosis?
Hoarseness, sore throat and ear pain are possible manifestations of this disorder. What is neck cancer?
The priority of care for a client status post severe facial trauma. What is maintaining a patent airway?
Genetics, cigarette smoking, dust or air pollutants. What are risk factors for asthma exacerbation?
Term used to describe the changes of the front to back chest ratio due to chronic air trapping. What is barrel chest?
Distended abdomen, fatty stools & GERD are commonly associated with this genetic disorder. What is cystic fibrosis?
Sputum cultures, chest x-ray & the Mantoux test are used in the diagnosis of this disorder. What is tuberculosis?

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