Question

A client is admitted to hospital to rule out Legionnaire disease following a canoe trip where he was sprayed in the face with a lot of “creek” water. Which of the following manifestations are characteristic of Legionnaire pneumonia? Select all that apply.

A) Temperature of 103.5°, pulse 80

B) “Talking but not making a lot of sense” (confusion)

C) Decreased abdominal bowel sounds

D) Productive cough with thick, yellow secretions

E) Chest x-ray that reveals areas of consolidation suggestive of pneumonia

A client with newly diagnosed squamous cell carcinoma of the lung asks, “So how do we treat this cancer?” Which response from the health care provider is most accurate? Select all that apply.

A) Surgery to remove tumor

B) Radiation therapy

C) Chemotherapy

D) Stem cell transplant

E) Monoclonal antibody

A client with an 80-pack-year history of tobacco smoking has presented to the clinic complaining of “bronchitis” cough for the past 5 months, weight loss, and shortness of breath. Today, this client “got scared” when he coughed up blood in his sputum. The health care provider is concerned this client may have which of the following possible diagnoses?

A) Small cell lung cancer due to smoking history

B) Tuberculosis due to long period of coughing

C) Pulmonary embolism due to blood in sputum

D) Pneumothorax related to chronic lung infection weakening the alveoli

A nurse runs into an old high school friend after 20 years. She notes her friend continues to smoke after all these years. The friend asks, “Do you think I sound hoarse?” Upon further assessment, the nurse/friend notes her friend has several warning signs of cancer. Which manifestations would lead to this conclusion? Select all that apply.

A) “I seem to have some difficulty swallowing food… this is new for me.”

B) “I seem to have more trouble holding my urine than I use to.”

C) “Can you feel how large my lymph nodes are on my neck and armpits (axillae)?”

D) Pericardial friction rub heard on auscultation.

E) Feels subcutaneous emphysema in upper chest area.

Which of the following individuals is most clearly in need of diagnostic testing for lung cancer?

A) A client who has required hospitalization with a fever and the production of copious lung secretions

B) A client with a history of secondary tuberculosis who failed to complete his prescribed course of antibiotics

C) A woman who complains of recurrent lower respiratory infections and who has sought care for increasing shortness of breath

D) A man who demonstrates wasting of the pelvic and shoulder muscles combined with signs of hypercalcemia

A client develops interstitial edema as a result of decreased:

A) Vascular volume

B) Hydrostatic pressure

C) Capillary permeability

D) Colloidal osmotic pressure

Arterial blood gases of a client with a diagnosis of acute renal failure reveal a pH of 7.25, HCO₃^– level of 21 mEq/L, and decreased PCO₂ level accompanied by a respiratory rate of 32. This client is most likely experiencing which disorder of acid–base balance?

A) Metabolic acidosis

B) Metabolic alkalosis

C) Respiratory acidosis

D) Respiratory alkalosis

Answer 1

Ans:- 1) A,B and E,

Temperature of 103.5,pulse 80.

Talking but not making a lot of sense.

Chest x-ray that reveals areas of consolidation suggestive of pneumonia .

All manifestation are the characteristics of Legionnaire pneumonia.

2) A,B and C

Surgery to remove,

Radiation therapy,

Chemotherapy.

Health care provide inform the patient about the above mentioned treatment to treat that patient.

3) A,

Small cell lung cancer due to smoking history,

Because small cell lung cancer has a strongest association with smoking.

4) A,

I seem to have some difficulty swallowing food ...this is new for me, this manifestation would lead to this conclusion that her friend has several warnings signs of cancer.