Question

Q23. A client with HIV received a purified protein derivative (PPD) test for tuberculosis on the left arm. The site is reddened and raised about 7 mm. The nurse interprets this result as: A. Indeterminate B. Negative C. Positive D. Needs to be redone 024. A client with acute asthma is experiencing inspiratory and expiratory wheezes and a decreased forced expiratory volume. Which of the following would not be part of the medical management? A. Beta-adrenergic blockers B. Bronchodilators C. Inhaled steroids D. Oral steroids 025. The nurse is aware that the following condition gives ventilation perfusion mismatch: A. Asthma B. Emphysema C. Pulmonary embolism D. Tension pneumothorax 026.A 57-year-old client with a history of bronchial asthma is prescribed propranolol to control hypertension. Before administering the medication, which action should the nurse take first? A. Monitor apical pulse rate B. Question the physician about the order C. Caution the client to rise slowly when standing D. Instruct the client to take the medication with food Q27. The nurse is right if she says the following condition cause pulmonary edema: A. Asthma B. Acute respiratory distress syndrome

Answer 1

23. Positive for tuberculosis. The diameter above 5 mm is considered as the client has tuberculosis. Option C is the correct answer.

24. Beta-adrenergic blockers are contraindicated in asthma. It is not used in the management of asthma. Option A is the correct answer.

25. Pulmonary embolism gives ventilation perfusion mismatch. The Perfusion mismatch may occur due to the lack of blood flow or oxygen perfusion to one or more areas of a lung. Embolism blocks area of lung and causes the mismatch in oxygen perfusion or blood flow. Option C is the correct answer.

26. The nurse should question the physician about the order as proponolol is contraindicated in asthma. Beta-adrenergic blockers are contraindicated in asthma. Option B is the correct answer.