ANCC Medical-Surgical Nursing Exam Prep - Question List

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71. Dr. Santos prescribes oral rifampin (Rimactane) and isoniazid (INH) for a client with a positive Tuberculin skin test. When informing the client of this decision, the nurse knows that the purpose of this choice of treatment is to:
  1. Cause less irritation to the gastrointestinal tract
  2. Destroy resistant organisms and promote proper blood levels of the drugs
  3. Gain a more rapid systemic effect
  4. Delay resistance and increase the tuberculostatic effect
72. A thoracentesis is performed on a chest-injured client and no fluid or air is found. Blood and fluid is administered intravenously (IV), but the client's vital signs do not improve. A central venous pressure line is inserted and the initial reading is 20 cm H^O. The most likely cause of these findings is which of the following?
  1. Spontaneous pneumothorax
  2. Ruptured diaphragm
  3. Hemothorax
  4. Pericardial tamponade
73. Emergency treatment for an acute asthmatic attack is Adrenaline 1:1000 given hypodermically. This is given to:
  1. Increase BP
  2. Decrease mucosal swelling
  3. Relax the bronchial smooth muscle
  4. Decrease bronchial secretions
74. To promote continued improvement in the respiratory status of a client following chest tube removal after a chest surgery for multiple rib fracture, the nurse should:
  1. Encourage bed rest with active and passive range of motion exercises.
  2. Encourage frequent coughing and deep breathing.
  3. Turn him from side to side at least every 2 hours.
  4. Continue observing for dyspnea and crepitus.
75. Mario undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted and one-bottle water-seal drainage is instituted in the operating room. In the postanesthesia care unit, Mario is placed in Fowler's position on either his right side or on his back to:
  1. Reduce incisional pain
  2. Facilitate ventilation of the left lung
  3. Equalize pressure in the pleural space
  4. Increase venous return

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