Final Exam - Med Surg

A nurse is caring for a client who is suspected to have tuberculosis. Which of the following findings should the nurse expect? a. Recent weight gain b. High fever c. Rhinitis d. Blood-streaked sputum {Ans: D. Blood-streaked sputum--- The nurse should expect blood-streaked sputum in a client who has tuberculosis. Sputum cultures are used to diagnose pulmonary tuberculosis.}The nurse is caring for a patient who is 2 days post MI. The patient reports that she is experiencing chest pain when she takes a deep breath. Which action would be a priority? a. Notify the provider STAT and obtain a 12-lead ECG. b. Obtain vital signs and auscultate for a pericardial friction rub. c. Apply high-flow O2 by face mask and auscultate breath sounds. d. Medicate the patient with as-needed analgesic and reevaluate in 30 minutes. {Ans: b. Obtain vital signs and auscultate for a pericardial friction rub.}A client who reports shortness of breath requests the nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? a. Encourage the client to take deep breaths b. Observe the rate, depth, and character of the client's respirations c. Prepare to administer oxygen