Notes

Which of the following individuals should be prioritized for receiving a seasonal influenza vaccination?
A) An 81-year-old resident of a long-term care facility
B) A 19-year-old man who was admitted to a hospital for an appendectomy
C) A neonate who was born in a busy, inner-city hospital in late October
D) An 86-year-old client whose flu symptoms have required hospitalization

A nurse who provides weekly care in a homeless shelter has unknowingly inhaled airborn Mycobacterium tuberculosis and has subsequently developed latent tuberculosis infection.
Which of the following is true of this nurse?
A) The nurse is likely asymptomatic.
B) The nurse is now immune to more severe tuberculosis infection.
C) The nurse can spread tuberculosis to others.
D) The nurse has active tuberculosis infection.

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.

A client with a history of emphysema is experiencing hypoxemia after a taxing physical therapy appointment. Which of the following physiologic phenomena will occur as a consequence of hypoxemia?
A) Peripheral vasodilation
B) Necrosis
C) Hypoventilation
D) Increased heart rate

A 25-year-old cystic fibrosis client presents to the clinic in obvious respiratory distress. Following physical exam, the health care provider suspects bronchiectasis based on which of the following findings? Select all that apply.
A) Crushing, substernal chest pain
B) Copious amounts of foul-smelling purulent sputum
C) Neck vein distention
D) Blood-tinged sputum
E) Wheezing throughout the lung fields