A client is admitted to the hospital for medical treatment of pneumonia. What diagnostic test would the nurse examine to help the health care provider to determine the next step in planning care?

Pulse oximetry

Bronchoscopy

Pulmonary function studies

Culture and sensitivity tests of sputum

Answer and Explanation

The Correct Answer is D

A.   While pulse oximetry is important for assessing oxygen saturation and determining if supplemental oxygen is needed, it does not provide specific information about the type of pneumonia or the causative organism. It’s more of a monitoring tool than a diagnostic test to guide treatment planning.
B.   Bronchoscopy can be useful for visualizing the airways and obtaining samples if the pneumonia is severe or complicated (e.g., suspected abscess or obstruction). However, it is not routinely performed for all pneumonia cases and is not the first-line diagnostic test for planning care.
C.   Pulmonary function tests assess lung capacity and airflow but are not directly useful for diagnosing pneumonia or guiding immediate treatment plans. They are more relevant for chronic respiratory conditions such as asthma or COPD.
D.   Sputum culture and sensitivity tests are critical in pneumonia cases as they help identify the specific organism causing the infection and determine the most effective antibiotic treatment. This information is essential for guiding the healthcare provider in planning appropriate and targeted therapy, especially in cases of community-acquired versus hospital-acquired pneumonia.

Nursing Test Bank

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Correct Answer is C

Explanation

A. While monitoring the child’s temperature is important for assessing fever and overall condition, it does not directly prevent the transmission of streptococcal infection. This response does not address methods to prevent spreading the illness to others.
B. Giving Tylenol (acetaminophen) can help relieve pain and reduce fever, which is important for the child’s comfort. However, this response does not address disease transmission prevention. It’s more about symptom management rather than infection control.
C. Discarding the toothbrush is a key infection control measure. Since the toothbrush can harbor bacteria from the throat, it’s essential to replace it after the child has been treated for streptococcal pharyngitis to prevent re-infection and reduce the risk of spreading the bacteria to others.
D. While encouraging fluid intake is important for recovery and can help soothe a sore throat, this response does not specifically address the prevention of disease transmission. It focuses more on the child’s care rather than controlling the spread of infection.

A. Antistreptolysin-O (ASO) titer. B. Purified protein derivative test. C. Chest X-ray. D. C-reactive protein.

Correct Answer is B

Explanation

A. The ASO titer is a blood test used to detect streptococcal infections, particularly post-streptococcal sequelae like rheumatic fever or glomerulonephritis. It is not related to tuberculosis.
B. The Purified Protein Derivative (PPD) test, also known as the tuberculin skin test (TST), is specifically used to identify exposure to the tuberculosis bacteria. If a person has been exposed, the immune system will react to the PPD injection, causing a localized skin reaction that can be measured after 48-72 hours.
C. While a chest X-ray is an important tool for diagnosing active tuberculosis or assessing lung involvement, it is not the initial test for determining exposure to TB. It is usually ordered after a positive PPD test or when there are clinical symptoms of TB.
D. C-reactive protein (CRP) is a nonspecific marker of inflammation and infection in the body. It does not specifically indicate exposure to tuberculosis and is not used for TB testing.

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A client is admitted to the hospital for medical treatment of pneumonia. What diagnostic test would the nurse examine to help the health care provider to determine the next step in planning care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is C

Explanation

Which test would the nurse expect the primary care provider to order to look for exposure to tuberculosis?

Correct Answer is B

Explanation

Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)

Which statement describes the action of a beta-adrenergic agent for a patient with a respiratory disorder such as asthma?

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

A nurse is educating a client who has a chronic illness about a DASH diet. Which of the following meals best fits the DASH diet?

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)