A clinic nurse is preparing a lesson for nursing students on the care of patients with viral pharyngitis. What information should be included in the lesson? (Select all that apply)

Contact a healthcare provider immediately if there is drooling or inability to fully open the mouth.

Avoid sharing drinks or eating utensils with others.

Take prescribed antibiotics on time and do not miss doses.

Check the body for skin rash twice daily.

Drink at least 2-3 liters of fluid per day unless contraindicated.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale
Viral pharyngitis can sometimes lead to serious complications such as peritonsillar abscess. Symptoms of this condition include drooling and inability to fully open the mouth. Therefore, patients should be advised to contact a healthcare provider immediately if they experience these symptoms.
Choice B rationale
Viral pharyngitis is contagious and can be spread through saliva. Therefore, patients should be advised to avoid sharing drinks or eating utensils with others to prevent the spread of the infection.
Choice C rationale
Antibiotics are not effective against viral infections, including viral pharyngitis. Therefore, taking prescribed antibiotics on time and not missing doses is not relevant in the context of viral pharyngitis.
Choice D rationale
Checking the body for skin rash twice daily is not typically necessary for patients with viral pharyngitis. While some viruses can cause a rash, it is not a common symptom of viral pharyngitis.
Choice E rationale
Drinking at least 2-3 liters of fluid per day unless contraindicated can help soothe a sore throat and prevent dehydration, which can occur if the patient has a fever or is not eating well due to the sore throat.

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Correct Answer is D

Explanation

Choice A rationale
This response is more threatening than assertive. Threatening disciplinary action does not address the issue in a constructive manner and may create further conflict.
Choice B rationale
This response is more accusatory than assertive. It may make the colleague defensive and does not encourage open communication.
Choice C rationale
This response is more avoidant than assertive. It does not address the issue directly with the colleague and does not promote effective teamwork.
Choice D rationale
This response is assertive. It communicates the nurse’s feelings and needs clearly and respectfully, without blaming or threatening the colleague. It promotes open communication and effective teamwork.

A. Non-productive cough. B. Decreased shortness of breath. C. Positive acid-fast bacilli in the sputum. D. Poor appetite.

Correct Answer is C

Explanation

Choice A rationale
A non-productive cough is not a definitive sign of inadequate drug therapy for tuberculosis. It could be a symptom of many other respiratory conditions.
Choice B rationale
Decreased shortness of breath is generally a positive sign indicating improvement in the patient’s condition. It does not necessarily indicate inadequate drug therapy.
Choice C rationale
The presence of positive acid-fast bacilli in the sputum after 2 months of treatment indicates that the tuberculosis bacteria are still present in the patient’s body. This suggests that the triple antibiotic therapy is not effectively eliminating the bacteria, thus indicating inadequate drug therapy.
Choice D rationale
Poor appetite is a common symptom of tuberculosis, but it does not specifically indicate the effectiveness or inadequacy of drug therapy.

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A clinic nurse is preparing a lesson for nursing students on the care of patients with viral pharyngitis. What information should be included in the lesson? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a colleague who frequently interrupts and dominates during patient care discussions. The nurse wants to address this behavior assertively to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

Correct Answer is D

Explanation

A nurse is caring for a client newly diagnosed with active tuberculosis (TB) and prescribed triple antibiotic therapy. The nurse should recognize that which clinical sign indicates inadequate drug therapy after 2 months of treatment?

Correct Answer is C

Explanation

A clinic nurse is planning to teach a group of clients about laryngeal cancer. The nurse should include which of the following risk factors associated with the development of laryngeal cancer? Select all that apply.

A patient reports that they avoid being around sick people, however, they have experienced repeated colds over the past several weeks. A nurse should respond to the patient’s concern by providing which of the following teaching?

A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?

A nurse is part of a Continuous Quality Improvement (CQI) committee tasked with developing a program to decrease medication administration errors following a sentinel event. Which strategy should the committee consider implementing first?

A nurse is caring for a patient who has recently been diagnosed with chronic rhinosinusitis. What should the nurse understand about chronic rhinosinusitis in patients who have undergone organ transplants?

A nurse is caring for a patient who is tearful while refusing care and medications. Which of the following is the most appropriate response by the nurse?

A nurse is reviewing the arterial blood gas (ABG) results for a patient diagnosed with progressive Chronic Obstructive Pulmonary Disease (COPD). Which ABG results should the nurse expect for a patient with progressive COPD?