The nurse palpates the posterior chest while the patient says '99' and notes absent fremitus. Which action should the nurse take next?

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Question 1 of 5

The nurse palpates the posterior chest while the patient says '99' and notes absent fremitus. Which action should the nurse take next?

Correct Answer: D

Rationale: Absent fremitus suggests an obstruction or consolidation; auscultating breath sounds next helps determine the underlying cause.

Question 2 of 5

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?

Correct Answer: C

Rationale: A normal WBC count (9000/μL) indicates resolution of infection, a key sign of effective antibiotic treatment.

Question 3 of 5

A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?

Correct Answer: B

Rationale: Blood cultures must be obtained before antibiotics to identify the causative organism accurately.

Question 4 of 5

A patient is scheduled for spirometry. Which action should the nurse take to prepare the patient for this procedure?

Correct Answer: C

Rationale: Bronchodilators can alter spirometry results by improving lung function temporarily. Withholding them for 6-12 hours ensures an accurate baseline measurement of lung capacity.

Question 5 of 5

A young adult female patient with cystic fibrosis (CF) tells the nurse that she is considering getting married and wondering about having children. Which initial response by the nurse is best?

Correct Answer: B

Rationale: This open-ended response encourages discussion and supports patient autonomy.

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