When assessing a patient with a sore throat, the nurse notes anterior cervical lymph node swelling, a temperature of 101.6°F (38.7°C), and yellow patches on the tonsils. Which action will the nurse anticipate taking?

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Question 1 of 5

When assessing a patient with a sore throat, the nurse notes anterior cervical lymph node swelling, a temperature of 101.6°F (38.7°C), and yellow patches on the tonsils. Which action will the nurse anticipate taking?

Correct Answer: A

Rationale: Yellow patches and fever suggest bacterial infection (e.g., strep); a throat culture is anticipated to confirm diagnosis.

Question 2 of 5

Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?

Correct Answer: B

Rationale: Chest physiotherapy and postural drainage help drain the abscess, promoting resolution.

Question 3 of 5

Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?

Correct Answer: C

Rationale: Albuterol opens airways, enhancing the effectiveness of postural drainage and percussion.

Question 4 of 5

The nurse receives a change-of-shift report on the following patients with chronic obstructive pulmonary disease (COPD). Which patient should the nurse assess first?

Correct Answer: B

Rationale: A respiratory rate of 38 indicates severe distress, requiring immediate assessment.

Question 5 of 5

What should be done for a patient with a left shift in the oxyhemoglobin dissociation curve?

Correct Answer: C

Rationale: Although the O2 saturation is adequate, the left shift in the oxyhemoglobin dissociation curve will decrease the amount of O2 delivered to tissues, so high oxygen concentrations should be given. A head-to-toe assessment and repeat ABGs may be implemented later.

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