Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Respiratory Illness
Upper and Lower Respiratory Tract
| Question | Answer |
|---|---|
| Carol was having difficulty breathing, and also developed a cough and fever, and her husband noticed that her symptoms seemed to occur suddenly. Which symptoms would indicate Carol may have pneumonia? | -Crackles (alveoli are opening and closing against fluid) -Whispered sounds clear and distinct over some lung fields -Increased tactile fremitus (palpable vibrations of chest wall) |
| On hearing your assessment results, the physician decides to order follow-up tests to confirm the potential diagnosis of pneumonia for Carol. Which of the following tests and findings would indicate pneumonia? | -Chest X-ray -Sputum culture (saliva and mucus coughed up) |
| Carol has not been hospitalized recently, so you believe that Carol has community-acquired pneumonia. Which organisms is the most likely cause of Carol’s pneumonia? | Streptococcus pneumoniae |
| You continue to document Carol’s health history and find several risk factors that may have played a role in Carol’s infection. Which of the following may be risk factors for Carol’s pneumonia? | -She smokes a pack of cigarettes a day -She was recently infected with influenza but never sought out medical treatment |
| Carol wonders how her pneumonia will be treated. Which of the following may the physician consider for Carol? | -Prescription of antibiotics -Assessment of Carol with PSI (Pneumonia Severity Index) -Assessment of Carol's SaO2 and PaO2 levels -Prescription for bronchodilators |
| Manuel is seeking clinical information about a medical test he was given before starting his new job in a health care setting. The test required Manuel’s forearm skin to be pricked and then evaluated 48 hours later. Which test was performed on Manuel? | Mantoux test -Requires intradermal injection of purified protein derivative of TB. -The area injected is evaluated 48 hours later |
| What are PFTs and what do they do? | -PFT = Pulmonary Function Test -They measure someone's pulmonary function |
| Manuel is informed that he has a positive test result from the Mantoux test. What does this mean? | Manuel had prior exposure to and sensitization to M. tuberculosis -Does not differentiate active TB -A positive Mantoux test shows Manuel had a response to the injected substance |
| What follow-up test will Manuel require based on his positive test result of the Mantoux test? | Chest X-ray examination |
| What diagnostic test results may a clinician look for to determine if Manuel has been infected with TB? | -Tubercles on chest X-ray -Ghon focus on chest X-ray (Ghon lesion) -Ranke complex (healed primary pulmonary TB) -Acid-fast positive stain result from sputum sample (shows active TB) |
| Manuel wonders why he had a positive Mantoux test if his chest X-ray does not indicate tuberculosis. The clinician asks Manuel if he has ever been vaccinated for TB. Which of the following is a vaccine for TB that Manuel may have received? | BCG vaccine (bacille Calmette-Guérin ) -Protects against tuberculosis -If vaccinated with BCG, Manuel will have a positive Mantoux test |
| When does hyperresonance of lung fields occur? | In emphysema (NOT pneumonia) |
| If you are having difficulties breathing, would you have increased or decreased movement of accessory muscles? | Increased, because the muscles are having to work harder |
| What are two blood tests used in determining respiratory infections? | 1.) Interferon gamma release assay (IGRA) 2.) Complete blood cell count (CBC) |
| A patient complains of nasal congestion and nasal discharge and is diagnosed with the common cold. Which virus could be responsible for this illness? | Rhinovirus |
| A patient is diagnosed with "strep throat." Which microorganism causes this condition? | Streptococcus pyogenes |
| Fluid accumulation in the alveoli occurs in: | Pneumonia |
| Which of the following are means by which pneumonia may be acquired? | -Secondary infection -Community -Hospital -Ventilator |
| The most common infectious disease worldwide is caused by: | Mycobacterium tuberculosis |
| A clinician needs to assess whether a patient has active tuberculosis. Which test would confirm this diagnosis? | Positive acid-fast stain sputum -It would indicate organisms in the sputum |
| A patient is diagnosed with epiglottitis. Which of the following should the nurse be prepared for? | Intubation -This is a medical emergency |
| A patient has tuberculosis. What will the nurse expect to see on the chest x-ray? | Abnormal spots or infiltrations on lungs |
| A nurse is being asked to evaluate a patient who believes he has pneumonia. Which of the following is a common clinical presentation of pneumonia? | Sudden onset of symptoms |
| A nurse is asked to place a patient with pneumonia in Fowler’s position. Which position does the nurse choose? | Elevate the patient’s head and torso |
| A nursing student is reviewing how exposure to tuberculosis may develop into a transmissible disease. Please place the following events in the proper sequence. | 1.) There is exposure to M. tuberculosis 2.) M. tuberculosis infects lungs 3.) Infectious bacteria walled off in lungs 4.) Lung tubercles form 5.) Infectious bacteria emerge from tubercles |
| A patient would like to know why it is so important to take antibiotics if “strep throat” is present. Which of the following are known developments that may occur if the infection is not treated? | -The infection may progress and cause scarlet fever -The infection may progress and cause damage to heart valves -The infection may progress and cause kidney damage |
| What does rheumatic fever cause? | Damage to heart valves -Caused by Streptococcus pyogenes infection |
| What does glomerulonephritis cause? | Damage to kidneys -Caused by Streptococcus pyogenes infection |
| Scarlet fever is a direct cause of: | Streptococcus pyogenes infection |
| An induration of 18 mm is noted in response to the Mantoux test. What is the likely conclusion? | Chest X-ray follow up -An induration of 15 mm or more is considered positive |
| A clinician is gently tapping on a patient’s facial area, asking whether pain is present in the maxillary or ethmoid area. Which disorder is the clinician assessing? | Sinusitis |
Created by:
kmeans34
Popular Pathology sets