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concept of nursing 1
Pneumonia
Question | Answer |
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A family member of a patient asks the nurse how a person develops pneumonia. What is the best response by the nurse? | "Pneumonia develops when bacteria invade the lower airways." |
A patient with pneumonia is ordered an arterial blood gas (ABG). A family member asks about the purpose of this test. Which response by the nurse is best? | "To determine the oxygenation status of the patient." |
Identifies lung infection | Chest X-ray |
Determines the exact cause for infection | Sputum Culture |
Provides oxygen, carbon dioxide, and pH levels in the blood | Arterial Blood Gas |
Confirms leukocytosis | Complete Blood Cell Count with Differential |
A patient arrives at the emergency department reporting flu-like symptoms that have progressively worsened over the past two to three days. The nurse bases the plan of care on which likely cause of the patient’s symptoms? | viral infection |
A 22-year-old patient with cystic fibrosis is receiving a pneumonia vaccine. The patient asks the nurse why it is necessary to have the vaccine at such a young age. What is the best response by the nurse? | "Because of your health history, you should receive the vaccine even though you are not 65 years old." |
A patient reports severe flu-like symptoms that have worsened over the past 36 hours. The patient is coughing intensely and has an oral temperature of 101.7 °F. The patient questions why she has not received any antibiotics. | -- |
Which response by the nurse is appropriate? | “Antibiotics treat bacterial infections. Your infection is viral in nature.” |
A patient with pneumonia reports a loss of appetite and a weight loss of six pounds over the last week. Which interventions by the nurse are most appropriate for this patient? | -Instruct the patient to eat small, frequent meals. -Instruct the patient to choose their favorite foods at mealtime. |
A patient calls the clinic and reports upper respiratory symptoms. Which statement is most appropriate by the nurse? | "When did your symptoms begin?" |
A nurse is caring for a patient in the medical unit with altered consciousness. Which nursing interventions should be included in the plan of care to prevent this patient from getting pneumonia? | -Raise the patient's head of bed to 30 degrees. -Reposition patient every two hours while in bed. -Perform hand hygiene before and after providing patient care. |
A patient with Mycoplasma pneumonia is being discharged to the home. Which statements should the nurse include in the teaching plan for this patient? | -"You should get a yearly influenza vaccination." -"You need to drink six to ten glasses of clear liquids per day." -"You must take your antibiotic until it is gone regardless of how well you are feeling." |