Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
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

JM Respiratory

Pneumonia

QuestionAnswer
What is pneumonia? Inflammation of the lower respiratory tract
What causes pneumonia? Infectious agents.
How do organisms that cause pneumonia reach the lungs? Aspiration, inhalation, hematogenous spread.
How is pneumonia generally classified? Bacterial (gram-positive & gram-negative); viral; fungal (rare); chemical.
Name two ways pneumonia may be acquired. Community-acquired or nosocomial.
Name high-risk groups for pneumonia. Individuals who are: debilitated by accumulated lung secretions,smokers,immobile, immunosuppressed,experiencing depressed gag reflex,sedated,experiencing neuromuscular disorders.
Discuss nursing assessments for breathing issues associated with pneumonia. Tachypnea:shallow respirations, often with use of accessory muscles.
What type of pulse may be seen with pneumonia? Rapid, bounding pulse.
What type of cough may be assess with pt with pneumonia? Productive cough with pleuritic pain.
Would fever be likely with pneumonia and if so what type of onset is likely? Abrupt onset of fever with shaking and chills (NOT reliable in older adults).
What are symptoms for pneumonia in older pts? Confusion, lethargy, anorexia, rapid respiratory rate.
What assessment may be seen with auscultation of pt with pneumonia? Pain and dullness to percussion over affected lung area;bronchial breath sounds, crackles.
What test may be done and what would it indicate on pt with pneumonia? Chest radiograph indication of infiltrates with consolidation or pleural effusion.
What lab test results may be seen with pneumonia? Elevated WBC count; ABG indication of hypoxemia
Pulse oximetry may show what and what should norm be? A drop in O2 sat % should be >90%m ideal >95%.
What affect might fever have on pt? Dehydration due to excessive fluid loss due to diaphoresis. Increased temp increases metabolism and demand for O2.
Who is at high risk for pneumonia? Any pt w/altered level of consciousness,w/ depressed/absent gag/cough reflexes, or is susceptible to aspirating oropharyngeal secretions (including alcoholics) sedated brain injury,drug overdose,stroke victims.
Discuss nursing diagnoses related to pt with pneumonia. Impaired gas= exchanger/t;Ineffective airway clearance r/t; Activity intolerance r/t; Risk for deficient fluid vol r/t; Ineffective breathing pattern r/t
Discuss nursing plans/interventions for assessing. Assess sputum:vol,color consistency,clarity, lung sounds before AND after coughing,rate, depth,pattern of resp, skincolor,mentalstatus, restlessness,irritability, temp regularly.
What nursing plans/interventions having to do with monitoring tests/labs/etc should Rn perform for pt with pneumonia? Monitor ABGs (PO2>80mm Hg; Pco2<45mm Hg),O2sat/pulse oximetry(ideally>95%),
What teaching should RN due pertaining to pneumonia? Teach high-risk pts/families risk factors and preventive measures, encourage to get annual pneumonia & influenza immunizations.
Where are bronchial breath sounds heard? Over areas of density or consolidation. Sound waves are easily transmitted over consolidated tissue.
Discuss the importance of hydration for pneumonia pt. Enable liquefication of mucus trapped in the bronchioles and alveoli, facilitates expectoration, essential for client with fever,important:300-400ml/fluid lost daily by lungs
What are early signs of cerebral hypoxia? Irritability & restlessness- pts brain is not receiving enough O2.
Discuss pneumonia preventives for older adults. Flu shots, pneumonia immunizations,avoid sources of infection & indoor pollutants(dust,smoke, aerosols),no smoking.
Discuss pneumonia preventives for immunosuppressed and debilitated pts. Infection avoidance, sensible nutrition, adequate intake, balance of rest & activity.
Discuss pneumonia preventives for comatose and immobile persons. Elevation of head of bed to feed and for 2 hours AFTER feeding, turn frequently.
Created by: 100000255019352
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards