4.3 Pneumonia

Question 1

Streptococcus pneumoniae

Answer 1

肺炎鏈球菌

Question 2

legionella pneumophila

Answer 2

退伍軍人菌

Question 3

Community-acquired pneumonia =manifest within first __ hrs of hospitalization

Answer 3

48

Question 4

Hospital-acquired pneumonia
= acquired >__ hrs after hospitalization

Answer 4

48

Question 5

Risk factor for aspiration pneumonia

Answer 5

Depressed cough and gag reflex
Impaired swallowing (dysphagia)
Decrease conscious level
poor oral hygiene
On enteral feeding

Question 6

Sign of aspiration

Answer 6

-Coughing and choking during or after meal
-Cyanosis
-Drooling / unable to clear saliva or secretion

Question 7

Prevent of aspiration pneumonia for NG Tube feeding

Answer 7

-Pop up at least 30degree
-Appropriate size of NG tube
-Confirm tube placement before feeding meal or administering medication
-assess tolerance to tube feeding

Question 8

4 moment to verify tube placement

Answer 8

Right After insertion
Before each feeding
Before administration of medication
At regular intervals

Question 9

Sign and symptoms of pneumonia

Answer 9

Production cough
with purulent sputum (green / brown)

Fever fatigue headache myalgia
Wheezing dyspnea cyanosis

Question 10

Nursing diagnosis and intervention

Answer 10

Ineffective airway clearance
-oxygen therapy
-suction
-maintain hydration
-breathing and coughing ex

Activity intolerance
-energy conserving plan

Altered fluid volume
-increase fiuld intake

Maintain adequate nutrition
-assess weight, daily IO, well balanced diet