MVS- EXAM 2 Flashcards

1
Q

What is Pneumonia and its types

A

An infection of the lungs
Can be caused from bacteria or virus
Can cause puss, WBC or difficulty of gas exchange
Types include: Cap;community acquired, Aspiration pneumonia, HAP:Hospital acquired, Ventilated acquired

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2
Q

What are the risk factors to Pneumonia

A

Compromised immune system
Immature immune system
Smoking or Diabetes

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3
Q

Clinical manifestations related to pneumonia

A

Dypsnnea, cough, chills, fever, cyanosis

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4
Q

Diagnostic testing to Pneumonia

A

Chest Xray, CBC, O2 sat, Bronchoscopy

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5
Q

Nursing interventions to Pneumonia

A

Monitor respiratory, Asculate lung sounds, Suction as needed, Monitor vitals, Skin color, Educate on incentive spirometer, Hydrate and Turn and position HOB at 30 degrees

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6
Q

Interpersonal treatment of pneumonia

A

Pharmacological, antibiotics if caused by bacteria
Providing oxygen
Speech Therapy
Virus; treat the symptoms
Increase fluid intake

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7
Q

Prevention of Pneumonia

A

Vaccinate with pneumoccal vaccine
PPSV23 for ages 65 and older
BUT, if immunocompromised= HIV, DM, sickle cell, anemia and malignancies, can get as early as 2 yrs old to 64.

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8
Q

RSV

A

Highly contagious, Droplet/Contact
Causes bronchioles
More common in daycare and children before age 2

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9
Q

Who is at risk for RSV

A

Infants and toddlers in daycare
Exposure to second hand smoke
Wood burning stoves
Older adults with chronic disease
Daycare workers

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10
Q

Clinical manifestations of RSV

A

Irritability, Cough, Low grade fever, Copious mucis secretion

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11
Q

Nursing interventions for RSV

A

Administer oxygen
Supportive care is best
No vaccine is available so , Proper hand hygiene

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12
Q

Levels of prioritization

A

First: ABC’s vitals and labs: Airway, Breathing
Second level: Mental status change
Untreated medical issues
Acute pain
Acute elimination

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13
Q

Delegation of LPN

A

Scope depends on state and facility
Can only care for stable patients, not acute
Helps collect data
Foley care
Wound care
Chronic patients too

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14
Q

LPN restrictions

A

No blood products, IV’s, Unstable patients, TAPE, New admissions, Discharge teachings, Fresh postop

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15
Q

Delegation CNA

A

Scope depends on state ad facility
ADL’s, Toileting, Bathing, Ambulate, Blood draw, Assist in feeding

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16
Q

Tachypnea symptoms

A

Excessive breathing, Shallow breathing and Rapid breathing at rest