Respiratory Disorders

Question 1

CDC pneumonia vaccine guidelines

Answer 1

Recommended for the following:

Question 2

Generic S/S of pneumonia

Answer 2

1. ↓ RR

Question 3

S/S of pneumonia in elderly

Answer 3

1. mild fever

Question 4

Diagnostic tests for pneumonia

Answer 4

1. Chest X-ray

Question 5

5 types of pneumonia

Answer 5

1. Community acquired

Question 6

Most preventable type of pneumonia

Answer 6

Ventilator acquired

Question 7

What are at risk for aspiration pneumonia

Answer 7

Stroke

Question 8

The most common community acquired pneumonia type in adults is:

Answer 8

Streptococcal pneumoniae (bacterial)

Question 9

The most common type of pneumonia in children is:

Answer 9

viral pneumonia

Question 10

The most common type of pneumonia in the immunocompromised patient is:

Answer 10

fungal pneumonia

Question 11

b. narrow spectrum abx

Answer 11

a. broad spectrum abx

Question 12

How is viral pneumonia treated?

Answer 12

Supportive care

Question 13

Neutrophils are increased in this type of pneumonia

Answer 13

bacterial

Question 14

Neutrophils are decreased in this type of pneumonia

Answer 14

viral

Question 15

These two lab tests determine what type of pneumonia it is:

Answer 15

• CBC (WBC, neutrophil count)

Question 16

Name the interventions used for a pneumonia patient and the reason for each

Answer 16

Incentive spirometer: open airways

Question 17

What lung sounds will you hear in pneumonia patients

Answer 17

wheezing

Question 18

Signs of adverse reaction to antibiotic:

Answer 18

• rash (#1 sign)

Question 19

Complication of pneumonia

Answer 19

1. shock

Question 20

2 basic prevention measures against pneumonia

Answer 20

1. hand washing

Question 21

Fluoroquinolone (special notes for pneumonia tx)

Answer 21

• do not use in elderly (tendon rupture, kidney failure)

Question 22

Vancomycin (special notes for pneumonia tx)

Answer 22

drawing trough levels periodically checks for therapeutic effect of drug

Question 23

What is considered a positive TB test?

Answer 23

≥ 5 mm for immunocompromised

Question 24

S/S of TB

Answer 24

insidious (subtle), mild fever, cough, night sweats

Question 25

What is a cavitary lesion?

Answer 25

Caused by TB infection, found with chest x-ray

Question 26

2 types of TB

Answer 26

1. active TB

Question 27

Risk factors for TB

Answer 27

1. close contact

Question 28

Ask patients if they have had this vaccine when assessing for TB

Answer 28

BCG vaccine will make someone test positive for TB

Question 29

The most important education point for patients with TB is:

Answer 29

medication adherence

Question 30

b. narrow spectrum abx

Answer 30

b. narrow spectrum abx

Question 31

Anti-TB drugs are hard on this organ:

Answer 31

liver

Question 32

Contact provider if these 2 side effects occur when taking anti-TB drugs

Answer 32

• frothy urine

Question 33

Test these lab values in patients taking anti-TB medication

Answer 33

LFTs

Question 34

The TB patient may go out in public after how long?

Answer 34

2-3 wks of treatment

Question 35

When can the TB patient return to work?

Answer 35

After 3 negative sputum cultures

Question 36

Potts disease is a manifestation of:

Answer 36

Extrapulmonary TB that spreads to the spine

Question 37

INH (anti-TB drug)

Answer 37

• avoid antacids

Question 38

Rifampin (anti-TB drug)

Answer 38

• stains bodily fluids orange (contacts, tears, sweat, urine)

Question 39

PZA (anti-TB drug)

Answer 39

• avoid if hx of gout

Question 40

EMB (anti-TB drug)

Answer 40

• report any altered vision (permanent side effect if they don’t notify the provider early)

Question 41

Which anti-TB drug is preferred for pts with a recent history of alcoholism?

Answer 41

EMB