Week 1-4 In-Class Questions

Question 1

What are some most common types of pneumonia? (Select all that apply)

Answer 1

• Community acquired
• Hospital acquired
• Ventilator associated
• Healthcare associated

Question 2

Risk Factors for Pneumonia

Answer 2

• Older in age
• Chronic lung disease
• No pneumococcal vaccine recently

Question 3

Which clinical manifestations would the nurse most likely see in a client diagnosed with pneumonia? (Select all that apply)

Answer 3

• Chest discomfort
• Dyspnea
• Fever
• Cough
• Fatigue
• Incrd RR

Question 4

Which diagnostic tests does the nurse you expect to be ordered? (Select all that apply)

Answer 4

• Arterial blood gasses
• Sputum culture
• Complete blood count (CBC)
• Coagulation panel

Question 5

When caring for a client with
pneumonia, which nursing
intervention is the highest
priority?

Answer 5

Encourage deep breathing exercises and controlled coughing

Question 6

A client is admitted to the hospital with a diagnosis of pneumonia. List the following nursing actions in the order they should be accomplished

Answer 6

1. Obtain data abt pt’s hx & physical status
2. Insert an IV to establish venous access
3. Collect sputum sample for culture & sensitivity (will NOT delay antibiotics if unable to obtain)
4. Admin prescribed antibiotic IV piggyback
5. Encourage fluid intake

Question 7

What interventions should be
included when caring for a client
with pneumonia?

Answer 7

• Oxygen therapy
• Monitor pulse oximetry
• Cough and deep breath q2hrs
• Incentive spirometry
  > 5 to 10 breaths per session q1 while awake
• Adequate hydration
  > Helps thin secretions
• Assess fluid status
  > Monitor I & O
  > Assess oral mucous membranes and skin turgor
• Drug therapy
  > Anti-infectives
  > Bronchodilators
  > Steroids (IV or inhaled)
  > Expectorants

Question 8

What should the nurse include in
discharge teaching for a client to
prevent further pneumonia? (Select all that apply)

Answer 8

• Continue breathing exercises
• Health balanced diet
• Avoid crowded public areas
• Annual flu vaccine
• Pneumococcal vaccine

Question 9

What are the symptoms of pulmonary TB? (Select all that apply)

Answer 9

• Progressive weight loss
• Low grade fever
• Cough w/ blood-tinged sputum
• Night sweats

Question 10

All of the following diagnostic test
confirm active TB infection

Answer 10

• NAA blood test
• QFT-G blood test
• Sputum culture

Question 11

Which client would the nurse state shows symptoms of influenza?

Answer 11

Headache, muscle aches, fever, chills, fatigue, sore throat, cough, nasal discharge, nausea and vomiting, diarrhea