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265 MED SURG HESI CASE STUDY EXAM BASED ANSWERED PERFECTLY!!
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265 MED SURG HESI CASE STUDY EXAM BASED ANSWERED PERFECTLY!!
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265 MED SURG HESI CASE STUDY EXAM BASED ANSWEREDPERFECTLY!!
You review the rationale for Mr. Hannigan's nursing care. What is the underlying
pathophysiology of pneumonia?
Answers :inflammation and/or infection of the lung
The pathophysiology of pneumonia involves excess fluid in the lungs associated
with an acute inflammatory process that is usually a result of infection.
Microorganisms (bacteria, viruses, fungi, parasites) gain entry into the respiratory
tract either by inhalation (from airborne transmission with talking, sneezing,
coughing) or aspiration (secretions from the oropharynx or nasopharynx). The
organisms are not successfully cleared, and they become established.
You are making room assignments for several new admissions. How do you decide
which room to assign to Mr. Hannigan?
Which considerations are critical for the nurse to make when assigning a room to a
client with community acquired pneumonia (CAP)?
Answers :Mr. Hannigan's confusion
Mr. Hannigan's confusion is an important consideration for room assignment. The
fact that Mr. Hannigan is confused places him at risk for injury. An initial
assessment found Mr. Hannigan to be disoriented to time, place, and person. Bed
placement as close to the nurses' station as possible is important.
Infection control
Infection control is an important consideration for room assignment. Mr. Hannigan
has pneumonia, although the specific organism responsible for infection is not
known at this time. The means of transmission is not yet known. To decrease risk
for hospital-acquired pneumonia or other nosocomial infections in other clients,
Mr. Hannigan was assigned to a private room.
, Community-acquired pneumonia (CAP) is often caused by the bacterium
Streptococcus pneumonia (typical pneumonia). This type of pneumonia is most
common among older persons and among very young children. Streptococcal
pneumonia is one of the most common infectious causes of illness and death
among the elderly. That is why it is recommended that older adults, ages 65 and
older receive the pneumococcal vaccine.In adults, typical pneumonia is caused by
streptococcus, Haemophilus influenza,Staphylococcus aureus, Group A
streptococcus or Moraxella catarrhalis. Atypical is caused by Legionella,
mycoplasma pneumonia, or chlamydia pneumoniae.
There are different types of bacterial pneumonia (community acquired, hospital
acquired, ventilator associate, healthcare associated) and each have a period of
communicability, means of transmission, and type of isolation required. These vary
depending on the infecting agent.The incubati
Answers :Standard Precautions
Centers for Disease Control (CDC) Guidelines for Isolation Precautions in
Hospitals require that Standard Precautions be used with all hospitalized persons,
regardless of diagnosis or presumed diagnosis.
Droplet Precautions
Centers for Disease Control (CDC) Guidelines for Isolation Precautions in
Hospitals require that Droplet Precautions be used with persons who have
suspected or known infections that are transmitted by large particle droplets,
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