NURS 334 Exam 2 Questions and 100% Correct Answers
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Course
NUR 334
Institution
NUR 334
What is pneumonia? infection and inflammation of the lungs
What are the causes of pneumonia? viruses bacteria fungi parasites
What are some viruses that cause pneumonia? RSV Parainfluenza Influenza A Adenovirus
What are some bacteria that cause pneumonia? Strep Staph Haemophilus influenzae
What...
NURS 334 Exam 2 Questions and 100%
Correct Answers
What is pneumonia? ✅infection and inflammation of the lungs
What are the causes of pneumonia? ✅viruses
bacteria
fungi
parasites
What are some viruses that cause pneumonia? ✅RSV
Parainfluenza
Influenza A
Adenovirus
What are some bacteria that cause pneumonia? ✅Strep
Staph
Haemophilus influenzae
What are the two types of pneumonia? ✅community acquired
hospital acquired
What are the classic S&S of pneumonia? ✅Fever
Cough
SOB
Tachypnea
Tachycardia
Headache
Fatigue
Hypoxemia
Chest pain
Vomiting
Loss of appetite
Rales/crackles
,What are three nursing diagnoses for pneumonia? ✅1. Ineffective airway clearance
2. Ineffective breathing pattern
3. Activity intolerance
What is the importance in monitoring the SaO2 level? ✅To measure O2 and RBCs in
the blood
What are some things the nurse is assessing for in a pt with pneumonia? ✅1. Lung
cancer
2. COPD
3. Diabetes
4. Use of accessory muscles
5. Pneumothorax
6. Use of antibiotics, corticosteroids, chemotherapy, and immunosuppressants
What care is used for pt with pneumonia? ✅1. Antibiotic therapy
2. Oxygen
3. Analgesics
4. Antipyretics
5. Influenza drugs/vaccine
6. Fluids
7. Calories
8. Pneumococcal vaccine
Who should receive the pneumococcal vaccine? ✅1. Chronic illnesses (heart/lung
disease, diabetes)
2. Anyone recovering from severe illness
3. 65 or older
4. Long-term care facility
What are the end goals for pt with pneumonia? (planning and outcomes) ✅1. Clear
breath sounds
2. Normal breathing patterns
3. Normal O2
4. Normal chest x-ray
When should a sputum and blood culture be collected? Why? ✅Right away, because it
takes two days to get the results
What is HAP pneumonia? ✅pneumonia that occurs 48 hours or longer after admission
at hospital.
, What is VAP pneumonia? ✅pneumonia that develops >48 hours after endotracheal
intubation
what is HCAP? ✅- hospitalized within 90 days of developing pneumonia
- patients attending hemodialysis
- patients receiving wound care, IV therapy at home
- residents in long term care facilities or nursing homes
What is pulmonary embolism? ✅blockage of pulmonary arteries by blood clot, fat/air
clot, or tumor tissue
T/F: pulmonary embolism most commonly affects the upper lobes. ✅FALSE
Lower lobes
What are the typical symptoms of pulmonary embolism? ✅Dyspnea
Hemoptysis
Chest pain
What are some common risk factors for developing a pulmonary embolism? ✅1. DVT
(90%)
2. Immobility
3. Surgery
4. Malignancy
5. OBESITY
6. Oral contraceptives
7. Smoking
8. Heart failure
9. Pregnancy/delivery
10. A-fib
11. Central venous catheters
12. Fractures long bones
What are the late signs of pulmonary embolism? ✅1. Change in LOC
2. Hypotension
3. Shock
What are some questions to consider relating to pulmonary embolsim? ✅1. Leg pain in
calf?
2. Any clots?
3. Recent surgery?
4. Immobility?
5. Smoke?
6. On anticoagulants?
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