NUR 140 Final Exam Test Questions and Correct Answers
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Course
NUR 140
Institution
NUR 140
Clinical manifestations of pneumonia fever, tachypnea/dyspnea, tachycardia, chill, cough, pleuritic chest pain, fatigue, myalgia
Severe s/s of pneumonia bloody sputum, decrease BP, Dysrhythmia *Be aware of status changes - mental status change, RR over 30/min, BP below 90, HR over 125, temp over 1...
NUR 140 Final Exam Test Questions and
Correct Answers
Clinical manifestations of pneumonia ✅fever, tachypnea/dyspnea, tachycardia, chill,
cough, pleuritic chest pain, fatigue, myalgia
Severe s/s of pneumonia ✅bloody sputum, decrease BP, Dysrhythmia
*Be aware of status changes - mental status change, RR over 30/min, BP below 90, HR
over 125, temp over 104 or below 95, ph below 7.35, Sodium below130, HCT below
30%, pleural effusion on xray/CT
Labs for pneumonia ✅increased WBC count (might be absent in elderly)
Elevated C-reactive protein
Blood gasses start as resp alk (low Co2 high ph) but can progress to resp acid
Imaging for pneumonia ✅chest x-ray
Meds for pneumonia ✅antibiotics IV and anti-inflammatory to decrease airway
inflammation (corticosteroids), bronchodilators, mucolytics
Albuterol rescue inhaler - add atrovent
Complications of pneumonia ✅-Pleurisy - pain inflammation of lung layers
-Pleural effusion - collection of fluid in the lungs
-Atelectasis - lung collapse
-Bacteremia - bacteria in blood
-Lung abscess
-Empyema
-Pericarditis
-Meningitis
-Sepsis
-Acute respiratory failure
-Pneumothorax
, Ideal time to collect sputum culture ✅in the AM when patient is just sitting there
Pneumonia order of action - what should you do 1st? ✅Administer o2 - start high then
wean
Draw blood
Saline bolus 100 ml
Sputum culture
Start brad spectrum abx
Hospital acquired pneumonia ✅48+hours after admission
Healthcare acquired pneumonia ✅48-72 hours after admission
Types of Pneumonia ✅-Community- Acquired Pneumonia- lower resp tract infectio
with onset in the community or during the first 2 days of hospitalization.
-Hospital- Acquired, Ventilator-Associated and health Care- Associated Pneumonia-
occurs 48 hrs or longer after hospital admission
-Aspiration Pneumonia- pts that are at risk for aspiration
Pneumonia precautions ✅Standard/droplet
Influenza precautions ✅droplet
Pneumonia prevention ✅Pneumococcal vaccine, flu vaccine, coughing and deep
breathing, hand washing, frequent mouth care, continuous suction for VAP
Pneumonia nursing interventions ✅1. Increased fluid intake (at least 3 L/day). *Hydrate
PO rather than IV (least invasive)*
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