NURS 330 exam II questions with correct answers
Define pneumonia Correct Answer-is an infection that inflames air sacs
in one or both lungs, which may fill with fluid
Pathophysiology of pnuemonia Correct Answer-1 Inflammatory
response
2. Consolidation & Airway obstruction
3. Resolution of infection
HAP Correct Answer-Hospital acquired (nosocomial) pnuemonia
occus 48 hours afte admission without any prior history
- is contracted by a pt in a hospita at least 48-72 hour after being
admitted
- usually causes by bateria infection
VAP Correct Answer-Ventilator associated pneumonia
develops within 24 hours of hospital stay; the hospital is NOT
reimbursed if pt develops a VAP
- usually affects pt in ICU on a vent
- it increases illness and death
HCAP Correct Answer-Health care-associated pneumonia
develops within 48 hours
,-included pts that have been hospitalize within 90 days for infection, live
in a nursing home or LT care or received parental antimicrobial therapy
CAP Correct Answer-Community-acquired pnuemonia
- refers to pnuemonia that has been contracted by a person with little
contact with the healthcare system
VAP bundle Correct Answer-is for ventilator-associated pnuemonia
reduction
- is a group of evidence based, high impact interventions
1. elevate the HOB
2. Daily sedation vacations & assessment of readiness to extubate
3. Peptiv ulcer disease prophylaxis
4. DVT prophylaxis
5. Daily oral care with chlorhexidine
CAP pathogen Correct Answer-streptococcus pnuemoniae is most
common
, CAP Treatment Correct Answer-Floxins and Levaquin
Floxins (Ofloxacin) Correct Answer-- treats CAP
Class: antibiotc; Fluoroquinolone
Use: treats infections (including middle ear and simmers ear)
Levaquin (levofloxacin) Correct Answer-treat CAP & VAP
Class: antibiotioc, fluoroquinolone
fluoroquinolone drug class Correct Answer-are broad-spectrum
antbiotics that plays an important role for the treatment of serious
bacterial infectons; especially hospital acquired
Chlorhexidine (gluconoate) drug Correct Answer-Class: topical
antiseptic
-used to treat VAP
- used to clean skin after an injury, before surgery and efore an injection
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