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NURS 125 Exam II Study Guide Solutions

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NURS 125 Exam II Study Guide Solutions pneumonia - ANSWER-acute inflammation of the lung parenchyma leading to consolidation of lung tissue as the alveoli fill with exudate that impairs gas exchange pneumonia primary problem - ANSWER-impaired gas exchange community acquired pneumonia - ANSWER-...

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  • November 13, 2024
  • 52
  • 2024/2025
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EmilyCharlene
NURS 125 Exam II Study Guide
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pneumonia - ANSWER✔✔-acute inflammation of the lung parenchyma leading to

consolidation of lung tissue as the alveoli fill with exudate that impairs gas exchange


pneumonia primary problem - ANSWER✔✔-impaired gas exchange


community acquired pneumonia - ANSWER✔✔-a type of pneumonia that results from

contagious infection outside of a hospital or clinic (or within 48 hours of entering a

hospital/facility)


Hospital acquired pneumonia - ANSWER✔✔-pneumonia occurring 48 hours or longer

after hospital admission and not incubating at the time of hospitalization.


Pneumonia Etiology - ANSWER✔✔-causes include bacteria, fungi, viruses, parasites,

aspiration


most common cause of pneumonia in infants and young children - ANSWER✔✔-

viruses


Pneumonia Risk Factors - ANSWER✔✔-- advanced age


- lung diease

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,- smoking


- immunosuppression


- bed ridden


- post- op


- poor nutrition


- tracheostomy or mechanical ventilation


- colds/respiratory infection


- chronic illness (such as lung cancer)


- impaired gag reflex


- aLOC


s/s of pneumonia - ANSWER✔✔-fever/chills, green/rust-colored sputum, shortness of

breath, (sharp/plueritic) chest pain, headache, crackles, tachycardia, cyanosis,

tachypnea (rapid and shallow)


dx of pneumonia - ANSWER✔✔-- chest x-ray


- increase WBC


- decrease PaO₂


- sputum culture/sensitivity


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,- VQ scan (identifies early Pneumocystis carinii pneumonia)


Treatment of pneumonia - ANSWER✔✔-- antibiotics if infectious/antimicrobial tx


- possibly ventilation


- increase fluids (2-3L/day) & high-calorie diet


- humidified O₂


- bed rest as indicated


- analgesics to relieve pleuritic chest pain


Priority nursing interventions pneumonia - ANSWER✔✔-- raise head of bed (at least

semi-Fowler's)


- admin O₂


- turn/reposition pts who are immobilized


- assess lung sounds


- deep breathing/coughing


- provide adequate rest


- admin meds


- monitor for complications




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, Legionnaire's disease - ANSWER✔✔-A severe, often fatal bacterial disease

characterized by pneumonia, dry cough and sometimes gastrointestinal symptoms.


** mortality ~ 15%


asthma - ANSWER✔✔-A chronic pulmonary disorder characterized by episodes of

severe breathing difficulty, coughing, and wheezing.


asthma is most common in... - ANSWER✔✔-children


what causes asthma? - ANSWER✔✔-exposure to substance results in increased

histamine production causing edema of mucus membrane, spasm of smooth muscle of

bronchi/bronchioles, and accumulation of secretions


Asthma Etiology - ANSWER✔✔-- uncertain, often hypersensitivity to allergens


- upper respiratory infection, anxiety, exercise can initiate, endocrine changes


risk factors of asthma attack - ANSWER✔✔-allergen, allergic rhinitis, upper airway

infection, sudden changes in temperature/weather


s/s asthma - ANSWER✔✔-- wheezing


- chest tightness


- SOB


- coughing fits (thick, clear, or yellow sputum)


- tachycardia, sweating
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