HESI PATIENT REVIEW: RESPIRATORY - MR. HANNIGAN Q&A
1. Mr. Hannigan, a 75-year-old man is examined by his healthcare
provider (HCP) in the office and he is diagnosed with right lower lobe
pneumonia. He is admitted to the Medical Unit in the hospital where you
work.
Mr. Hannigan has community-acquired pneumonia (CAP), a bacterial pneu-
monia found in the lower respiratory tract of non-hospitalized persons.
Risk factors for CAP include advanced age older than 65,
immunocompromised host, or comorbidities such as diabetes or COPD.
Mr. Hannigan has acute symptoms that increase his risks for fatal complica-
tions of pneumonia. It was decided that he should be hospitalized and
receive IV antibiotics.
Mr. Hannigan is accompanied by his wife and daughter, who are very upset
about his hospital admission because of his confusion, increased heart rate,
and shortness of breath.
You review the rationale for Mr. Hannigan's nursing care. What is the
underly- ing pathophysiology of pneumonia?: inflammation and/or
infection of the lung
The pathophysiology of pneumonia involves excess fluid in the lungs
1/
, HESI PATIENT REVIEW: RESPIRATORY - MR. HANNIGAN Q&A
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 success-
fully cleared, and they become established.
2. Which considerations are critical for the nurse to make when assigning a
room to a client with community acquired pneumonia (CAP)?: 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
2/
1. Mr. Hannigan, a 75-year-old man is examined by his healthcare
provider (HCP) in the office and he is diagnosed with right lower lobe
pneumonia. He is admitted to the Medical Unit in the hospital where you
work.
Mr. Hannigan has community-acquired pneumonia (CAP), a bacterial pneu-
monia found in the lower respiratory tract of non-hospitalized persons.
Risk factors for CAP include advanced age older than 65,
immunocompromised host, or comorbidities such as diabetes or COPD.
Mr. Hannigan has acute symptoms that increase his risks for fatal complica-
tions of pneumonia. It was decided that he should be hospitalized and
receive IV antibiotics.
Mr. Hannigan is accompanied by his wife and daughter, who are very upset
about his hospital admission because of his confusion, increased heart rate,
and shortness of breath.
You review the rationale for Mr. Hannigan's nursing care. What is the
underly- ing pathophysiology of pneumonia?: inflammation and/or
infection of the lung
The pathophysiology of pneumonia involves excess fluid in the lungs
1/
, HESI PATIENT REVIEW: RESPIRATORY - MR. HANNIGAN Q&A
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 success-
fully cleared, and they become established.
2. Which considerations are critical for the nurse to make when assigning a
room to a client with community acquired pneumonia (CAP)?: 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
2/
