vSIM - Medical Scenario 1: Kenneth Bronson
1. Dyspnea
Laryngeal edema
Pruritus
Bronchospasm
Rationale:Mild systemic reactions consist of peripheral tingling, warmth, a sensation
of fullness in the mouth and throat, nasal congestion, periorbital swelling, pruritus,
sneezing, and tearing of the eyes. Moderate systemic re- actions may include flushing
and anxiety in addition to any of the milder symptoms. More serious reactions
include bronchospasm, laryngeal edema,severe dyspnea, cyanosis, and hypotension.
Dysphagia (difficulty swallow- ing), abdominal cramping, vomiting, diarrhea, and
seizures can also occur.
Cardiac arrest and coma may follow.: PRE
The patient experiencing an anaphylactic reaction may experience which of the
following signs and symptoms? (Select all that apply.)
Pallor
Dyspnea
Laryngeal edema
Pruritus
Bronchospasm
2. Fever
Dyspnea
Fatigue
Orthopnea
Rationale:Fever is present with the infection. Patients will exhibit dyspnea,
preferring to be propped up or sitting up due to orthopnea (shortness of breath
when reclining or supine). The patient is fatigued from the work of breathing.:
PRE
When a patient presents to the emergency department with pneumonia, which signs and
symptoms would the nurse expect the patient to exhibit? (Select all that apply.) Night
sweats
Fever
Dyspnea
Fatigue
Orthopnea
3. Tachypnea
Hypoxemia
Dyspnea
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, vSIM - Medical Scenario 1: Kenneth Bronson
Rationale:Dyspnea and tachypnea accompanied by low oxygen in the blood are
associated with respiratory distress. Cyanosis is a very late indicator of hypoxia to
the tissues. Fever is an indication of infection.: PRE
Which of the following represent initial signs and symptoms of a patient in respiratory
distress? (Select all that apply.)
Tachypnea
Hypoxemia
Dyspnea
Cyanosis
Fever
4. Assess the airway
Rationale:The priority action is to assess the airway. Raising the head of bed will
improve lung expansion. The provider should be notified and IV line may be needed,
but assessing the patient is the priority.: PRE
What is the priority action by the nurse when a patient experiences sudden respira-tory
distress?
Lower the head of bed
Place an intravenous line
Assess the airway
Call the provider
5. Community-acquired pneumonia
Rationale:Community-acquired pneumonia (CAP) is pneumonia occurring inthe
community or within less than 48 hours of hospital admission. Health care-associated
pneumonia (HCAP) occurs in a nonhospitalized patient withextensive health care
contact. Hospital-acquired pneumonia (HAP) occurs 48 hours or more after hospital
admission. Ventilator-associated pneumonia (VAP) is a type of HAP that develops 48
hours or more after intubation.: PREA patient experiencing respiratory distress at home
from pneumonia is brought to the hospital and upon presentation requires intubation. How
would the nurse classifythis type of pneumonia?
Health care-associated pneumonia
Community-acquired pneumonia
Ventilator-associated pneumonia
Hospital-acquired pneumonia
6. Wheezes
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1. Dyspnea
Laryngeal edema
Pruritus
Bronchospasm
Rationale:Mild systemic reactions consist of peripheral tingling, warmth, a sensation
of fullness in the mouth and throat, nasal congestion, periorbital swelling, pruritus,
sneezing, and tearing of the eyes. Moderate systemic re- actions may include flushing
and anxiety in addition to any of the milder symptoms. More serious reactions
include bronchospasm, laryngeal edema,severe dyspnea, cyanosis, and hypotension.
Dysphagia (difficulty swallow- ing), abdominal cramping, vomiting, diarrhea, and
seizures can also occur.
Cardiac arrest and coma may follow.: PRE
The patient experiencing an anaphylactic reaction may experience which of the
following signs and symptoms? (Select all that apply.)
Pallor
Dyspnea
Laryngeal edema
Pruritus
Bronchospasm
2. Fever
Dyspnea
Fatigue
Orthopnea
Rationale:Fever is present with the infection. Patients will exhibit dyspnea,
preferring to be propped up or sitting up due to orthopnea (shortness of breath
when reclining or supine). The patient is fatigued from the work of breathing.:
PRE
When a patient presents to the emergency department with pneumonia, which signs and
symptoms would the nurse expect the patient to exhibit? (Select all that apply.) Night
sweats
Fever
Dyspnea
Fatigue
Orthopnea
3. Tachypnea
Hypoxemia
Dyspnea
1/6
, vSIM - Medical Scenario 1: Kenneth Bronson
Rationale:Dyspnea and tachypnea accompanied by low oxygen in the blood are
associated with respiratory distress. Cyanosis is a very late indicator of hypoxia to
the tissues. Fever is an indication of infection.: PRE
Which of the following represent initial signs and symptoms of a patient in respiratory
distress? (Select all that apply.)
Tachypnea
Hypoxemia
Dyspnea
Cyanosis
Fever
4. Assess the airway
Rationale:The priority action is to assess the airway. Raising the head of bed will
improve lung expansion. The provider should be notified and IV line may be needed,
but assessing the patient is the priority.: PRE
What is the priority action by the nurse when a patient experiences sudden respira-tory
distress?
Lower the head of bed
Place an intravenous line
Assess the airway
Call the provider
5. Community-acquired pneumonia
Rationale:Community-acquired pneumonia (CAP) is pneumonia occurring inthe
community or within less than 48 hours of hospital admission. Health care-associated
pneumonia (HCAP) occurs in a nonhospitalized patient withextensive health care
contact. Hospital-acquired pneumonia (HAP) occurs 48 hours or more after hospital
admission. Ventilator-associated pneumonia (VAP) is a type of HAP that develops 48
hours or more after intubation.: PREA patient experiencing respiratory distress at home
from pneumonia is brought to the hospital and upon presentation requires intubation. How
would the nurse classifythis type of pneumonia?
Health care-associated pneumonia
Community-acquired pneumonia
Ventilator-associated pneumonia
Hospital-acquired pneumonia
6. Wheezes
2/6
