NURS /
201
/ /
Med
/ /
Surg
/ /
Notes for Exam 1 Questions With correct Answers
/ // // // // // // //
What /
/is /
/pneumonia? //- /
/CORRECT /
/ANSWERS(S)✔✔An /
/inflammatory /
/process /
/in /
/the /
/lung /
/caused /
/by //
a/
/microorganism. /
/Most //often //caused //by //infectious //organism; //but //can //also //be //chemical //(non-infectious).
Who //is //at //risk //for //pneumonia? //- //CORRECT //ANSWERS(S)✔✔- //<4 //and //>65 //years //old
- //Immunocompromised //(e.g. //HIV, //AIDS)
- //Chronic, //debilitating //diseases //(esp. //pulmonary)
- //Institutionalized //(increased //risk //for //transmission)
- //Clients //on //ventilators
,//////////////////////////////////////////
Etiology //of //Pneumonia //- //CORRECT //ANSWERS(S)✔✔Organisms //reach //lungs //by:
- //Inhalation //of //microbes //in //the //air
- //Aspiration //of //normal //upper //airway //flora, //or //of //fluids, //substances //or //secretions
Examples /
/of /
/inhalation /
/pneumonia /
/and //its //risk //factors //- //CORRECT //ANSWERS(S)✔✔- //Strep. //pneumonia //(very //contagious)
- //Also, //fungal //mushroom //spores //(mycoplasma //pneumonia)
- //Risks //increased //with //cigarette //smoking //(due //to //normal //defenses //being //compromised)
Examples /
/of /
/aspiration /
/pneumonia /
/and //its //risk //factors //- //CORRECT //ANSWERS(S)✔✔- //Stomach //contents //d/t //vomitus
- //Can //be //bacterial //or //chemical //(non-infectious)
-/
/Risks: /
/decreased /
/LOC, //dementia, //dysphagia, //NG //tube, //depressed //gag //or //depressed //cough //reflex
What /
/are //the //2 //types //of //pneumonia? //- //CORRECT //ANSWERS(S)✔✔Community //acquired //(CAP)
- //Onset //in //community //or //during //first //two //days //(48 //hours) //of //hospitalization
- //Streptococcus //pneumoniae //is //the //most //common
Hospital //acquired //pneumonia //(HAP)
- //Onset //>48 //hours //after //admission
- //Highest //morbidity //and //mortality //of //all //nosocomial //infections
, //////////////////////////////////////////
Symptoms /
/of /
/pneumonia //- /
/CORRECT /
/ANSWERS(S)✔✔High /
/fever, /
/chills, /
/cough /
/with /
/sputum /
/or /
/phlegm, /
/SOB, /
/pleuritic /
/chest /
/pain, //general //malaise, //tachycardia, //headache, //loss //of //appetite, //clammy //skin, //hemoptysis
Define //hemoptysis //- //CORRECT //ANSWERS(S)✔✔Coughing //up //of //blood //or //blood-
stained /
/mucus /
/from //the //bronchi, //larynx, //trachea, //or //lungs. //In //other //words, //it //is //the //airway //bleeding.
Define /
/pleurisy //- /
/CORRECT /
/ANSWERS(S)✔✔Inflammation /
/of //the //pleura. //Patient //may //describe //the //pain //as //"it //hurts //to //cough"
What /
/is /
/different /
/in /
/an /
/elderly /