Respiratory Case Study Questions and Answers 100% Pass

Respiratory Case Study Questions and Answers 100% Pass The patient is assessed and a blood glucose level and vital signs are obtained upon arrival on the unit: BG: 239 HR: 128 O2: 88% RA BP: 138/88 RR: 36 Temp 101.6 F Which vital sign or test result requires the nurse's immediate attention: A. BP B. RR C. Temp D. BG B All of the patient's vital signs are abnormal; however, the most important one to report immediately is her increased respiration's (and decreased O2 saturation). ABCs After consulting with the PCP, the following orders are received: Full liquid diabetic diet IV fluids 1000 mL 0.9 NS at 60 mL/hr O2 at 2LNC Blood cultures x3 and urinalysis Tylenol gran X every 4 hr for temp above 101 F Cefazolin (Ancef) 1 g IVP every 8 hr Which of the provider's orders should the nurse implement first? A. IV fluids B. O2 C. Blood cultures and urinalysis D. Cefazolin (Ancef) B All of the provider's orders are very important; however, the most important one is O2 therapy. Hypoxia is often seen with pneumonia, so it is very important that supplemental o@ is started as soon as possible. IV fluids should be started to enhance pulmonary toileting, and the laboratory should be notified to draw the needed blood cultures. UAP can obtain the specimens for urinalysis. The blood cultures and the UA should be obtained before the IVP Ancef is administered. Two hours later, the patient has a weak cough, cracked in both lower lobes, and an O2 of 90% by pulse oximetry. What interventions should be implemented by the nurse at this time? The patient has developed problems with her airway. Intervention should include helping her to cough and deep breathe at least every 2 hours; teaching incentive spirometers every hour while awake; encouraging the patient to consume 3 L of fluid per day; monitoring intake and output; and administering bronchodilator if ordered. The nurse understands that which of the following is the most common manifestation of pneumonia in the older adult patient? A. Fever B. Cough C. Confusion D. Weakness C The older adult with pneumonia often has weakness, fatigue, lethargy, confusion and poor appetite. Fever and cough may be present, but hypoxemia is usually present. The most common manifestation of pneumonia in the older adult patient is confusion from hypoxia rather than fever or cough. A patient is admitted with cough, fever, sore throat, progressive shortness of breath, diarrhea, and vomiting that developed after returning from a business trip overseas. The nurse suspects which illness is the likely cause of the patient's symptoms? A. Pneumonia B. Viral influenza C. Avian influenza D. Tuberculosis exposure C The initial manifestations of avian influenza are similar to other respiratory infections it include cough fever, sore throat, shortness of breath, pneumonia, diarrhea, vomiting, abdominal pain, and bleeding from the nose and gums. Assess whether the patient as recently (within the past 10 days) traveled to areas of the world affected by H5N1. Pneumonia and tuberculosis exposure will not present with gastrointestinal symptoms. A patient is experiencing hypertension, fever, chills, night sweats, and weight loss. Upon assessment, the nurse notes a displaced PMI. The nurse knows this