NUR4526 CHAPTER 30: PNEUMONIA, PNEUMOTHORAX, CT/PLEURAL DRAIN/EFFUSION

1. What clinical manifestations should the nurse expect when assessing a client with pneumococcal pneumonia? a. Fever, chills, and a productive cough with purulent sputum b. Nonproductive cough and night sweats that are usually selflimiting c. Gradual onset of nasal stuffiness, sore throat, and purulent productive cough d. Abrupt onset of fever, nonproductive cough, and formation of lung abscesses - Answer-a. Fever, chills, and a productive cough with purulent sputum 2. A client with pneumonia has the nursing diagnosis of ineffective airway clearance related to excessive mucus and retained secretions. What would be an appropriate nursing intervention? a. Promote fluid hydration, as appropriate, to help liquefy secretions. b. Provide analgesics as ordered to promote client comfort. c. Administer oxygen as prescribed to maintain optimal oxygen levels. d. Teach the client how to cough effectively to bring secretions to the mouth. - Answer-a. Promote fluid hydration, as appropriate, to help liquefy secretions. 3. A client with tuberculosis (TB) has a history of nonadherence to the medication regimen. What is the most common cause of this behaviour in clients with TB? a. Fatigue and lack of energy to manage self-care b. Lack of knowledge about how the disease is transmitted c. Lack of social support systems for the client and family d. Feelings of shame and the response to the social stigma associated with TB - Answer-d. Feelings of shame and the response to the social stigma associated with TB 4. A client has been receiving high-dose corticosteroids and broadspectrum antibiotics for treatment of serious trauma and infection. Which of the following infections is the client most susceptible to? a. Aspergillosis b. Candidiasis c. Coccidioidomycosis d. Histoplasmosis - Answer-Candidiasis 5. Which of the following statements best describes the treatment of lung abs