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Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition
1-6: Pre-Simulation Quiz
7-16: Post-Simulation Quiz
A patient experiencing respiratory distress at home from pneumonia is brought to the hospital
and upon presentation requires intubation. How would the nurse classify this type of
pneumonia? pg. 587 Correct answer-Community-acquired pneumonia
Rationale: Community-acquired pneumonia (CAP) is pneumonia occurring in the community or
within less than 48 hours of hospital admission. Health care-associated pneumonia (HCAP)
occurs in a nonhospitalized patient with extensive 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.
The patient experiencing an anaphylactic reaction may experience which of the following signs
and symptoms? (Select all that apply.) pg. 1065 Correct answer-- Bronchospasm
- Pruritus
- Dyspnea
- Laryngeal edema
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
, Medical Case: Kenneth Bronson; Questions &
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of the eyes. Moderate systemic reactions 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 swallowing), abdominal cramping,
vomiting, diarrhea, and seizures can also occur. Cardiac arrest and coma may follow.
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.) pg. 590
Correct answer-- Fever
- Orthopnea
- Dyspnea
- Fatigue
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.
Which of the following represent initial signs and symptoms of a patient in respiratory distress?
(Select all that apply.) pg. 488-490 Correct answer-- Dyspnea
- Tachypnea
- Hypoxemia