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Kenneth Bronson Guided Reflection Correctly answered Questions Revised and Graded Excellent

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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? A. Ventilator-associated pneumonia B. Health care-associated pneumonia C. Community-acquired pneumonia D. Hospital-acquired pneumonia - CORRECT ANSWER -C. 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. Epinephrine is administered for Kenneth Bronson's acute anaphylactic reaction. Which of the following does the nurse know is a possible side effect of this drug? - CORRECT ANSWER -Tachycardia Rationale: Tachycardia is one possible cardiovascular adverse effect of epinephrine. Once the patient is stabilized after an anaphylactic reaction, what information would be most essential for the nurse to include with patient and family follow-up teaching? - CORRECT ANSWER -What caused the event and how to prevent an anaphylactic reaction

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Kenneth Bronson Guided Reflection Correctly
answered Questions Revised and Graded Excellent
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?

A. Ventilator-associated pneumonia

B. Health care-associated pneumonia

C. Community-acquired pneumonia


D. Hospital-acquired pneumonia - CORRECT ANSWER ✔✔ -C. 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.

Epinephrine is administered for Kenneth Bronson's acute anaphylactic reaction. Which of the

following does the nurse know is a possible side effect of this drug? - CORRECT ANSWER ✔✔

-Tachycardia




Rationale: Tachycardia is one possible cardiovascular adverse effect of epinephrine.

, Once the patient is stabilized after an anaphylactic reaction, what information would be most

essential for the nurse to include with patient and family follow-up teaching? - CORRECT

ANSWER ✔✔ -What caused the event and how to prevent an anaphylactic reaction




Rationale: It will be important for the patient and family to know what caused the anaphylactic

reaction and how to prevent it from happening in the future. They should also receive instruction

on the proper use of a preloaded epinephrine syringe.

The nurse administering diphenhydramine understands that the medication falls under which of

the following categories for the treatment of an anaphylactic reaction? - CORRECT ANSWER

✔✔ -Antihistamine




Rationale: Diphenhydramine (Benadryl) is an antihistamine used to block the histamine released

in the immune response with anaphylaxis.

The nurse is assessing the lungs of a patient diagnosed with pneumonia. Which of the following

would be expected upon auscultation? - CORRECT ANSWER ✔✔ -Bronchial breath sounds




Rationale: Bronchial breath sounds occur in consolidation, such as pneumonia. Egophony may

occur in patients diagnosed with pleural effusion. Absent breath sounds occurs in pneumothorax.

Wheezes are associated with bronchial wall oscillation and changes in airway diameter.

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