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INPA2 UPDATED ACTUAL Questions and CORRECT Answers

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INPA2 UPDATED ACTUAL Questions and CORRECT Answers

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INPA2 UPDATED ACTUAL Questions and
CORRECT Answers
pneumonia definition - CORRECT ANSWER - - inflammatory process affecting
bronchioles and alveoli
- can result from radiation therapy, chemical ingestion, or aspiration


pneumonia signs and symptoms - CORRECT ANSWER - - fever
- chills
- productive cough
- discomfort in chest wall muscles from coughing
- general discomfort
- sputum (mixture of saliva and mucous) is rust coloured
- slow pulse and respiration


pneumonia medical management - CORRECT ANSWER - - antibiotic therapy for
bacterial pneumonia
- supplemental oxygen to alleviate hypoxemia
- cough suppressants and expectorants, may cause nausea
- mucolytics to make thick secretions easier to clear, may cause nausea and diarrhea
- fluid and electrolyte replacement necessary for fever, dehydration, and inadequate nutrition
- bronchodilators for dilating the airways, may cause increased heart rate, nervous or shaky
feeling


pneumonia nursing management - CORRECT ANSWER - - auscultate lung sounds
- monitor signs for respiratory difficulty
- check oxygenation with pulse oximetry
- assess cough and sputum production
- semi-fowler's position to aid breathing and increase amount of air breathed in

, - increase fluid intake to loosen secretions and replace lost fluids by fever
- monitor vital signs


pneumonia risk factors - CORRECT ANSWER - - children under 2, older adults over 65
- weakened immune system, chronic conditions like asthma, smoking


stroke - CORRECT ANSWER - - prolonged interruption in the flow of blood through one
of the arteries supplying the brain
- if brain is deprived of oxygenated blood for 3-7 minutes, brain and cerebral nerve cells die


ischemic strokes - CORRECT ANSWER - - occur when thrombus or embolus obstruct an
artery carrying blood to brain


hemorrhagic stroke - CORRECT ANSWER - - occur when cerebral blood vessel ruptures,
and blood is released in brain tissue


stroke medical management - CORRECT ANSWER - - depends on cause
- tissue plasminogen activator (thrombolytic agent) can help with neurological deficits when
given within 3 hours after consent of stroke
- If with atherosclerosis, atherectomy may be needed


stroke nursing management - CORRECT ANSWER - - implement eating and swallowing
techniques that reduce risk for aspiration
- remove clutter to help reduce risk for falls
- follow up care with speech pathologist and dietician
- perform regular exercises
- change postion frequently


stroke assessment - CORRECT ANSWER - - time symptoms began

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