PBDS RETAKE STUDY QUESTIONS WITH COMPLETE SOLUTIONS

PNEUMONIA symptoms Correct Answer: Crackles, shortness of breath, productive cough, fever, chills, loss of appetite, sharp chest pain with deep breathing, nasal congestion, decreased activity Pneumonia interventions Correct Answer: 1. Assess lung sounds for signs of crackles, Check RR, TEMP, AND O2 SAT, pulse, BP. 2. Call MD stat 3. Place patient in high fowlers 4. TCDB/Incentive spirometry 5.Collect sputum sample if ordered 6. Anticipate an order for respiratory to obtain breathing treatments 7.Give oxygen if needed 8.Anticipate an order for a chest X-ray, ABG, CBC 9.Give fluids Pneumonia Rationales Correct Answer: 1. Auscultate for sounds of crackles/mucous in the lungs. Establish a baseline for the vitals obtained and compare to future assessments. 2. Let MD aware of patients condition, await orders 3. To open up airway in the lungs 4. Tcdb/ Incentive spirometry loosens up secretions in the lungs and makes it easier to clear out the lungs of these secretions when done routinely. 5.Sputom samples/blood cultures are taken to identify the bacteria involved in the condition. 6.Anticipate an order for respiratory can deliver nebulizer/inhalant medications that is beneficial for the patient. Can take ABG 7.Oxygen can improve o2 sat if decreased. 8. Check for an elevated WBC, chest X-ray will show what side of the lungs are affected by pneumonia. 9. Prevents dehydration Pneumonia Consults Correct Answer: Infectious disease/ Respiratory therapist Hypovolemic Shock Correct Answer: Tachycardia, Hypotension, Pallor/cyanosis, Cold skin, weakness, dizziness, fainting, nausea, dehydrated, diminished/absent peripheral pulses Hypovolemic Shock interventions Correct Answer: 1. Call MD stat 2.Monitor BP, pulse, RR, oz sat and weights daily 3.Place patient's legs elevated 4.Administer fluids 5.Provide oxygen as needed 6.Monitor patients for signs of Fluid overload such as: Crackles in the lungs, swelling, weight gain 7.Antcipate an order for CBC, Electrolytes, BUN, Creatinine 8. Recheck BP, PULSE, O SAT, and monitor every 1-2 hours.