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NURS328 EXAM 1 Questions With Complete Solutions

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Restrictive respiratory disease correct answer: Reduced expansion of the lung; Ex. chest wall disorders, acute/chronic interstitial and infiltrated diseases Clinical manifestation of restrictive respiratory disease correct answer: Decreased expansion of lung tissue/chest wall elasticity, decreased total lung capacity, normal residual volume Pneumonia correct answer: An inflammation of lung tissue, where the alveoli in the affected areas fill w/fluid Pathophysiology of pneumonia correct answer: Microorganism enters lung --> colonization of microorganism in alveoli --> inflammatory response --> accumulation of fluid in alveoli --> edema --> impaired gas exchange Community-acquired pneumonia correct answer: A type of pneumonia that results from contagious infection outside of a hospital or clinic; must occur at least 48 hours before hospitalization Hospital-acquired pneumonia correct answer: Pneumonia occurring 48 hours or longer after hospital admission, not incubating at the time of hospitalization; can occur due to intubation Aspiration pneumonia correct answer: Fluid, food or something is aspirated into the lungs, causing a pneumococcal infection Opportunistic pneumonia correct answer: Occurs in certain patients with altered immune responses who are highly susceptible to respiratory infections Clinical manifestation of pneumonia correct answer: Decreased lung elasticity, decreased vital capacity, decreased surfactant production, hypoxemia (decreased oxygenated blood)

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NURS328 EXAM 1 Questions With
Complete Solutions
Restrictive respiratory disease correct answer: Reduced
expansion of the lung;
Ex. chest wall disorders, acute/chronic interstitial and infiltrated
diseases

Clinical manifestation of restrictive respiratory disease correct
answer: Decreased expansion of lung tissue/chest wall
elasticity, decreased total lung capacity, normal residual volume

Pneumonia correct answer: An inflammation of lung tissue,
where the alveoli in the affected areas fill w/fluid

Pathophysiology of pneumonia correct answer: Microorganism
enters lung --> colonization of microorganism in alveoli -->
inflammatory response --> accumulation of fluid in alveoli -->
edema --> impaired gas exchange

Community-acquired pneumonia correct answer: A type of
pneumonia that results from contagious infection outside of a
hospital or clinic; must occur at least 48 hours before
hospitalization

Hospital-acquired pneumonia correct answer: Pneumonia
occurring 48 hours or longer after hospital admission, not
incubating at the time of hospitalization; can occur due to
intubation

, Aspiration pneumonia correct answer: Fluid, food or something
is aspirated into the lungs, causing a pneumococcal infection

Opportunistic pneumonia correct answer: Occurs in certain
patients with altered immune responses who are highly
susceptible to respiratory infections

Clinical manifestation of pneumonia correct answer: Decreased
lung elasticity, decreased vital capacity, decreased surfactant
production, hypoxemia (decreased oxygenated blood)

Pneumonia risk factors correct answer: Very young or very old
age, multiple illnesses/chronic illness, lowered immune
response, hx of infection exposure, smoking, no inoculations
(vaccines), increased risk of aspiration, malnourishment

S/S of pneumonia correct answer: Cough, fever, shaking chills,
dyspnea, tachycardia, pleuritic pain

S/S of pneumonia in older adults correct answer: Confusion,
lethargy

NOTE: older individuals can have a lower resting body
temperature, so a temperature WDL can actually mean the
individual has a fever

Complications of pneumonia correct answer: Pleurisy, pleural
effusion, atelectasis, bacteremia/sepsis, lung abscess, empyema,
pericarditis, endocarditis, meningitis, arthritis, acute RDS, death
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