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vSim - Bronson and Hughes With Questions And 100% ALL SURE ANSWERS
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JACKLINEvSim - Bronson and Hughes With Questions And 100% ALL SURE
ANSWERS
Terms in this set (34)
A patient experiencing respiratory distress at home d) Community-acquired pneumonia
from pneumonia is brought to the hospital and upon
presentation requires intubation. How would the Community-acquired pneumonia (CAP) is pneumonia occurring in the community or within less than
nurse classify this type of pneumonia? 48 hours of hospital admission. Health-care-associated pneumonia (HCAP) occurs in a non-
hospitalized patient with extensive health care contact. Hospital-acquired pneumonia (HAP) occurs
a) Hospital-acquired pneumonia 48 hours or more after hospital admission. Ventilator-associated pneumonia (VAP) is a type of HAP
b) Ventilator-associated pneumonia that develops 48 hours or more after intubation.
c) Health-care-associated pneumonia
d) Community-acquired pneumonia
, When a patient presents to the emergency a) Fatigue
department with pneumonia, which signs and b) Orthopnea
symptoms would the nurse expect to exhibit? c) Fever
(Select all that apply.) e) Dyspnea
a) Fatigue Fever is present with the infection. Patients with exhibit dyspnea, preferring to be propped up or
b) Orthopnea sitting up due to orthopnea (SOB when reclining or supine). The patient is fatigued from the work of
c) Fever breathing.
d) Night sweats
e) Dyspnea
Which of the following represent initial signs and a) Hypoxemia
symptoms of a patient in respiratory distress? c) Dyspnea
(Select all that apply.) e) Tachypnea
a) Hypoxemia Dyspnea and tachypnea accompanied by low oxygen in the blood are associated with respiratory
b) Cyanosis distress. Cyanosis is a very late indicator of hypoxia to the tissues. Fever is an indication of infection.
c) Dyspnea
d) Fever
e) Tachypnea
a) Dyspnea
The patient experiencing an anaphylactic reaction b) Pruritus
may experience which of the following signs and c) Bronchospasm
symptoms? (Select all that apply.) d) Laryngeal edema
a) Dyspnea Mild systemic reactions consist of peripheral tingling, warmth, a sensation of fullness in the mouth
b) Pruritus and throat, nasal congestion, periorbital swelling, pruritus, sneezing, and tearing of the eyes.
c) Bronchospasm Moderate systemic reactions may include flushing and anxiety in addition to any of the milder
d) Laryngeal edema symptoms. More serious reactions include bronchospasm, laryngeal edema, severe edema, severe
e) Pallor dyspnea, cyanosis, and hypotension. Dysphagia (difficulty swallowing), abdominal cramping,
vomiting, diarrhea, and seizures can also occur. Cardiac arrest and coma may follow.
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