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NUR200 9.6 Pnemonia P-P-A-R Study Set Exam
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NUR200 9.6 Pnemonia P-P-A-RStudy Set Exam
The nurse is caring for a client with pneumonia who is having difficulty clearing the
airway because of viscous, copious lung secretions. Which interventions should the
nurse use to aid in airway clearance?
(Select all that apply.)
Assess sputum for color and consistency
Provide a dehumidifier
Encourage fluids
Place in high Fowler position
Monitor arterial blood gas (ABG) results - Answer Assess sputum for color and
consistency
Encourage fluids
Place in high Fowler position
Monitor arterial blood gas (ABG) results
Rationale
The client has a large amount of thick secretions that are unable to be cleared. A client
who is having difficulty clearing the airway may become hypoxic. ABGs measure the
oxygen level in the arterial blood. An ABG result can provide information regarding the
degree of airway obstruction or hypoxia. It is important to assess the color and
consistency of the sputum because the characteristics may indicate an infection or a
need for further intervention. The goal is to decrease the amount and viscosity of the
sputum.Placing a client in a high Fowler position facilitates breathing because the
abdominal contents are not pressing on the diaphragm.Fluids help liquefy secretion,
making them easier to expectorate and clear the airway.A dehumidifier would make the
air dry. The client needs moisture to help expectorate.
The nurse is instructing a group of college students on symptoms of open double
quote"walking pneumonia.close double quote" Which symptoms should the nurse
include in the teaching session?
(Select all that apply.)
, Joint pain
Headache
Muscle aches
Productive cough
Fever - Answer Joint pain
Headache
Muscle aches
Fever
Rationale
Fever, headache, joint and muscle pain, and a nonproductive cough are typical
symptoms seen in primary atypical pneumonia (walking pneumonia).
The nurse is conducting a teaching session for new parents on the causes of viral
pneumonia. Which etiologies will the nurse include in the teaching?
(Select all that apply.)
Influenza virus
Adenovirus
Norovirus
Cytomegalovirus
Rotavirus - Answer Influenza virus
Adenovirus
Cytomegalovirus
Rationale
Viral pneumonia is commonly caused by influenza or adenovirus.
Cytomegalovirus (CMV) can also cause viral pneumonia. This type of pneumonia can
occur in young children. CMV is also increasing in frequency, especially in those with
HIV.
Rotavirus and norovirus cause diarrhea, not pneumonia.
The nurse is assessing a client who is reporting shortness of breath, fever, and a
productive cough. Which diagnostic test should the nurse anticipate being ordered
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