Respiratory Case Study Exam Review Questions 100% Well Answered.
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Course
Respiratory Therapy
Institution
Respiratory Therapy
All of the patient's vital signs are abnormal; however, the most important one to report immediately is her increased respiration's (and decreased O2 saturation). ABCs - Answer The patient is assessed and a blood glucose level and vital signs are obtained upon arrival on the unit:
BG: 239
HR: ...
Respiratory Case Study Exam Review
Questions 100% Well Answered.
All of the patient's vital signs are abnormal; however, the most important one to report immediately is
her increased respiration's (and decreased O2 saturation). ABCs - Answer The patient is assessed and a
blood glucose level and vital signs are obtained upon arrival on the unit:
BG: 239
HR: 128
O2: 88% RA
BP: 138/88
RR: 36
Temp 101.6 F
Which vital sign or test result requires the nurse's immediate attention:
A. BP
B. RR
C. Temp
D. BG
B
All of the provider's orders are very important; however, the most important one is O2 therapy. Hypoxia
is often seen with pneumonia, so it is very important that supplemental o@ is started as soon as
possible. IV fluids should be started to enhance pulmonary toileting, and the laboratory should be
notified to draw the needed blood cultures. UAP can obtain the specimens for urinalysis. The blood
cultures and the UA should be obtained before the IVP Ancef is administered. - Answer After consulting
with the PCP, the following orders are received:
Full liquid diabetic diet
IV fluids 1000 mL 0.9 NS at 60 mL/hr
O2 at 2LNC
Blood cultures x3 and urinalysis
, Tylenol gran X every 4 hr for temp above 101 F
Cefazolin (Ancef) 1 g IVP every 8 hr
Which of the provider's orders should the nurse implement first?
A. IV fluids
B. O2
C. Blood cultures and urinalysis
D. Cefazolin (Ancef)
The patient has developed problems with her airway. Intervention should include helping her to cough
and deep breathe at least every 2 hours; teaching incentive spirometers every hour while awake;
encouraging the patient to consume 3 L of fluid per day; monitoring intake and output; and
administering bronchodilator if ordered. - Answer Two hours later, the patient has a weak cough,
cracked in both lower lobes, and an O2 of 90% by pulse oximetry.
What interventions should be implemented by the nurse at this time?
C
The older adult with pneumonia often has weakness, fatigue, lethargy, confusion and poor appetite.
Fever and cough may be present, but hypoxemia is usually present. The most common manifestation of
pneumonia in the older adult patient is confusion from hypoxia rather than fever or cough. - Answer
The nurse understands that which of the following is the most common manifestation of pneumonia in
the older adult patient?
A. Fever
B. Cough
C. Confusion
D. Weakness
C
The initial manifestations of avian influenza are similar to other respiratory infections it include cough
fever, sore throat, shortness of breath, pneumonia, diarrhea, vomiting, abdominal pain, and bleeding
from the nose and gums. Assess whether the patient as recently (within the past 10 days) traveled to
areas of the world affected by H5N1. Pneumonia and tuberculosis exposure will not present with
gastrointestinal symptoms. - Answer A patient is admitted with cough, fever, sore throat, progressive
shortness of breath, diarrhea, and vomiting that developed after returning from a business trip overseas.
The nurse suspects which illness is the likely cause of the patient's symptoms?
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