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lawson care of the ct. with pneumonia

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which of the following clients have an increased risk for developing pneumonia? select all that apply   -ct who has dysphagia -ct. who has AIDS -ct who has a closed head injury and is receiving ventilation -ct who has myasthenia gravis  
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scenario: nurse is caring for ct. 76 y.o F. husband states his wife woke up this morn and did not recognize him or know where she was. Ct. reports chills and chest pain that worsens with inspiration    
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Based on scenario which of the following is the highest priority nursing task?   obtain baseline VS and O2 sat  
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VS: T 99.1, RR 30/min, BP 130/76mm Hg, P 110/min, SaO2 91% on room air. using a sacle of 1-4 prioritize the following nursing interventions   1. administer O2 therapy 2. perform a sputum culture 3. administer antibiotics as prescribed 4. administer an antipyretic medication to promote client comfort  
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nurse caring for ct. who has pneumonia and has a prescription for prednisone (deltasone). the nurse should monitor for which of the following? select all that apply   -fluid retention -hyperglycemia -fever -black, tarry stools  
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CAP: streptococcal pneumonia   gram +, nonmotile, resides in UR tract  
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CAP:mycoplasma   "walking pneumonia" -spreads through out entire resp. tract -insidious onset *most often in older kids and young adults  
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CAP: H influenzae   frequently affects elderly chronic illnesses (DM, COPD) *tx: ampicillin  
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CAP: viral pneumonia   "walking pneumonia" -influenza types A&B, adenovirus, parainfluenza, coronavirus & cytomegalovirus *Tx: amatadine  
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HAP: staphylococcal   occurs through inhalation of organism or spread through blood  
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which type of pneumonia is more common? Lobar pneumonia or bronchopneumonia   Bronchopneumonia  
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cause of influenza   orthomyxoviruses: type A, B, C  
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Created by: lissy11
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