MVS- EXAM 2

Question 1

What is Pneumonia and its types

Answer 1

An infection of the lungs
Can be caused from bacteria or virus
Can cause puss, WBC or difficulty of gas exchange
Types include: Cap;community acquired, Aspiration pneumonia, HAP:Hospital acquired, Ventilated acquired

Question 2

What are the risk factors to Pneumonia

Answer 2

Compromised immune system
Immature immune system
Smoking or Diabetes

Question 3

Clinical manifestations related to pneumonia

Answer 3

Dypsnnea, cough, chills, fever, cyanosis

Question 4

Diagnostic testing to Pneumonia

Answer 4

Chest Xray, CBC, O2 sat, Bronchoscopy

Question 5

Nursing interventions to Pneumonia

Answer 5

Monitor respiratory, Asculate lung sounds, Suction as needed, Monitor vitals, Skin color, Educate on incentive spirometer, Hydrate and Turn and position HOB at 30 degrees

Question 6

Interpersonal treatment of pneumonia

Answer 6

Pharmacological, antibiotics if caused by bacteria
Providing oxygen
Speech Therapy
Virus; treat the symptoms
Increase fluid intake

Question 7

Prevention of Pneumonia

Answer 7

Vaccinate with pneumoccal vaccine
PPSV23 for ages 65 and older
BUT, if immunocompromised= HIV, DM, sickle cell, anemia and malignancies, can get as early as 2 yrs old to 64.

Question 8

RSV

Answer 8

Highly contagious, Droplet/Contact
Causes bronchioles
More common in daycare and children before age 2

Question 9

Who is at risk for RSV

Answer 9

Infants and toddlers in daycare
Exposure to second hand smoke
Wood burning stoves
Older adults with chronic disease
Daycare workers

Question 10

Clinical manifestations of RSV

Answer 10

Irritability, Cough, Low grade fever, Copious mucis secretion

Question 11

Nursing interventions for RSV

Answer 11

Administer oxygen
Supportive care is best
No vaccine is available so , Proper hand hygiene

Question 12

Levels of prioritization

Answer 12

First: ABC’s vitals and labs: Airway, Breathing
Second level: Mental status change
Untreated medical issues
Acute pain
Acute elimination

Question 13

Delegation of LPN

Answer 13

Scope depends on state and facility
Can only care for stable patients, not acute
Helps collect data
Foley care
Wound care
Chronic patients too

Question 14

LPN restrictions

Answer 14

No blood products, IV’s, Unstable patients, TAPE, New admissions, Discharge teachings, Fresh postop

Question 15

Delegation CNA

Answer 15

Scope depends on state ad facility
ADL’s, Toileting, Bathing, Ambulate, Blood draw, Assist in feeding

Question 16

Tachypnea symptoms

Answer 16

Excessive breathing, Shallow breathing and Rapid breathing at rest