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is an inflammation of the bronchi in the lower respiratory tract; with or after a viral upper respiraoty tract infection; Cough (10-20days); Clear mucoid sputum/possible purulent sputum;
Community-Acquired Pneumonia (CAP)
is a lower respiratory tract infection with ondet in the community or during the first 2 days of hospitalization
right ventricular hypertrophy caused by pumonary hypertension leading to heart failure.
The accumulation of purulent exudate in the pleural cavity, occurs in less than 5% of cases and requires antibiotic therapy and drainage of the exudate by a chest tube or open surgical drainage.
fracture of two or more adjacent ribs in two or more places with loss of chest wall stability; paradoxic chest wall movement, respiratory distress, association with hemothorax, pneumothorax or pulmonary contusion; O2 maintenance, analgesia, positive pressure (CPAP, BiPAP) or intubation and mechanical ventilation, treat associated injuries.
blood in the pleural space, may or may not occur in conjunction with pnuemothorax; Dyspnea, diminished and absent breath sounds, dullness to percussion, decreased hemoglobin, shock depending on blood volume lost; Chest tube insertion with chest drainage system, autotransfusion of collected blood, treatment of hypovolemia;
Hospital-Acquired Pneumonia (HAP)
is pneumonia occurring 48 hours or longer after hospital admission and not incubating at the time of hospitalization.
is a highly contagious infection of the lower respiratory tract with a gram-negative bacillus, Bordella Pertussis; dangerous to children (esp under 6 months); inspiratory gasps (whooping sound), vomiting;
is a feneral term for a group of lung diseases caused by inhalation and retention of dust particles. (dust in the lungs)
is an acute inflammation of the lung parenchyma that is most frequently caused by a microorganism.
ia an abnormal accumulation of fluid in the alveoli and interstitial spaces of the lungs.
is a blockage of pulmonary arteries by a thrombus, fat or air embolus, or tumor tissue.
is an elevated pulmonary pressure resultin gfrom an increase in lumonary vascular resistance to blood flow; SOB, fatigue
a severe stage of pneumothorax in which the mediastinal cavity is shifted from the midline affecting venous return and cardiac output; dyspnea, chest pain, tracheal deviation, decreased or absent breath sounds, neck vein distention and cyanosis.
In assessing a patient with pneumococcal pneumonia, the nurse recognizes that clinical manifestations of this condition include...
an abrupt onset of fever, productive cough with rust-colored sputum.
An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of ineffectve airway clearance related to thick secretions and fatigue would be to...
teach the patient how to cough effectively to bring secretions to the mouth.
A patient with TB has been admitted to the hospital and is place in an airborne infection isolation room. Which of the foolowing should the patient be taught...
take all medications for full length of time to prevent multidrug-resistant TB; wear a standard isolation mask if leaving the airborne infection isolation room; Maintain precautions in airborne anfection isolation room by coughing into a paper tissue.
A patient has been receiving high-dose corticosteroids and broad-spectrum antibiotics for treatment secondary to a traumatic injury and infection. The nurse plans care for the paitnet knowing that the patient is most susceptible to...
Which statement best describes the treatment of lung abscess?
Antibiotics given for a prolonged period are the usual treatment of choice.
The patient with lung cancer needs to receive influenza vaccine and pneumococcal vaccines. The nurse will...
administer both vaccines at the same time in different arms.
The nurse identifies a flail chest in a trauma patient when...
there is a paradoxical chest movement occurs during respiration.
The nurse notes tidaling of the water level in the tube submerged in the water-seal chamber in a patient with closed chest tube drainage. The nurse should...
continue to monitor this normal finding.
A nursing measure that should be instituted after a pneumonectomy is...
range-of-motion exercises on the affected upper extremity.
Guillain-Barre Syndrome causes respiratory problems primarily by...
interrupting nerve transmission to respiratory muscles.
A patient is on a continuous epoprostenol infusion pump. The alarm foes off indicating an obstruction in the intravenous line downstream. The nurse should...
assess the central line immediately for any obstuction or accidental clamping of tubing.
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