Nursing Quiz: Pneumonia and Aspiration Management
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Questions and Answers

What is typically associated with ventilator-associated pneumonia (VAP) developing after 96 hours of ventilatory support?

  • Environmental pathogens
  • Routine commensal bacteria
  • Multidrug-resistant organisms (MDROs) (correct)
  • Antibiotic-sensitive bacteria

    • Which of the following conditions can lead to pneumonia in an immunocompromised host?

  • Chronic fatigue syndrome
  • Nutritional depletion (correct)
  • Hypertension
  • Normal aging

    • What type of substances can lead to aspiration pneumonia when entered into the lower airway?

  • Irritating gases and chemicals (correct)
  • Small food particles
  • Only endogenous bacteria
  • Airborne viruses

    • What are common pathogens associated with aspiration pneumonia?

    <p>Anaerobes and gram-negative bacilli</p> Signup and view all the answers

    Which of the following risk factors is associated with aspiration pneumonia?

    <p>Chronic obstructive pulmonary disease (COPD)</p> Signup and view all the answers

    Which clinical manifestation is most notably associated with pleuritic chest pain?

    <p>Tachypnea</p> Signup and view all the answers

    What is a key nursing diagnosis for a patient experiencing fatigue and activity intolerance?

    <p>Impaired respiratory function</p> Signup and view all the answers

    Which of the following is NOT part of the medical management for bacterial pneumonia?

    <p>Encouraging immediate physical activity</p> Signup and view all the answers

    What does aspiration primarily involve in terms of content?

    <p>Inhalation of colonized oral or pharyngeal materials into the lungs</p> Signup and view all the answers

    Which assessment is critical for evaluating a patient with impaired airway clearance?

    <p>Respiratory assessment</p> Signup and view all the answers

    Which of the following is not a common risk factor for aspiration?

    <p>Obesity</p> Signup and view all the answers

    What is the recommended head of bed elevation angle to prevent aspiration during tube feeding?

    <p>30 to 45 degrees</p> Signup and view all the answers

    Which of the following should be avoided for patients at risk for aspiration?

    <p>Bolus feedings</p> Signup and view all the answers

    What organism is primarily responsible for tuberculosis infection?

    <p>Mycobacterium tuberculosis</p> Signup and view all the answers

    How does tuberculosis primarily spread from one person to another?

    <p>Airborne transmission</p> Signup and view all the answers

    Which of the following practices should be consulted before starting oral feedings for recently extubated patients?

    <p>Swallowing evaluation</p> Signup and view all the answers

    Which of the following describes the expected shape of droplets that are inhaled in tuberculosis transmission?

    <p>Small and suspended</p> Signup and view all the answers

    What is a recommended practice for patients receiving tube feedings in relation to gastrointestinal output?

    <p>Assess placement of the feeding tube every 4 hours</p> Signup and view all the answers

    What is a common complication associated with purulent secretion that cannot be cleared by coughing?

    <p>Increased risk of airway obstruction</p> Signup and view all the answers

    Why are antihistamines typically not prescribed for tracheobronchitis?

    <p>They may cause excessive drying of secretions.</p> Signup and view all the answers

    Which method is NOT typically used to relieve laryngeal and tracheal irritation in patients?

    <p>Cold compress application</p> Signup and view all the answers

    What is the primary nursing function in managing acute tracheobronchitis?

    <p>Encouraging bronchial hygiene</p> Signup and view all the answers

    What classification does pneumonia acquired within the first 48 hours of hospitalization fall into?

    <p>Community-acquired pneumonia (CAP)</p> Signup and view all the answers

    What microorganisms can cause pneumonia?

    <p>Bacteria, mycobacteria, fungi, and viruses</p> Signup and view all the answers

    In the context of pneumonia, what is the expected consequence of microbial invasion?

    <p>Inflammatory response leading to infection</p> Signup and view all the answers

    Which statement regarding fluid intake for patients with tracheobronchitis is true?

    <p>Increase in fluid intake helps to thin secretions.</p> Signup and view all the answers

    Which of the following is NOT a recognized risk factor for developing ARDS?

    <p>Chronic obstructive pulmonary disease (COPD)</p> Signup and view all the answers

    What is the primary pathophysiological event in ARDS?

    <p>Leakage of fluid into the alveoli</p> Signup and view all the answers

    What immediate management is often required for a patient with ARDS?

    <p>Intubation and mechanical ventilation</p> Signup and view all the answers

    Which symptom is commonly associated with pulmonary edema?

    <p>Labored breathing</p> Signup and view all the answers

    In terms of nutritional support for a patient with ARDS, what is the caloric requirement?

    <p>35 to 45 kcal/kg/day</p> Signup and view all the answers

    Which of the following management strategies is included in the nursing management of ARDS?

    <p>Prepare for mechanical ventilation</p> Signup and view all the answers

    What does pulmonary embolism primarily result from?

    <p>Obstruction of the pulmonary artery by a thrombus</p> Signup and view all the answers

    Which sign indicates possible severe hypoxia in a patient with ARDS?

    <p>Cyanosis</p> Signup and view all the answers

    What might be observed in a chest X-ray for a patient with atelectasis?

    <p>Patchy infiltrates or consolidated areas</p> Signup and view all the answers

    Which of the following interventions aids in preventing atelectasis?

    <p>Frequent turning and early mobilization</p> Signup and view all the answers

    What is a potential result of unaddressed atelectasis in patients with underlying lung disease?

    <p>Respiratory failure</p> Signup and view all the answers

    What could indicate hypoxemia in a patient?

    <p>Pulse oximetry demonstrating low saturation of hemoglobin with oxygen</p> Signup and view all the answers

    What is the purpose of incentive spirometry?

    <p>To keep lungs strong and promote deep breathing</p> Signup and view all the answers

    Which accessory muscles are used when breathing in patients experiencing respiratory distress due to atelectasis?

    <p>Deltoid, trapezius, and sternocleidomastoid</p> Signup and view all the answers

    What is the first action to take if bronchial obstruction from secretions causes atelectasis?

    <p>Remove secretions by coughing or suctioning</p> Signup and view all the answers

    Which treatment may assist patients in expectorating secretions during respiratory care?

    <p>Nebulizer treatments with bronchodilators</p> Signup and view all the answers

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    Description

    This quiz covers key concepts related to pneumonia, particularly ventilator-associated pneumonia and aspiration pneumonia. You will explore clinical manifestations, risk factors, pathogens, and nursing diagnoses essential for managing patients with pneumonia. Test your understanding of effective interventions and assessments in nursing practice.

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