Pneumonia and Tuberculosis Quiz
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Questions and Answers

A nurse is teaching a community group about pneumonia. Which pathogen is most commonly responsible for community-acquired pneumonia (CAP)?

  • Mycobacterium tuberculosis
  • Streptococcus pneumoniae (correct)
  • Influenza virus
  • Klebsiella pneumoniae

A patient with suspected bacterial pneumonia presents with unilateral lung involvement. The nurse recognizes this as:

  • Aspiration pneumonia
  • Viral pneumonia
  • Lobar pneumonia (correct)
  • Bronchopneumonia

The nurse is assessing a patient with tuberculosis (TB). What is the hallmark of a positive Mantoux test?

  • Redness at the injection site
  • Elevated WBC levels
  • Induration at the injection site (correct)
  • Presence of a rash

The nurse is reviewing a patient's arterial blood gas (ABG) results. Which finding is most concerning in a patient with pneumonia?

<p>pH: 7.28, PaCO2: 50 mmHg (C)</p> Signup and view all the answers

A nurse is providing care for a patient with active tuberculosis. Which medication regimen is appropriate for the first two months of treatment?

<p>Rifampin, isoniazid, ethambutol, and pyrazinamide (B)</p> Signup and view all the answers

The nurse is implementing interventions for a patient with pneumonia. Which intervention is a priority?

<p>Administering antibiotics as ordered (D)</p> Signup and view all the answers

A patient with aspiration pneumonia is admitted to the unit. Which factor is most likely responsible for the severity of the inflammation?

<p>pH of the aspirated material (C)</p> Signup and view all the answers

Which laboratory test is the gold standard for confirming a tuberculosis diagnosis?

<p>Sputum culture (A)</p> Signup and view all the answers

A nurse is educating a patient about pneumococcal vaccination. Which patient statement indicates the need for further teaching?

<p>I will only need one dose of the vaccine for lifetime immunity. (B)</p> Signup and view all the answers

Which clinical manifestation is most commonly associated with bacterial pneumonia?

<p>Sudden onset of fever, chills, and productive cough (D)</p> Signup and view all the answers

The nurse is caring for a patient receiving treatment for latent tuberculosis. What is the expected pharmacologic regimen?

<p>Isoniazid for 6-9 months (C)</p> Signup and view all the answers

Which diagnostic test is best for identifying active tuberculosis in a patient with a positive Mantoux test?

<p>Sputum culture (D)</p> Signup and view all the answers

The nurse is monitoring a patient with pneumonia for sepsis. Which finding requires immediate intervention?

<p>Lactate level of 4.2 mmol/L (C)</p> Signup and view all the answers

A patient with pneumonia is experiencing pleuritic chest pain during coughing. What intervention should the nurse prioritize?

<p>Teaching the patient to splint the chest (C)</p> Signup and view all the answers

A nurse is caring for an immunocompromised patient with suspected opportunistic pneumonia. Which pathogen is most likely involved?

<p>Pneumocystis jirovecii (D)</p> Signup and view all the answers

The nurse is planning care for a patient with bacterial pneumonia. Which intervention will help maintain airway patency?

<p>Performing endotracheal suctioning as ordered (C)</p> Signup and view all the answers

The nurse is providing education to a patient newly diagnosed with tuberculosis. Which statement indicates understanding?

<p>I must complete the full course of therapy to prevent resistance. (D)</p> Signup and view all the answers

Flashcards

Lobar Pneumonia

A type of pneumonia that affects one or more lobes of a single lung, often caused by bacterial pathogens.

Aspiration Pneumonia

The inhalation of substances, such as food, vomit, or stomach contents, into the lungs, leading to pneumonia.

Bronchopneumonia

A type of pneumonia affecting small areas of the lungs, typically caused by a variety of organisms.

Mantoux test

A test used to diagnose tuberculosis, where a small amount of a substance called tuberculin is injected into the skin. A positive test indicates exposure to Mycobacterium tuberculosis.

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Induration

A raised, hardened area at the injection site of the Mantoux test, indicating a positive result and suggesting exposure to Mycobacterium tuberculosis.

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Viral pneumonia

A type of pneumonia characterized by a mild and scattered pattern in the lungs, often caused by viruses.

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Arterial Blood Gas (ABG)

A blood test that analyzes the levels of dissolved gases in the blood, including oxygen, carbon dioxide, and pH, to evaluate the respiratory system.

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Hypercapnia

An increase in the level of carbon dioxide in the blood, which can be a symptom of respiratory failure in pneumonia.

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Respiratory Acidosis

A condition characterized by an excessive buildup of acid in the body, typically due to impaired gas exchange in the lungs.

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Drug Resistance

The process of a pathogen developing resistance to antibiotics, making them less effective in treating infections.

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Isoniazid

A type of antibiotic commonly used to treat tuberculosis, which can cause liver damage.

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Rifampin

A type of antibiotic commonly used to treat tuberculosis, which can cause orange-colored urine, sweat, and tears.

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Ethambutol

A type of antibiotic commonly used to treat tuberculosis, which can cause visual disturbances.

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Pyrazinamide

A type of antibiotic commonly used to treat tuberculosis, which can cause gout and liver problems.

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Endotracheal Suctioning

The process of removing secretions from the airway using a suction device.

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Aspiration Pneumonia

A type of pneumonia that occurs due to breathing in foreign substances, such as vomit, food, or saliva.

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Interferon-? Release Assay (IGRA)

A test that measures the amount of inflammatory response to Mycobacterium tuberculosis antigens.

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Opportunistic Pneumonia

A type of pneumonia commonly seen in individuals with weakened immune systems, often caused by the organism Pneumocystis jirovecii.

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Pneumocystis jirovecii Pneumonia

A type of pneumonia caused by the organism Pneumocystis jirovecii, primarily found in immunocompromised individuals.

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Pneumococcal Pneumonia

A type of pneumonia caused by the organism Streptococcus pneumoniae, which is often found in the nose and throat.

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Elevated WBC count

A white blood cell count above the normal range, which can indicate an infection.

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Sepsis

A condition that occurs when the body's response to infection leads to widespread inflammation, often affecting multiple organs.

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Lactate

A substance produced by the body during hypoperfusion, indicating a lack of oxygen in tissues. Levels above 4 mmol/L indicate a serious problem.

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Pleuritic Chest Pain

Pain in the chest that worsens when breathing deeply or coughing, often associated with inflammation of the pleura.

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Chest Splinting

A technique used to immobilize the chest wall during coughing, reducing pain associated with pleuritic chest pain.

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Immunodeficiency

A condition where the body has a deficient ability to produce or respond to interferon, a protein crucial for immune responses.

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Haemophilus influenzae Pneumonia

A type of pneumonia caused by the organism Haemophilus influenzae, which is often found in the nose and throat.

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Sputum Culture

A test that uses a swab to collect samples from the respiratory tract, which are then analyzed for the presence of bacteria.

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Nucleic Acid Amplification Test (NAA)

A type of test that amplifies and detects the genetic material of Mycobacterium tuberculosis, helping diagnose tuberculosis.

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Latent Tuberculosis

A condition where a person has been exposed to Mycobacterium tuberculosis but is not currently actively sick with tuberculosis.

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Chest X-Ray

A medical condition diagnosed by radiographic imaging that often helps to diagnose tuberculosis and other lung diseases.

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Ultrasound

An image taken of the internal organs using high-frequency sound waves, often used to diagnose tuberculosis or other lung conditions.

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Thoracentesis

The process of removing air and fluid from the pleural space, which is the space between the lungs and the chest wall. This procedure helps to relieve pressure and improve breathing.

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Study Notes

Pneumonia and Tuberculosis Questions & Answers

  • Question 1: Most common cause of community-acquired pneumonia (CAP) is Streptococcus pneumoniae (approximately 50%). Other causes include Mycobacterium tuberculosis (tuberculosis), Influenza virus, and Klebsiella pneumoniae, but less common.

  • Question 2: Unilateral lung involvement in suspected bacterial pneumonia points to lobar pneumonia. Bronchopneumonia is patchy and scattered, aspiration pneumonia is from inhaled substances, and viral pneumonia is often mild and scattered.

  • Question 3: The hallmark of a positive Mantoux test for tuberculosis (TB) is induration (a raised, hardened area) at the injection site, not just redness.

  • Question 4: A concerning finding in a pneumonia patient's arterial blood gas (ABG) results is a pH of 7.28 and a PaCO2 of 50 mmHg, indicating respiratory acidosis.

  • Question 5: Initial two months of active tuberculosis treatment involves a combination of rifampin, isoniazid, ethambutol, and pyrazinamide.

  • Question 6: The priority intervention for a pneumonia patient is administering antibiotics as ordered to treat the infection.

  • Question 7: Low pH of aspirated material in aspiration pneumonia is a key factor contributing to the severity of the inflammation.

  • Question 8: Sputum culture is the gold standard for confirming a tuberculosis diagnosis.

  • Question 9: Inaccurate statement about pneumococcal vaccination: Patients need multiple doses and/or revaccinations for effective lifetime immunity and prevent severe pneumonia.

  • Question 10: Sudden onset of fever, chills, productive cough is a typical symptom of bacterial pneumonia.

  • Question 11: The expected pharmacologic regimen for latent tuberculosis is isoniazid for 6-9 months.

  • Question 12: Sputum culture is the best diagnostic test for identifying active tuberculosis in a patient with a positive Mantoux test.

  • Question 13: Immediate intervention is required for a patient with pneumonia and sepsis who has a lactate level above 4 mmol/L.

  • Question 14: Intervening with a patient experiencing pleuritic chest pain during coughing involves teaching splinting.

  • Question 15: The most likely pathogen in a patient with suspected opportunistic pneumonia and immune compromise is Pneumocystis jirovecii.

  • Question 16: Maintaining airway patency in a bacterial pneumonia patient involves endotracheal suctioning as ordered.

  • Question 17: Completing the full course of tuberculosis therapy is essential to prevent resistance.

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Test your knowledge on pneumonia and tuberculosis with this quiz covering key symptoms, causes, diagnostic tests, and treatment protocols. Each question delves into important aspects of these respiratory conditions, making it ideal for students and health professionals alike.

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