Pneumonia
You are assessing patients with pneumonia. What risks would put a patient first for assessment?
A patient with suspected influenza arrives with fever, myalgia, and cough. Which transmission-based precautions should the nurse initiate?
Influenza is primarily spread by respiratory droplets. Use standard and droplet precautions.
A patient in triage reports chronic cough, night sweats, weight loss, and blood-streaked sputum with recent travel outside the US. What should the nurse do first?
Initiate airborne precautions
Which patient should be evaluated first?
A.Patient with pneumonia and improved appetite
B.Patient with influenza and mild myalgia
C.Patient with TB awaiting routine teaching
D.Patient with pneumonia, SpO₂ 84%, and new confusion
D- Severe hypoxemia and altered mental status indicate immediate threats to oxygenation.
Which teaching point is most important for preventing influenza?
Receive the flu vaccine annually
A patient has thick sputum, rhonchi, and no fluid restriction. Which intervention best supports secretion clearance?
Hydration and effective coughing
A patient with influenza has SpO₂ 89%, RR 30/min, and difficulty breathing. Which action takes priority?
Administer ordered oxygen and sit upright.
Which room is most appropriate for a patient with suspected active pulmonary TB?
Negative pressure
A patient with pneumonia has RR 34/min, BP 86/50, and HR 132/min. What is the best nursing decision?
A.Recheck in four hours
B.Escalate care immediately and support airway, breathing, and circulation
C.Begin routine incentive spirometry teaching
D.Prepare discharge instructions
B- These findings suggest hemodynamic instability and possible sepsis.
Which statement from a patient discharged after bacterial pneumonia needs correction?
A.I will balance rest with gradual activity
B.I will practice coughing and deep breathing
C.I can stop prescribed antibiotics as soon as my fever resolves
D.I will seek care if my breathing worsens
C- Prescribed antibiotic therapy should be completed as directed rather than stopped independently when symptoms improve.
A patient with pneumonia becomes confused, hypotensive, and tachypneic. Which action is most appropriate?
Immediate assessment for sepsis and respiratory deterioration
A patient with influenza has dry mucous membranes, tachycardia, and poor intake. Which nursing concern is most supported?
Fluid Volume Deficit
A Mantoux test shows firm induration when read 60 hours after placement. What is the best interpretation?
Requires interpretation and may indicate immune sensitization
Name a finding that best demonstrates effective airway-clearance interventions?
Improved breath sounds
effective clearance of secretions
A patient with pneumonia is planning home recovery. Which plan best promotes respiratory health?
Avoid smoke
Maintain nutrition and hydration
increase activity as tolerated
What demonstrates correct incentive spirometer technique?
Inhale slowly and deeply and hold for a few seconds
A pregnant patient requests the intranasal influenza vaccine. What is the best nursing response?
Educate and recommend an appropriate inactivated vaccine instead.
A patient with suspected TB has a positive skin test. Which additional evaluation is appropriate?
Chest x-ray and appropriate follow up
A patient with pneumonia becomes increasingly dyspneic while lying flat. Which immediate nursing intervention is most appropriate?
Assist into high-Fowler's and assess oxygenation
Name some outcomes that best support improvement in a patient undergoing treatment for active TB?
Stable weight
resolving fever
Improved breathing
Improved respiratory symptoms and nutritional status support clinical recovery, though treatment response also requires appropriate medical follow-up.
A patient treated for pneumonia has improving oxygenation and stable vital signs but still has mild fatigue. Which conclusion is most appropriate?
The patient is improving but still needs monitoring.
A patient recovering from influenza develops worsening dyspnea, new crackles, and declining oxygen saturation. What should the nurse suspect?
Possible pneumonia
A patient taking treatment for TB reports feeling better and wants to stop the medications. What should the nurse do first?
Reinforce completing the prescribed regimen and discuss adherence barriers
A patient with pneumonia has a PaO₂ of 55 mmHg despite receiving 50% supplemental oxygen. How should the nurse interpret this finding?
Severe oxygen impairment requiring urgent evaluation
A patient recovering from influenza asks when to seek urgent evaluation. Which symptom should the nurse emphasize?
New or worsening difficulty breathing.