Nursing Management of Patients with Pneumonia

Oxygenation

100

How does supplemental oxygen help patients with pneumonia?

It delivers oxygen directly to the lungs to increase blood oxygen supply and send oxygen to tissues and organs

_{(Tipping, Julie: Module 3 - Oxygen Supply and Demand Resp Assessment and O2 Therapy / Slide 6)}

200

Why is it important to monitor SpO₂ in patients with pneumonia?

It can help show early signs of hypoxia

_{(Tipping, Julie: Module 3 - Oxygen Supply and Demand Resp Assessment and O2 Therapy / Slide 11)}

300

What percentage of oxygen saturation is a clear criteria to use supplemental oxygen?

For SpO2 92–95%, consider oxygen only if you observe concerns with perfusion. If SpO2 is less than 90–92% in a patient without COPD, then oxygen should be considered regardless of perfusion

_{(Tipping, Julie: Module 3 - Oxygen Supply and Demand Resp Assessment and O2 Therapy / Slide 38)}

Positioning

100

How often should the patient be repositioned to promote lung expansion?

Every 2 hours

_{(Tyerman, J. & Cobbett, S.L. (2023). Lewis’s Medical-Surgical Nursing in Canada. (5th edition).}

_{Toronto, ON / Page 594).}

200

How should patients with altered consciousness be positioned to reduce the risk of aspiration?

Side-lying position or upright

_{(Tyerman, J. & Cobbett, S.L. (2023). Lewis’s Medical-Surgical Nursing in Canada. (5th edition).}

_{Toronto, ON / Page 594).}

300

If a patient has a unilateral form of pneumonia, how should the nurse position the patient?

In the “good lung down” position

_{(Tyerman, J. & Cobbett, S.L. (2023). Lewis’s Medical-Surgical Nursing in Canada. (5th edition).}

_{Toronto, ON / Page 595).}

Medication

100

Which type of pneumonia are antibiotics prescribed for?

 

Bacterial pneumonia

_{(Tipping, Julie: Module 4 - Chronic Respiratory Illness Part III (Asthma, COPD, Pneumonia / Slide 18)}

200

What are the main problems of the usage of antibiotics to treat pneumonia patients?

Germs that may no longer respond to medications and patients having allergic reactions

_{(Tyerman, J. & Cobbett, S.L. (2023). Lewis’s Medical-Surgical Nursing in Canada. (5th edition). Toronto, ON / Page 594).}

300

What are two reasons why nurses should be more cautious to avoid overmedication with opioids or sedatives?

Opioids suppress the cough reflex, which can weaken clearance of secretions, and more importantly, they can cause respiratory depression, slowing respiratory drive and leading to hypoxia

_{(Tyerman, J. & Cobbett, S.L. (2023). Lewis’s Medical-Surgical Nursing in Canada. (5th edition).}

_{Toronto, ON / Page 593).}

Patient Education

100

Good lifestyle habits that nurses could teach patients to prevent pneumonia recurrence include maintaining a nutrient-rich diet, ________, and ________.

Hand hygiene and staying physically active

_{(Tyerman, J. & Cobbett, S.L. (2023). Lewis’s Medical-Surgical Nursing in Canada. (5th edition).}

_{Toronto, ON / Page 594).}

200

Why should ICOUGH be implemented for patients with pneumonia?

Pneumonia patients are taught this program (ICOUGH) to expand their lungs, clear secretions, and reduce their risk of hospital-acquired infections

_{(Tipping, Julie: Module 3 - Oxygen Supply and Demand Resp Assessment and O2 Therapy / Slide 37)}

300

Name two lifestyles changes patients can take to prevent the risk of contracting pneumonia

Smoking cessation and adequate hydration

_{(Tipping, Julie: Module 4 - Chronic Respiratory Illness Part III (Asthma, COPD, Pneumonia / Slide 19)}