Patho
Classifications
Safety & Quality Measures, Nursing diagnosis
Random Questions and Interventions
Diagnostics/Treatment
100

This pathogen is typically the main cause of pneumonia

What is Bacteria

100

This type of Pneumonia is caused by something entering the lung on accident

Aspiration Pneumonia

100

This is a national patient safety goal by the Joint Commission that can help reduce the transfer of pathogens to patients.  

What is Hand Hygiene?

100

This intervention is a standard nursing intervention to assist in improving airway patency.

What is High-Fowlers, Semi-Fowlers, and Upright repositioning. 

100

This lab value is usually elevated in patients with pneumonia and can indicate infection.

What is White Blood Cell (WBC) Count

200

This type of pneumonia involves more than one lobe and is localized in the bronchi/alveoli.

What is Bronchopneumonia


200

What are the 4 main types of pneumonia

What is Bacterial, Atypical, Viral, and Fungal Pneumonia


200

A patient came into the ED department and was diagnosed with streptococcal pneumonia, the nurse knows that which core measure is important to prevent antibiotic resistance? 

What is bloodwork culture?

200

What are 3 ways Pneumonia can be acquired?

Community-Acquired Pneumonia, Hospital-Acquired Pneumonia, Aspiration Pneumonia, Health Care Associated Pneumonia, Ventilator-Associated Pneumonia

200

This treatment is usually first line when a patient is diagnosed with bacterial pneumonia, name one example.

What is antibiotics.

Azithromycin, doxycycline, amoxicillin

300

This type of Pneumonia describes when a substantial portion is infected/involved.

What is Lobar Pneumonia

300

This type of pneumonia develops outside the hospital and is diagnosed within the first 48 hours of admission

What is Community Acquired Pneumonia

300

The nurse is collecting a history for a patient who has been diagnosed with pneumonia. The patient does not have a regular HCP & has no history of vaccinations. The nurse knows that a core measure would have been pivotal for the patient.

What is vaccination?

300

These interventions assist in promoting coughing up secretions and improving lung strength

What is a flutter device, incentive spirometry, and coughing techniques

300

These two diagnostics are done to look at the location and extent of the pneumonia, but one may be done later than the other.

What is a Chest Xray and a Chest CT

400

This bacteria is the most prevalent cause of pneumonia. It normally inhabits the upper respiratory tract but can cause pneumonia if it enters the lower respiratory tract. 

What is streptococcus pneumoniae

400

This type of pneumonia is a subcategory of hospital-acquired pneumonia and occurs after 48 hours of a specific type of medical intervention.

What is Ventilator-Associated Pneumonia

400

What is one Nursing Diagnosis that can be used for a patient with Pneumonia?

  1. Impaired Gas Exchange r/t decreased perfusion to lung tissues and inflammation

  2. Ineffective airway clearance r/t excessive secretions 

  3. Decreased activity tolerance r/t impaired oxygenation

400

What are 5 Risk factors of pneumonia?

COPD, Smoking, Substance Abuse, Alcohol Use/Intoxication, Pre-existing conditions including Asthma, COPD, Bronchitis, Cystic fibrosis, Heart failure, Kidney disease, Sickle Cell Disease, Parkinson's disease, Stroke, Dementia, Immunosuppression, Advanced Age (> 65), Prolonged immobility, Decreased Cough Reflex, Use of Certain Medications that alter consciousness, Antibiotic Therapy, 

400

This diagnostic test is done prior to the prescription of antibiotics to correctly treat the infection.

What is a Sputum Test

500

This type of pneumonia can affect those who are immunocompromised, exposed to contaminated soil or bird droppings 

What is Fungal Pneumonia

500

This type of pneumonia is a result of prior exposure to Multidrug-resistant Organisms 

What is Health Care Associated Pneumonia

500

Name 4 members of the interprofessional team who are involved in the care of a patient with pneumonia?

MD, Pharmacy, Dietician, Radiologist, Respiratory therapist, Physical therapist Phlebotomist technician

500

What are 5 potential complications of Pneumonia?


Acute Respiratory Distress Syndrome (ARDS), Lung Abscesses, Sepsis, Respiratory Failure, Renal Failure, Shock, Pleural Effusion, Pleurisy, Empyema, and Heart Failure

500

Name 6 manifestations of pneumonia that a patient may present with

The onset of symptoms can be abrupt or gradual: 

General: Headache, fatigue

Integumentary: Monitor changes in temperature {101-105} (i.e: rapidly rising fever) sudden onset of chills, rash or myalgia

Respiratory: Pleuritic chest pain (aggravated by deep breathing & coughing), tachypnea, shortness of breath, use of accessory muscles in respirations, nasal congestion, sputum (can be purulent or blood-tinged, coughing, dull percussion. Lung Sounds: Crackles, bronchial breath sounds

Cardiovascular: Relative bradycardia

GI: Sore throat  or pharyngitis

Gerontologic Considerations: Confusion, dehydration, unusual behavior