Oxygenation

Which of the following individuals should the nurse consider to have the highest priority for receiving an influenza vaccination?

A 50 year old man caring for a spouse that has cancer

Theresa, a 36 year old single parent, is diagnosed with having pneumonia. Which manifestations are indicative of bacterial pneumonia? (Select all that apply)

Chills, tachypnea, dyspnea

A patient is admitted to a medical-surgical unit for possible pneumonia. Admission orders include a regular diet, vital signs every 4 hours, Ampicillin 250mg po every 4 hours, and a sputum culture. What action must the nurse take prior to administering the Ampicillin?

Collect a sputum specimen

Which of the following would be the priority assessment data to gather from a patient who has been diagnosed with pneumonia? (Select all that apply)

Color of nail beds, auscultation of breath sounds, presence of chest pain.

The nurse notes that the patient has kyphosis (an abnormal curvature of the thoracic spine) and generalized muscle atrophy. Which of the following problems is prioritized when the nurse is developing a plan of care?

Ineffective coughing and deep breathing

Which of the following mental status changes may occur when a patient with pneumonia is first experiencing hypoxia?

Irritability

An elderly patient has been ill with the flu, experiencing headache, fever, and chills. After 3 days, she develops a cough producing yellow sputum. The nurse auscultates her lungs and hears diffuse crackles. How would the nurse best interpret these assessment findings?

It is likely that the patient is developing a secondary pneumonia

The cyanosis that can accompany bacterial pneumonia is primarily caused by which of the following?

decreased oxygenation of the blood

Which of the following would be an expected outcome for a 20 year old patient recovering from an upper respiratory infection?

experience less nasal congestion and discharge

Of the following, which is an early symptom of TB?

night sweats