Cnur 204- Final Exam Prep Quizzes Questions And Answers 2024

Collaborative Care: Fluid Volume Excess {Ans: removal of sodium and water without producing abnormal changes in electrolyte composition or osmolality. May include diuretics, fluid/sodium restriction, drainage of effusions}Community Acquired Pneumonia {Ans: - client becomes ill in the community or in the first 1-2 days of hospitalization - most common during winter}Nursing Assessment: Pneumonia {Ans: Inspection: - chest expansion - use of accessory muscles to breathe - skin color, cap refill - dyspnea - tachycardia Auscultation: - grunting, crackles, friction rub Palpation: - increased tactile fremits Percussion: - dullness over consolidation - decreased diaphragmatic excursion}Pathophysiology: Tuberculosis {Ans: - is a gram positive, acid fast bacillus spread via airborne droplets (coughing, sneezing, speaking, singing) - not highly infectious and requires close contact , frequent or prolonged exposure - not readily transmitted by casual contact, cannot be spread by contact with hands, books, glasses, dishes, or inert objects - bacilli enter the lungs and plant themselves in the bronchioles and/or alveoli - when in lungs, TB bacilli begin to multiply - immune response normally occurs but bacilli can spread via lymphatic fluid to lymph nodes to thoracic duct = spread throughout body via blood before a cell-mediated response occurs