A client is admitted to the hospital for medical treatment of pneumonia. What diagnostic test would the nurse examine to help the health care provider to determine the next step in planning care?

Pulse oximetry

Bronchoscopy

Pulmonary function studies

Culture and sensitivity tests of sputum

Answer and Explanation

The Correct Answer is D

A.   While pulse oximetry is important for assessing oxygen saturation and determining if supplemental oxygen is needed, it does not provide specific information about the type of pneumonia or the causative organism. It’s more of a monitoring tool than a diagnostic test to guide treatment planning.
B.   Bronchoscopy can be useful for visualizing the airways and obtaining samples if the pneumonia is severe or complicated (e.g., suspected abscess or obstruction). However, it is not routinely performed for all pneumonia cases and is not the first-line diagnostic test for planning care.
C.   Pulmonary function tests assess lung capacity and airflow but are not directly useful for diagnosing pneumonia or guiding immediate treatment plans. They are more relevant for chronic respiratory conditions such as asthma or COPD.
D.   Sputum culture and sensitivity tests are critical in pneumonia cases as they help identify the specific organism causing the infection and determine the most effective antibiotic treatment. This information is essential for guiding the healthcare provider in planning appropriate and targeted therapy, especially in cases of community-acquired versus hospital-acquired pneumonia.

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Correct Answer is A

Explanation

A. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.

A. Fatigue B. Night sweats C. Neuropathy D. Weight loss E. Non-productive cough F. Low grade fever

Correct Answer is ["A","B","D","E","F"]

Explanation

A. Fatigue is a common symptom of TB, especially in the early stages. The body's energy is used up fighting the infection, leading to feelings of tiredness.
B. Night sweats are another common symptom of TB. The body's immune system works harder at night, leading to excessive sweating.
C. While neuropathy can be a potential complication of TB, it's not a typical clinical manifestation in the early stages. Neuropathy is more likely to occur in advanced cases or if the TB infection has spread to other parts of the body.
D. TB can cause weight loss due to decreased appetite, increased metabolic rate, and the body's use of energy to fight the infection.
E. A cough is a common symptom of TB. In the early stages, the cough may be dry or non-productive, meaning there's no phlegm or mucus.
F. A low-grade fever is another common symptom of TB. The body's temperature rises slightly as it fights the infection.

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A client is admitted to the hospital for medical treatment of pneumonia. What diagnostic test would the nurse examine to help the health care provider to determine the next step in planning care?

Nursing Test Bank

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Correct Answer is A

Explanation

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Explanation

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