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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Free Nursing Study Resources

Correct Answer is ["A","C","E","F"]

Explanation

A. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
B. Vancomycin is an antibiotic that is effective against certain bacteria, but it is not used in the treatment of TB.
C. This is another first-line anti-TB medication that is often used in combination with other drugs to treat active TB infections.
D. Pantoprazole is a proton pump inhibitor used to treat acid reflux and ulcers. It is not used in the treatment of TB.
E. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
F. Propranolol is a beta-blocker used to treat conditions such as high blood pressure and heart rhythm disorders. It is not used in the treatment of TB.
G. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.

Correct Answer is ["400"]

Explanation

Total volume = 100 mL

Time = 15 minutes = 0.25 hours (15 minutes / 60 minutes/hour)

Infusion rate = Total volume / Time Infusion rate = 100 mL / 0.25 hours Infusion rate = 400 mL/hour

Therefore, the nurse should set the IV infusion pump to 400 mL/hour.

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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

Naxlex Comprehensive Predictor Exams

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

Correct Answer is ["A","C","E","F"]

Explanation

The physician orders iron sucrose 200 mg IV. The pharmacy sends the medication in a 100 mL bag of normal saline with the directions to infuse the IV over 15 minutes. The nurse sets the IV Infusion pump to mL/hr.

Correct Answer is ["400"]

Explanation

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