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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Long-acting beta2-adrenergic agonists (LABAs) are used for the maintenance treatment of asthma but are not suitable for immediate relief during an acute exacerbation. They take longer to take effect and are used as part of a long-term management plan rather than a rescue plan.
B. Short-acting beta2-adrenergic agonists (SABAs), such as albuterol, are the first-line treatment for acute asthma exacerbations. They work quickly to relax the muscles around the airways, providing immediate relief of bronchospasm and improving airflow. This is why they are referred to as "rescue" medications.
C. Mucolytics are used to thin and loosen mucus in the airways, which can be helpful for conditions involving thick mucus. However, they are not used for immediate relief of asthma symptoms and do not address bronchospasm directly. They are not appropriate as a first-line treatment in an acute asthma attack.
D. Inhaled corticosteroids are used for long-term control of asthma by reducing inflammation in the airways. While they are important for ongoing management, they do not provide immediate relief during an acute asthma exacerbation and should not be used as rescue medication.
Correct Answer is D
Explanation
A. Bradypnea, or a slow respiratory rate, is concerning but not typically associated with asthma exacerbations. In asthma, patients usually experience tachypnea (increased respiratory rate) as they try to compensate for difficulty breathing.
B. A decreased respiratory rate in an asthma patient can be alarming, but it may not necessarily indicate an immediate need for intervention unless it’s associated with other severe symptoms. In general, asthma patients often have an increased respiratory rate due to respiratory distress.
C. While crackles can indicate fluid in the lungs and may suggest an underlying issue, they are not the most immediate concern in a patient with asthma. Crackles can occur in various conditions, and they alone may not necessitate urgent intervention.
D. Diminished breath sounds are a critical finding in asthma patients. This may indicate severe airway obstruction or a lack of air movement due to severe bronchospasm. In the context of asthma, diminished breath sounds can signify that the patient is not able to move air effectively, which requires immediate intervention to prevent respiratory failure.
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