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Put a cap on community-acquired pneumonia

doi: 10.1097/01.NME.0000394785.79035.47
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INSTRUCTIONS Put a cap on community-acquired pneumonia

TEST INSTRUCTIONS

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Put a cap on community-acquired pneumonia

GENERAL PURPOSE: To provide the nurse with an overview of CAP, its prevention, and treatment. LEARNING OBJECTIVES: After reading this article and taking this test, you'll be able to: 1. Discuss the causes, assessment, and diagnosis of CAP. 2. Describe the prevention and treatment of CAP.

1. The most common bacterial cause of CAP in adults is

a. Haemophilus influenzae.

b. Mycoplasma pneumoniae.

c. Streptococcus pneumoniae.

2. RSV is a common cause of CAP in

a. adults over age 65.

b. children of any age.

c. children under age 5.

3. Half of the diagnosed cases of CAP in the United States are in people age/ages

a. less than 1 year.

b. 1 to 5 years.

c. 65 years and older.

4. Which risk factor would profoundly increase a person's receptiveness to CAP?

a. smoking

b. cardiopulmonary dysfunction

c. being bedridden

5. To expand chest capacity, patients with CAP may assume which sitting position?

a. high Fowler's

b. semi-Fowler's

c. tripod

6. Fast and difficult breathing, common in CAP, is best described as

a. tachypnea.

b. dyspnea.

c. pleuritic breathing.

7. Respiratory assessment in patients with CAP will likely reveal allexcept

a. stridor.

b. unequal or diminished chest expansion.

c. use of accessory muscles.

8. A definitive diagnosis of CAP is made by

a. history and physical assessment.

b. chest X-ray.

c. sputum culture.

9. The "C" in the CURB-65 severity score stands for

a. cough.

b. confusion.

c. chronic conditions.

10. Patients classified as PSI category III should receive treatment in a/an

a. outpatient facility.

b. subacute facility.

c. hospital.

11. Generally, patients with mild-to-moderate bacterial CAP should immediately receive

a. penicillins.

b. macrolides.

c. cephalosporins.

12. Antiviral drugs for treating viral CAParen'tlikely to be effective if started more than how many hours after symptom onset?

a. 12 hours

b. 24 hours

c. 48 hours

13. Monitoring of respiratory function needs to include

a. tracking fluid intake and output.

b. activity tolerance.

c. white blood cell count.

14. Which complication is the leading cause of death in patients with pneumonia?

a. pleural effusion

b. respiratory failure

c. bacteremia

15. The first line of defense against any infectious illness is

a. good hand hygiene and personal care.

b. immunizations.

c. anti-infectives.

16. The mnemonic "Mind the DRAFT" can be used to

a. teach patients with CAP.

b. document assessments.

c. guide therapy.

17. To help fight CAP, the "S" in the mnemonic "CWIS" stands for

a. report symptoms.

b. sleep.

c. stay home.

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