TERMS IN THIS SET (37) A nurse is assessing a client who comes to the clinic for care. Dysphagia, abdominal cramping, vomiting, diarrhea, and seizures can also occur. More serious reactions include bronchospasm, laryngeal edema, severe dyspnea, cyanosis, and hypotension. Moderate systemic reactions may including flushing and anxiety in addition to any of milder symptoms. Mild systemic reactions consist of peripheral tingling, warmth, a sensation of fullness in the mouth and throat, nasal congestion, periorbital swelling, pruritus, sneezing, tearing of the eyes. The patient experiencing an anaphylactic reaction may experience which of the following s/s? pruritus Cyanosis is a very late indicator of hypoxia to the tissues. Which of the following represent initial s/s of a patient in respiratory distress? dyspneaĭyspnea and tachypnea accompanied by low oxygen in the blood are associated w/ respiratory distress. The patient is fatigued from the work of breathing. Pt will exhibit dyspnea, preferring to be propped up or sitting up due to orthopnea (SOB when reclining or supine). When a patient presents to the ED with pneumonia, which s/s would the nurse expect the patient to exhibit? fatigueįever is present with the infection. Ventilator-associated pneumonia (VAP) is a type of HAP that develops 48hrs or more after intubation. Hospital-acquired pneumonia (HAP) occurs 48 hrs or more after hospital admission. Health-care associated pneumonia (HCAP) occurs in a non-hospitalized patient with extensive health care contact. How would the nurse classify this type of pneumonia? Community-acquired pneumoniaĬAP is pneumonia occurring in the community or within less than 48 hrs of hospital admission.
TERMS IN THIS SET (16) A patient experiencing respiratory distress at home from pneumonia is brought to the hospital and upon presentation requires intubation.
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