Week 2 – Pulmonary
A young adult, previously healthy clinic patient has symptoms of pneumonia including high fever and
cough. Auscultation reveals rales in the left lower lobe. A chest radiograph is normal. The patient is
unable to expectorate sputum. Which treatment is recommended for this patient?
Empiric treatment with a macrolide antibiotic
A 22 year old tall, thin and athletic man comes into your primary care clinic complaining of pain with
breathing and progressively worsening shortness of breath. In order of sequence, what will be your next
steps?
-Obtain more history, auscultate the lungs and send pt to the ER for a stat CXR and further evaluation.
-Obtain more history, and immediately send him to the ER
A patient reports coughing up a small amount of blood after a week of cough and fever. The patient has
been previously healthy and does not smoke or work around pollutants or irritants. What will the
provider suspect as the most likely cause of this patient’s symptoms?
Infection
Patients with pneumonia reports that he has rust-colored sputum. With pathogen should the nurse
practitioner suspect?
Streptococcus pneumoniae
Clinical description of mucus does not really help and clinical decision making regarding
pneumonia, but certain clinical characteristics are associated with specific types of
pneumonia. Scant or watery sputum is associated with atypical pathogens like mycoplasma
and clamydophila. Thick, discolored sputum may be associated with bacterial pneumonia.
A young adult patient without a previous history of lung disease has an increased respiratory rate and
reports a feeling of “not getting enough air.” The provider auscultates clear breath sounds and notes no
signs of increased respiratory effort. Which diagnostic test will the provider perform initially?
Complete blood count
A 65-year-old patient who has not had an influenza vaccine is exposed to influenza and comes to
the clinic the following day with fever and watery, red eyes. What will the provider do initially?
Observe for improvement or worsening for 24 hours
Begin treatment with an antiviral medication
Administer LAIV influenza vaccine
This study source was downloaded by 100000829216747 from CourseHero.com on 02-22-2022 04:35:04 GMT -06:00
https://www.coursehero.com/file/59815281/Week-2-quizdocx/
, Perform a nasal swab for RT-PCR assay
Which patient might be expected to have the worst FEV1?
Patient with bronchiolitis
A controlled asthma patient
A 65 her old with emphysema
A 60-year-old with pneumonia
Forced expiratory volume in 1 second (FEV1)is the worst in patients with obstructive
disease such as emphysema. An FEV1 should not be performed in patients with
pneumonia and bronchiolitis because they would have diminished respiratory capacity
related to the infection
An older patient with COPD is experiencing dyspnea and has an oxygen saturation of 89% on room
air. The patient has no history of pulmonary hypertension or congestive heart failure. What will the
provider order to help manage this patient’s dyspnea?
Breathing exercises
Anxiolytic drugs
Supplemental oxygen
Opioid medications
Which are causes of pleural effusions? (Select all that apply.)
Allergies
Bronchiectasis
Breast cancer
Congestive heart failure
Dehydration
Pleurisy is not a diagnosis but rather a symptom of many localized and systemic disease that needs
further evaluation in order to find the cause of the problem.
True
False
A patient with cough and fever is found to have infiltrates on chest x-ray. Would this is likely
diagnosis
Tuberculosis
Pneumonitis
This study source was downloaded by 100000829216747 from CourseHero.com on 02-22-2022 04:35:04 GMT -06:00
https://www.coursehero.com/file/59815281/Week-2-quizdocx/
A young adult, previously healthy clinic patient has symptoms of pneumonia including high fever and
cough. Auscultation reveals rales in the left lower lobe. A chest radiograph is normal. The patient is
unable to expectorate sputum. Which treatment is recommended for this patient?
Empiric treatment with a macrolide antibiotic
A 22 year old tall, thin and athletic man comes into your primary care clinic complaining of pain with
breathing and progressively worsening shortness of breath. In order of sequence, what will be your next
steps?
-Obtain more history, auscultate the lungs and send pt to the ER for a stat CXR and further evaluation.
-Obtain more history, and immediately send him to the ER
A patient reports coughing up a small amount of blood after a week of cough and fever. The patient has
been previously healthy and does not smoke or work around pollutants or irritants. What will the
provider suspect as the most likely cause of this patient’s symptoms?
Infection
Patients with pneumonia reports that he has rust-colored sputum. With pathogen should the nurse
practitioner suspect?
Streptococcus pneumoniae
Clinical description of mucus does not really help and clinical decision making regarding
pneumonia, but certain clinical characteristics are associated with specific types of
pneumonia. Scant or watery sputum is associated with atypical pathogens like mycoplasma
and clamydophila. Thick, discolored sputum may be associated with bacterial pneumonia.
A young adult patient without a previous history of lung disease has an increased respiratory rate and
reports a feeling of “not getting enough air.” The provider auscultates clear breath sounds and notes no
signs of increased respiratory effort. Which diagnostic test will the provider perform initially?
Complete blood count
A 65-year-old patient who has not had an influenza vaccine is exposed to influenza and comes to
the clinic the following day with fever and watery, red eyes. What will the provider do initially?
Observe for improvement or worsening for 24 hours
Begin treatment with an antiviral medication
Administer LAIV influenza vaccine
This study source was downloaded by 100000829216747 from CourseHero.com on 02-22-2022 04:35:04 GMT -06:00
https://www.coursehero.com/file/59815281/Week-2-quizdocx/
, Perform a nasal swab for RT-PCR assay
Which patient might be expected to have the worst FEV1?
Patient with bronchiolitis
A controlled asthma patient
A 65 her old with emphysema
A 60-year-old with pneumonia
Forced expiratory volume in 1 second (FEV1)is the worst in patients with obstructive
disease such as emphysema. An FEV1 should not be performed in patients with
pneumonia and bronchiolitis because they would have diminished respiratory capacity
related to the infection
An older patient with COPD is experiencing dyspnea and has an oxygen saturation of 89% on room
air. The patient has no history of pulmonary hypertension or congestive heart failure. What will the
provider order to help manage this patient’s dyspnea?
Breathing exercises
Anxiolytic drugs
Supplemental oxygen
Opioid medications
Which are causes of pleural effusions? (Select all that apply.)
Allergies
Bronchiectasis
Breast cancer
Congestive heart failure
Dehydration
Pleurisy is not a diagnosis but rather a symptom of many localized and systemic disease that needs
further evaluation in order to find the cause of the problem.
True
False
A patient with cough and fever is found to have infiltrates on chest x-ray. Would this is likely
diagnosis
Tuberculosis
Pneumonitis
This study source was downloaded by 100000829216747 from CourseHero.com on 02-22-2022 04:35:04 GMT -06:00
https://www.coursehero.com/file/59815281/Week-2-quizdocx/
