This topic contains a solution. Click here to go to the answer

Author Question: A 75-year-old patient with community-acquired pneumonia presents with temperature of 102.1, chills, ... (Read 161 times)

crobinson2013

  • Hero Member
  • *****
  • Posts: 535
A 75-year-old patient with community-acquired pneumonia presents with temperature of 102.1, chills, productive cough, BP 90/5062, WBC 12,000, and blood urea nitrogen (BUN) 20 mg/dl.
 
  He has a history of mild dementia and his mental status is unchanged from his last visit. These findings indicate that the patient:
  A. Can be treated as an outpatient
  B. Requires hospitalization for treatment
  C. Requires a high dose of parenteral antibiotic
  D. Can be treated with oral antibiotics

Question 2

If on physical examination the clinician auscultates rhonchi, the clinician should ask the patient to take a deep breath and cough in order to:
 
  A. Mobilize secretions
  B. Diagnose pleural effusion
  C. Accurately distinguish lung sounds
  D. A & C



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

IRincones

  • Sr. Member
  • ****
  • Posts: 321
Answer to Question 1

ANS: A
Decision Rule: CURB-65 provides framework for determining whether the patient diagnosed with community-acquired pneumonia can be safely monitored and treated at home. One point is awarded for each of the following factors present:
 Confusion of new onset
 BUN is greater than 20mg/dl
 Respiratory rate of 30 breaths/minute
 Blood pressure is less than 90 mmHg systolic or diastolic 60 mm Hg
 Age 65 or older
Patients scoring 3 to 5 typically require hospitalization for observation and therapy. Scores of 0 to 1 indicate likelihood that outpatient management is appropriate. A score of 2 is inconclusive.

Answer to Question 2

ANS: D
Cough is the most common symptom of bronchitis and may persist for several weeks after the initial infection is resolved. During the acute phase, the cough may be productive. There may be associated symptoms, including fever, malaise, chest discomfort, chills, and headache. The chills and chest discomfort are mild in comparison to the symptoms of pneumonia. There may be wheezes and/or rhonchi on auscultation, which disappear or alter with cough effort.




crobinson2013

  • Member
  • Posts: 535
Reply 2 on: Jun 25, 2018
Gracias!


JCABRERA33

  • Member
  • Posts: 344
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

For a complete list of videos, visit our video library