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 430 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
Wow, this really help


bitingbit

  • Member
  • Posts: 323
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

Colchicine is a highly poisonous alkaloid originally extracted from a type of saffron plant that is used mainly to treat gout.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

For a complete list of videos, visit our video library