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18 Cards in this Set

  • Front
  • Back
What is the most common bacterial pathogen responsible for community-acquired pneumonia?
Streptococcus pneumoniae
What are other pathogens responsible for bacterial pneumonia besides Streptococcus?
Staph aureus
M. catarrhalis
Haemophilus influenzae
The onset of bacterial pneumonia is?
rapid and generally follows a viral infection that disturbs the natural defense mechanisms of the upper respiratory tract
What are the symptoms of children with bacterial pneumonia?
rapid and shallow
chest pain exaggerated by
deep breathing
The pain of pneumonia may be referred to the?

appendicitis...chills and meningeal symptoms (meningism) are common is sometimes confused with?
What are the principal therapeutic measures of a patient with pneumococcal pneumonia if patient is okay to stay at home?
antibiotic therapy
bed rest
liberal oral intake of fluid
antipyretic for fever
When is hospitalization indicated when patient has bacterial pneumonia?
for pleural effusion or empyema
An infant or small child is better off in the hospital with bacterial pneumonia because?
illness is more variable
complications more common
IV fluids necessary
oxygen may be required
possibility of respiratory
What can some children, especially infants, with staphylococcal pneumonia develop?
tension pneumothorax
What procedure is performed if fluid is suspected in the pleural cavity?
diagnostic needle aspiration or thoracentesis...

nonpurulent effusions don't require surgical drainage

continuous closed-chest drainage may need to be instituted when purulent fluid is aspirated
What is the prognosis for bacterial pneumonia?
generally good
What is the prevention for bacterial pneumonia?
use of pneumococcal polysaccharide vaccine esp. in children older than 2yo
What is the nursing care for pneumonia?
symptomatic...keep track of
respiratory assessment
administration of oxygen
disposition of child
level of activity
possible isolation
cautious use of antitussives
fluids to prevent dehydration
oral fluids are used
cautiously to avoid
aspiration and fatigue
placement in mist tent
cool humidification moistens
airways and provides
atmosphere that aids in
temperature reduction
What do children in mist tents require?
frequent clothing and linen changes to prevent chilling in damp atmosphere
How does lying on the affected side (if pneumonia is unilateral) help the child?
splints the chest on that side and reduces the pleural rubbing that often causes discomfort
Children with ineffectual cough or those who have difficulty handling secretions may require?

infants, but mechanical suction should be ready if needed
suctioning to maintain patent airway....a simple bulb syringe is usually sufficient for?
Postural drainage and chest physiotherapy are generally prescribed every how many hours?
The hospitalized child is feeling?