Read over the questions below and then use your PDA to find information about this condition so you can provide appropriate nursing care.

Pneumonia Scenario:

Wayne Thompson, a 24 year old college student, was recently diagnosed and admitted to the hospital with Pneumonia. He has a history of previous episodes of pneumonia. Chest X-ray taken in the ER shows pneumonia in right lower lobe with some pleurisy. 

• In preparing to care for this patient, go to ICD-9. Then to the Table of Contents. Select Classification of Diseases, Diseases of the Respiratory System, and then Pneumonia. Identify the seven different classifications for pneumonia. 
• Now, go to RN Disease and click on Table of Contents. Select Pneumonia and answer the following questions. 
• How many people are diagnosed with pneumonia annually?  
• What type of health problem is pneumonia? 
• What is the primary nursing diagnosis?
• What is the top priority for nursing intervention?
• Go to RnDxInt. Click on the down arrow to select Diseases and Conditions. Click on each of these to identify nursing diagnoses.
• What are the two search terms suggested when you search the term "pneumonia"?
• What are the five nursing diagnoses identified for those two search terms?
• What is the first discharge consideration indicated?
• What life style change is included in the discharge instructions?
• What alternate names do you see?
• Now, select the Nursing Diagnosis. Type in Gas. Select Gas Exchanged, Impaired. Become familiar with the right side bar items:
• Classification (C)
• Definition (D)
• Factors (F)
• Characteristics (Ch)
• Desired Outcomes (O)
• Actions Interventions (A)
• Documentation Focus (DF)
• Go to MosbyLab8. Select Tests by Name. Type oxygen saturation. 
• What is the normal value for oxygen saturation? Select Normal Findings (NF).
• What is the value considered critical requiring intervention? Select Critical Values (CV).
• What are the reasons for decreased oxygen levels? Select Abnormal Findings.
• Next, go to Drug Guide, Main Index. The physician has ordered Cipro. Find Cipro in the Main Index. Go to Interactions (Ix). 
• What drug given with Cipro might reach fatal levels and should be carefully monitored?
• What does DRG stand for and what does it mean? Go to RnDxInt and type in pneumonia. Select pneumonia and then click on the top arrow and select DRG Information. Find answers to the questions below.
• The hospital will be reimbursed for how many days for care of a patient over age 17 diagnosed with simple pneumonia and pleurisy?
• What is the DRG number for simple pneumonia with pleurisy?
• What discharge teching would be appropriate for this patient?  Go to RnDxInt and type in pneumonia. Select pneumonia and then click on the top arrow and select  Discharge and Home Health.