Pleurisy

1. What is pleurisy?

• Inflammation of the lungs

• Inflammation of the pleura surrounding the lungs

• Infection of the trachea

• Collapse of the alveoli

Which of the following is a common cause of pleurisy?

• Hypertension

• Viral or bacterial infection

  (Pneumonia, tuberculosis)

• Kidney failure

• Diabetes mellitus

Which symptom is most characteristic of pleurisy?

• Dull abdominal pain

• Sharp, stabbing chest pain that worsens with deep breathing or coughing

• Productive cough with thick mucus

• Fever and chills

Which of the following can lead to pleurisy?

• Autoimmune diseases like lupus

• High blood sugar levels

• Low blood pressure

• Muscle strain

A nurse auscultates a “grating” sound over the lungs. This finding is called:

• Crackle

• Rhonchi

• Pleural friction rub

• Stridor

Which of the following diagnostic tests is used to detect fluid accumulation in the pleural cavity?

• ECG

• CT scan

• Blood test

• Thoracentesis

Which is the main purpose of administering NSAIDs such as ibuprofen in patients with pleurisy?

• To kill bacteria infection

• To reduce inflammation and pain

• To thin mucus and ease coughing

• To prevent autoimmune reactions

Which nursing intervention helps prevent atelectasis (lung collapse) in a patient with pleurisy?

• Restricting fluid intake

• Encouraging deep breathing and coughing

• Keep the patient in a supine position

• Administering corticosteroids

What is the nurse’s responsibility when a patient is prescribed corticosteroids for autoimmune-related pleurisy?

• A. Encourage fluid restriction

• B. Monitor for adverse reactions such as infection or gastrointestinal upset

• C. Administer before meals only

• D. Avoid monitoring oxygen saturation

Why is maintaining adequate hydration important in pleurisy management?

• A. It increases mucus production

• B. It helps thin mucus and facilitates easier coughing

• C. It prevents oxygen saturation drop

• D. It increases inflammation