A nurse in an emergency department (ED) is admitting a client.
Exhibits
Select 4 findings in the client's medical record that place them at risk for pneumonia.
Pneumococcal vaccine
Level of consciousness
Influenza vaccine
Health history
Fluid intake
Age
Smoking history
Correct Answer : B,D,E,F
A. Pneumococcal vaccine → Not having it increases risk, but the option itself (“Pneumococcal vaccine”) is misleading; risk comes from lack of vaccine, not its presence.
B. Level of consciousness → Client is lethargic and has difficulty answering questions, which can increase risk of aspiration and reduce effective airway clearance.
C. Influenza vaccine → Similarly, not getting the vaccine is a risk, but the option is phrased as “Influenza vaccine,” which is protective, not a risk factor.
D. Health history → Lack of pneumococcal and influenza vaccinations increases susceptibility to respiratory infections.
E. Fluid intake → Client reports reduced fluid intake, leading to thickened secretions, impaired mucociliary clearance, and higher risk of pneumonia.
F. Age → Middle-aged and older adults are at higher risk for pneumonia due to decreased physiologic reserve.
G. Smoking history → Smoking history is incorrect. While a history of smoking, or exposure to second-hand smoke, increases a client’s risk of contracting community-acquired pneumonia, the client reports no smoking history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Gelatin is typically allowed on a clear liquid diet because it melts into a clear liquid.
B. Yogurt is not typically included on a clear liquid diet because it is not a clear liquid; it is a semi-solid food.
C. Popsicles are usually allowed on a clear liquid diet as they melt into a liquid form.
D. Broth is a clear liquid and is therefore appropriate for a clear liquid diet.
Correct Answer is C
Explanation
A. Tremor is not a common adverse effect of atenolol.
B. Constipation is not typically associated with atenolol.
C. Bradycardia (slow heart rate) is a known adverse effect of atenolol, a beta-blocker that can decrease heart rate and blood pressure.
D. Cough is more commonly associated with ACE inhibitors, not beta-blockers like atenolol.
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