A nurse is collecting data on a client who has pneumonia. Which of the following findings should the nurse expect?

Hypothermia

Bradycardia

Pulse deficit

Tachypnea

Answer and Explanation

The Correct Answer is D

A. Hypothermia: Pneumonia typically presents with fever rather than hypothermia. Fever is a common response to infection and inflammation.

B. Bradycardia: Pneumonia usually causes tachycardia rather than bradycardia. Tachycardia is a compensatory response to improve oxygen delivery to tissues.

C. Pulse deficit: A pulse deficit is not a common finding in pneumonia. It is more associated with conditions like atrial fibrillation.

D. Tachypnea: Tachypnea, or rapid breathing, is a common sign of pneumonia. It reflects the body’s attempt to improve oxygenation and compensate for impaired gas exchange.

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Correct Answer is C

Explanation

In cases of acute bacterial sinusitis that last longer than 10 days, worsen after initial improvement, or present with severe symptoms (such as fever and significant facial pain), oral antibiotics are generally indicated. First-line options typically include amoxicillin-clavulanate.

Other options listed, such as nasal saline irrigation, oral decongestants, or intranasal corticosteroids, may help alleviate symptoms but would not address the bacterial infection, making antibiotics the most appropriate primary treatment in this case.

A. Provide mouth care. B. Cup hands and tap on the client's chest repeatedly. C. Auscultate lung fields. D. Position the client so that the lung area to be drained is above the client's trachea.

Correct Answer is D

Explanation

A. Provide mouth care: Mouth care is important for overall comfort and hygiene but is not the first step in preparing for chest percussion, vibration, and postural drainage. The priority is to prepare the client for the procedures that will aid in clearing lung secretions.

B. Cup hands and tap on the client's chest repeatedly: This action is part of chest percussion and should be performed after positioning the client correctly. Percussion should be done on the appropriate lung areas based on the positioning.

C. Auscultate lung fields: Auscultation of lung fields is essential for assessing lung sounds and determining the effectiveness of therapy. However, it should be done after positioning the client to ensure that the correct areas are being treated and assessed.

D. Position the client so that the lung area to be drained is above the client's trachea: Proper positioning is crucial for effective postural drainage, as it allows gravity to assist in moving secretions from the lung areas to the central airways. This should be done before performing chest percussion or vibration.

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A nurse is collecting data on a client who has pneumonia. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

Exhibits Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?

Correct Answer is C

Explanation

A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?

Correct Answer is D

Explanation

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Exhibits Which of the following is the most appropriate initial management for this patient?

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Exhibits What is the most appropriate initial management for this patient?