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. Blood urea nitrogen (BUN) 25 mg/dl (10 to 20 mg/dL) B. Serum potassium level 4.8 mg/dL (3.5 to 5 mg/dL) C. History of vomiting D. Overuse of antacids E. Polycythemia

Correct Answer is ["C","D"]

Explanation

A. Blood urea nitrogen (BUN) 25 mg/dl (10 to 20 mg/dL): Elevated BUN can indicate dehydration or kidney issues, but it is not directly related to metabolic alkalosis.

B. Serum potassium level 4.8 mg/dL (3.5 to 5 mg/dL): This potassium level is within the normal range and does not indicate a cause of metabolic alkalosis. Metabolic alkalosis is more commonly associated with hypokalemia rather than normal potassium levels.

C. History of vomiting: Vomiting can lead to metabolic alkalosis due to the loss of stomach acid (hydrochloric acid), which reduces the body's acidity and raises the pH.

D. Overuse of antacids: Excessive use of antacids can contribute to metabolic alkalosis because antacids neutralize stomach acid, leading to an increase in blood pH.

E. Polycythemia: Polycythemia, an increased concentration of red blood cells, is not typically associated with metabolic alkalosis. It is related to other conditions such as chronic hypoxia or bone marrow disorders.

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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

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Correct Answer is C

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Correct Answer is ["C","D"]

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