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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Repeating the same question over and over: This behavior might indicate confusion or lack of understanding but is not a typical anticipated outcome of education. Effective education should lead to better understanding rather than repeated questions.
B. Awareness of COPD manifestations: An anticipated outcome of education for a client with COPD is increased awareness of their condition and its manifestations. This knowledge helps the client manage their symptoms and recognize exacerbations early.
C. Anxiety and restlessness: While some anxiety might be present, effective education aims to reduce anxiety by providing information and strategies for managing COPD. The goal is to increase confidence and knowledge, which can help mitigate anxiety.
D. Motivation and engagement of the client: While motivation and engagement are positive outcomes, they are not the primary focus of initial educational interventions. The primary goal is to ensure that the client is aware of their condition and understands how to manage it effectively.
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