A patient with right lower-lobe pneumonia has been treated with intravenous antibiotics for 3 days.Which assessment data obtained by the nurse indicates that the treatment is effective?
Decreased white blood cell count.
Increased chest pain and shortness of breath.
Adventitious breath sounds and increased cough.
Improved appetite and weight gain.
The Correct Answer is A
Choice A rationale
A decreased white blood cell count indicates the body's response to infection is improving, showing the effectiveness of the antibiotics.
Choice B rationale
Increased chest pain and shortness of breath would suggest worsening of the condition, not improvement.
Choice C rationale
Adventitious breath sounds and increased cough are signs that pneumonia may be persisting or worsening.
Choice D rationale
Improved appetite and weight gain are positive signs but are not direct indicators of the effectiveness of antibiotic treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Checking the blood pressure is not the priority action in this case. The symptoms described may suggest compartment syndrome, which is a medical emergency and requires immediate intervention.
Choice B rationale
The correct action is to notify the health care provider immediately as this may indicate compartment syndrome, a serious complication that can occur after fractures and can lead to permanent damage if not treated promptly.
Choice C rationale
Assessing the incision for redness is not appropriate in this scenario as the symptoms suggest a more severe underlying issue such as compartment syndrome, which requires urgent attention.
Choice D rationale
Repositioning the leg may provide temporary relief but does not address the potential underlying issue of compartment syndrome. The priority is to notify the health care provider.
Correct Answer is ["A","B"]
Explanation
Choice A rationale: A blood glucose level of 55 mg/dL is critically low, indicating hypoglycemia. Immediate intervention is required to prevent potential complications such as loss of consciousness, seizures, or even death. Hypoglycemia in individuals with type 1 diabetes can be life-threatening and requires prompt treatment with fast-acting carbohydrates to restore normal blood glucose levels.
Choice B rationale: The client's report of shakiness, hunger, cool skin, and diaphoresis are classic symptoms of hypoglycemia. These symptoms correlate with the dangerously low blood glucose level and indicate an urgent need for intervention. Addressing these symptoms quickly can prevent further deterioration of the client's condition.
Choice C rationale: While the slight increase in temperature to 37.8°C (100°F) is noteworthy, it does not necessitate immediate intervention compared to the hypoglycemic event. Monitoring for any signs of infection or other issues is important, but it is not the highest priority in this scenario.
Choice D rationale: An oxygen saturation of 97% on room air is within normal limits and does not require immediate follow-up. There are no signs of respiratory distress or hypoxia that would necessitate urgent intervention in this case.
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