Exhibits
The client undergoes several days of antibiotic and respiratory treatment for his pneumonia.
Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.
Oxygen saturation greater than 94%
PaCO2 55 mm Hg per arterial blood gas
Symmetric chest expansion
Rhonchi in the right lung
Client ambulates without shortness of breath
Diminished breath sounds in the right lung
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
- Oxygen saturation greater than 94% indicates improved oxygenation, showing the treatment's effectiveness.
- PaCO2 55 mm Hg per arterial blood gas indicates hypercapnia, suggesting ineffective treatment as normal levels should be lower.
- Symmetric chest expansion suggests effective treatment as it reflects improved lung function.
- Rhonchi in the right lung may indicate retained secretions, suggesting ineffective treatment.
- Client ambulates without shortness of breath demonstrates effective treatment, as the patient can move without respiratory distress.
- Diminished breath sounds in the right lung could indicate ongoing consolidation or fluid, suggesting ineffective treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Culturing for sensitive organisms is essential in identifying the causative agent of the infection indicated by the purulent drainage, guiding appropriate antibiotic therapy.
B. Blood pH level is not directly relevant to assessing wound drainage or infection status.
C. C-reactive protein (CRP) can indicate inflammation but is not specific enough to provide immediate information regarding the infection at the wound site.
D. Serum blood glucose level is more relevant for assessing the client's overall metabolic status and risk for infections rather than directly correlating with the purulent drainage observed.
Correct Answer is A
Explanation
A. Isolating the client is the most critical action to prevent the potential spread of COVID-19 to others, especially since the client is exhibiting symptoms consistent with the virus.
B. While counseling family members is important, it is secondary to ensuring the immediate safety of others in the healthcare setting.
C. Reporting results is necessary for public health tracking but does not take precedence over immediate isolation measures.
D. Teaching the client preventive measures is important, but again, it should follow ensuring isolation to mitigate any risk of exposure to others.
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