The client was admitted with a productive cough with thick yellow sputum.
Breath sounds with crackles were heard in the left upper lobe and decreased breath sounds at bases bilaterally. What is the client’s temperature?
36.5°C
37.5°C
38.5°C
39.5°C
The Correct Answer is C
Choice A rationale
A temperature of 36.5°C is considered normal.
Choice B rationale
A temperature of 37.5°C is slightly elevated but still within the normal range.
Choice C rationale
A temperature of 38.5°C is considered a fever. Given the client’s symptoms of a productive cough with thick yellow sputum and abnormal breath sounds, this could indicate an infection such as pneumonia, which would likely cause a fever.
Choice D rationale
A temperature of 39.5°C is a high fever and could indicate a severe infection. However, the client’s symptoms are more consistent with a moderate fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The quality of pain is a subjective description of what the pain feels like to the patient. The statement “I feel a dull ache in my stomach” provides a description of the quality of the patient’s pain.
Correct Answer is B
Explanation
Choice A rationale
While colonoscopy is a screening method for colon cancer, it is not typically recommended to begin at age 60 for individuals at average risk. Instead, colonoscopy screening is usually recommended to begin at age 50 and continue every 10 years if no polyps are found.
Choice B rationale
The recommendation for an average risk individual for colon cancer is to have a fecal occult blood test every year. This test checks for hidden blood in the stool, which can be an early sign of cancer.
Choice C rationale
Sigmoidoscopy every 10 years is another screening option for colon cancer. However, it only examines the rectum and lower third of the colon, whereas a colonoscopy examines the entire colon.
Choice D rationale
Blood tests are not typically used as a primary screening method for colon cancer. They may be used in conjunction with other tests, but a blood sample alone is not sufficient for screening.
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