What nursing assessment finding would be associated with a diagnosis of pneumonia in the older adult?

Hypertension

Acute confusion

Hematemesis in the morning.

Dry hacking cough at night

Answer and Explanation

The Correct Answer is B

A.   Hypertension, or high blood pressure, is a common condition in older adults but is not a specific indicator of pneumonia. While blood pressure can fluctuate with illness, it does not directly relate to the diagnosis of pneumonia.
B.   Acute confusion is a critical and relevant sign in older adults with pneumonia. This demographic may experience altered mental status due to factors like hypoxia (low oxygen levels), fever, or dehydration. Confusion is often one of the first signs of infection in older patients, making it a significant assessment finding.
C.   Hematemesis, which is the vomiting of blood, is not associated with pneumonia. It typically indicates a gastrointestinal issue, such as bleeding from ulcers or varices, rather than respiratory problems. Therefore, this finding would not be relevant to a pneumonia diagnosis.
D.   While a cough is indeed a symptom of pneumonia, a dry hacking cough is less typical. Pneumonia generally presents with a productive cough (producing sputum) rather than a dry cough. A dry cough might suggest conditions like bronchitis or asthma.

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Correct Answer is B

Explanation

A. Orange juice is acidic, which can irritate a healing throat after a tonsillectomy. This acidity may cause discomfort and is generally not recommended in the early postoperative period.
B. Red gelatin is often considered a suitable option after a tonsillectomy because it is soft, easy to swallow, and typically well-tolerated. However, the color (red) may sometimes be avoided in some healthcare settings due to concerns that it can resemble blood in the event of bleeding.
C. A vanilla milkshake is creamy and can be soothing. However, if the milkshake is thick or cold, it may cause some discomfort for the patient. Additionally, the richness of a milkshake could be heavier than what is typically recommended immediately after surgery.
D. While bananas are soft and easy to swallow, they may not be the best choice right after a tonsillectomy. They can be somewhat sticky and may require more chewing, which could be uncomfortable for the patient at this stage.

A. Patient color B. Lung sounds C. Heart tones D. Bowel sounds E. Peripheral pulses F. Respiratory rate and effort G. Pulse oximetry reading H. Peak expiratory flow

Correct Answer is ["A","B","C","F","G","H"]

Explanation

A. The patient's color can indicate their oxygenation status. Cyanosis (bluish tint) may suggest hypoxia, which is critical to assess in an asthma patient.
B. Auscultation of lung sounds is essential in asthma assessment. The presence of wheezing, prolonged expiration, or decreased breath sounds can indicate airway obstruction and the severity of the asthma exacerbation.
C. Assessing heart tones can provide information about the cardiovascular response to respiratory distress. Increased heart rate may occur due to hypoxia or anxiety associated with asthma attacks.
D. Bowel sounds are not relevant in the assessment of asthma. While gastrointestinal symptoms may co- occur in some patients, they are not directly related to asthma's respiratory condition.
E. While peripheral pulses are important in general assessments, they do not provide specific information relevant to asthma management or respiratory status.
F. Monitoring respiratory rate and effort is crucial in assessing asthma. Increased respiratory rate and use of accessory muscles may indicate respiratory distress or an asthma exacerbation.
G. A pulse oximetry reading provides an objective measure of oxygen saturation. Low oxygen saturation levels indicate inadequate oxygenation, which is critical to monitor in asthma patients.
H. Measuring peak expiratory flow rate (PEFR) helps assess the severity of airway obstruction and monitor asthma control. It can guide treatment decisions and determine if an asthma attack is occurring.

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What nursing assessment finding would be associated with a diagnosis of pneumonia in the older adult?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has had a tonsillectomy yesterday and is now tolerating clear fluids and per order diet can be increased. The patient asks for something different to "eat." Which is most appropriate for the nurse to offer?

Correct Answer is B

Explanation

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

Correct Answer is ["A","B","C","F","G","H"]

Explanation

What nursing assessment finding would be associated with a diagnosis of pneumonia in the older adult?

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