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NurseDive Free Nursing Practice Question
A nurse is collecting data on a client who has pneumonia. Which of the following findings should the nurse expect?
A. Hypothermia
Hypothermia: Pneumonia typically presents with fever rather than hypothermia. Fever is a common response to infection and inflammation.
B. Bradycardia
Bradycardia: Pneumonia usually causes tachycardia rather than bradycardia. Tachycardia is a compensatory response to improve oxygen delivery to tissues.
C. Pulse deficit
Pulse deficit: A pulse deficit is not a common finding in pneumonia. It is more associated with conditions like atrial fibrillation.
D. Tachypnea
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.
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Full Explanation
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.
Similar Questions
The nurse is reinforcing discharge instructions to the client with pulmonary sarcoidosis. The nurse knows that the client understands the information if the client verbalizes which early sign of exacerbation?
A. Fever
Fever: Although fever can occur with various respiratory conditions, it is not the most specific early sign of an exacerbation in pulmonary sarcoidosis.
B. Weight loss
Weight loss: Weight loss is a more general symptom and not specifically indicative of an exacerbation of sarcoidosis.
C. Fatigue
Fatigue: Fatigue is a common symptom of sarcoidosis but is not necessarily an early sign of an exacerbation.
D. Shortness of breath
Shortness of breath: Shortness of breath is a significant early indicator of exacerbation in pulmonary sarcoidosis. It reflects worsening inflammation and granuloma formation affecting lung function.
Full Explanation
A. Fever: Although fever can occur with various respiratory conditions, it is not the most specific early sign of an exacerbation in pulmonary sarcoidosis.
B. Weight loss: Weight loss is a more general symptom and not specifically indicative of an exacerbation of sarcoidosis.
C. Fatigue: Fatigue is a common symptom of sarcoidosis but is not necessarily an early sign of an exacerbation.
D. Shortness of breath: Shortness of breath is a significant early indicator of exacerbation in pulmonary sarcoidosis. It reflects worsening inflammation and granuloma formation affecting lung function.
A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to provide which information to the client?
A. Avoid vitamin supplements during therapy.
Avoid vitamin supplements during therapy: This is not generally advised for isoniazid therapy. In fact, vitamin B6 supplements are often recommended to prevent peripheral neuropathy caused by isoniazid.
B. Drink alcohol in small amounts only.
Drink alcohol in small amounts only: Alcohol can increase the risk of liver toxicity when taking isoniazid. It is typically advised to avoid alcohol altogether during treatment.
C. Report yellow eyes or skin immediately.
Report yellow eyes or skin immediately: Isoniazid can cause liver toxicity, which can lead to jaundice (yellowing of the eyes and skin). This is a serious side effect and should be reported immediately to prevent further liver damage.
D. Increase intake of Swiss or aged cheeses.
Increase intake of Swiss or aged cheeses: This recommendation is not related to isoniazid therapy. Aged cheeses are more relevant to patients on monoamine oxidase inhibitors (MAOIs) due to tyramine content.
Full Explanation
A. Avoid vitamin supplements during therapy: This is not generally advised for isoniazid therapy. In fact, vitamin B6 supplements are often recommended to prevent peripheral neuropathy caused by isoniazid.
B. Drink alcohol in small amounts only: Alcohol can increase the risk of liver toxicity when taking isoniazid. It is typically advised to avoid alcohol altogether during treatment.
C. Report yellow eyes or skin immediately: Isoniazid can cause liver toxicity, which can lead to jaundice (yellowing of the eyes and skin). This is a serious side effect and should be reported immediately to prevent further liver damage.
D. Increase intake of Swiss or aged cheeses: This recommendation is not related to isoniazid therapy. Aged cheeses are more relevant to patients on monoamine oxidase inhibitors (MAOIs) due to tyramine content.
A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?
A. Bronchospasm occurs when there is inflammation, edema, and excess mucus.
Bronchospasm occurs when there is inflammation, edema, and excess mucus: Bronchospasm in asthma is characterized by inflammation of the airways, edema of the airway walls, and increased mucus production, leading to constriction and obstruction of the airways.
B. Decreased mucus production contributes to airway constriction.
Decreased mucus production contributes to airway constriction: In asthma, bronchospasm is associated with increased mucus production, not decreased. Excess mucus contributes to airway obstruction.
C. Inflammation is reduced due to airway diameter.
Inflammation is reduced due to airway diameter: Inflammation typically increases airway constriction rather than reducing it. The narrowed airway diameter is a result of inflammation, not a reduction in inflammation.
D. Airway obstruction occurs due to thinning mucus.
Airway obstruction occurs due to thinning mucus: Airway obstruction in asthma is due to thick, tenacious mucus, not thinning mucus. The mucus contributes to the blockage of the airways.
Full Explanation
A. Bronchospasm occurs when there is inflammation, edema, and excess mucus: Bronchospasm in asthma is characterized by inflammation of the airways, edema of the airway walls, and increased mucus production, leading to constriction and obstruction of the airways.
B. Decreased mucus production contributes to airway constriction: In asthma, bronchospasm is associated with increased mucus production, not decreased. Excess mucus contributes to airway obstruction.
C. Inflammation is reduced due to airway diameter: Inflammation typically increases airway constriction rather than reducing it. The narrowed airway diameter is a result of inflammation, not a reduction in inflammation.
D. Airway obstruction occurs due to thinning mucus: Airway obstruction in asthma is due to thick, tenacious mucus, not thinning mucus. The mucus contributes to the blockage of the airways.