A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?
Rhinitis
Hemoptysis
High fever
Constipation
The Correct Answer is C
A. Rhinitis, or nasal inflammation, can occur in various respiratory infections but is not a primary symptom of bacterial pneumonia. While some children with pneumonia may have nasal congestion or a runny nose, it is not a defining characteristic of pneumonia.
B. Hemoptysis, or coughing up blood, is not a common symptom of bacterial pneumonia, especially in children. While it can occur in severe cases or specific types of pneumonia, it is not typically expected during the initial assessment of bacterial pneumonia in pediatric patients.
C. A high fever is a common and expected symptom in children with bacterial pneumonia. The body’s response to the infection often includes elevated temperatures, and fever is one of the key signs that healthcare providers look for when diagnosing pneumonia.
D. Constipation is not a symptom associated with bacterial pneumonia. While general illness can affect bowel habits, constipation is not typically seen in patients with pneumonia. The focus of the assessment would be on respiratory symptoms rather than gastrointestinal issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Edema (swelling due to fluid accumulation) is not a primary manifestation of scabies. While secondary infections can lead to localized swelling, edema is not characteristic of scabies itself.
B. Maceration refers to the softening and breaking down of skin resulting from prolonged exposure to moisture. While it can occur if the skin is scratched and becomes wet, it is not a primary clinical manifestation of scabies.
C. Redness (erythema) can occur due to scratching and irritation, but it is not the defining feature of scabies. While some redness may be present, it is not the primary symptom that indicates scabies infestation.
D. The primary clinical manifestation of scabies is intense pruritus (itching), which is often worse at night. The itching is a result of an allergic reaction to the mites and their waste products, leading to discomfort and a strong urge to scratch.
Correct Answer is D
Explanation
A. While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.
B. Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C. Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D. Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.
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