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 D
Explanation
Choice A rationale
Biofeedback is a mind-body technique that helps individuals gain control over bodily processes that are normally involuntary. It is not contraindicated for a client with herpes zoster.
Choice B rationale
Aloe is a plant-based product often used for its soothing and healing properties. It is not contraindicated for a client with herpes zoster.
Choice C rationale
Feverfew is a medicinal herb often used for its anti-inflammatory properties. It is not contraindicated for a client with herpes zoster.
Choice D rationale
Acupuncture involves the insertion of thin needles into specific points on the body. It is contraindicated for a client with herpes zoster because it could potentially open a portal on the skin’s surface, increasing the risk of further infection.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Pupil clarity is not typically used to assess an older adult client’s risk for falls. It is more relevant in neurological assessments.
Choice B rationale
The appearance of gait is a crucial factor in assessing an older adult client’s risk for falls. Abnormalities in gait can increase the risk of falls.
Choice C rationale
Visual fields are important in assessing an older adult client’s risk for falls. Impaired visual fields can increase the risk of falls.
Choice D rationale
Visual acuity is important in assessing an older adult client’s risk for falls. Poor visual acuity can increase the risk of falls.
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