A nurse is providing care for an older, previously healthy adult male who has been diagnosed today with pneumococcal pneumonia. Which of the following signs and symptoms is the nurse most likely to encounter?
A)
The man will be hypotensive and febrile and may manifest cognitive changes.
B)
The patient will have a cough producing clear sputum, and he will have faint breath sounds and fine crackles.
C)
The patient will have copious bloody sputum and diffuse chest pain and may lose his cough reflex.
D)
The patient will lack lung consolidation and will have little, if any, sputum production.
Ans:
B
Feedback:
The typical onset of pneumococcal pneumonia involves production of clear sputum, along with faint breath sounds and fine crackles. The patient is less likely to be hypotensive, have copious bloody sputum, or have chest pain. A lack of lung consolidation or sputum production is more closely associated with atypical pneumonias.
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