An older adult patient has been diagnosed with Legionella infection. When planning this patient's care, the nurse should prioritize which of the following nursing actions?
A) Monitoring for evidence of skin breakdown
B) Emotional support and promotion of coping
C) Assessment for signs of internal hemorrhage
D) Vigilant monitoring of respiratory status
Ans: D
Feedback:
The lungs are the principal organs of Legionella infection. The patient develops increasing pulmonary symptoms, including productive cough, dyspnea, and chest pain. Consequently, respiratory support is vital. Hemorrhage and skin breakdown are not central manifestations of the disease. Preservation of the patient's airway is a priority over emotional support, even though this aspect of care is important.
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