The nurse is caring for a client admitted with pneumonia. Which of the following assessment findings would pro vide the most accurate information about the type of pneumonia the client has?
A)
productive cough with large amounts of rust-colored sputum
B)
client's complaint of chest pain
C)
client's complaint of shortness of breath
D)
temperature of 38.3°C (101°F)
A
Explanation:
A)
The various types of pneumonia differ in onset, character of cough, presence of fever, and pain. The specific finding of rust-colored sputum is indicative of pneumococcal pneumonia. Shortness of breath and low-grade fever are seen with various other types of pneumonia.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
The various types of pneumonia differ in onset, character of cough, presence of fever, and pain. The specific finding of rust-colored sputum is indicative of pneumococcal pneumonia. Shortness of breath and low-grade fever are seen with various other types of pneumonia.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
The various types of pneumonia differ in onset, character of cough, presence of fever, and pain. The specific finding of rust-colored sputum is indicative of pneumococcal pneumonia. Shortness of breath and low-grade fever are seen with various other types of pneumonia.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
The various types of pneumonia differ in onset, character of cough, presence of fever, and pain. The specific finding of rust-colored sputum is indicative of pneumococcal pneumonia. Shortness of breath and low-grade fever are seen with various other types of pneumonia.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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